Clinical trial NCT02565433: Prospective Assessment of Quality of Life in Patients Treated by Radiosurgery for Brain Metastases (PRAMECE-1302)
Official title: Prospective Assessment of Quality of Life in Patients Treated by Radiosurgery for Brain Metastases
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Neoplasm Metastases
Keywords: brain metastases
Gamma Knife
Radiosurgery
Quality of Life
Lead sponsor: Centre Oscar Lambret
Sponsor class: OTHER
Collaborators: name: Centre Hospitalier Universitaire de Besancon
First posted: 2015-10-01
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The aim of the study is to assess prospectively the impact of radiosurgery on the quality of life in patients with brain metastases.

Detailed description: The patients who meet the selection criteria and who have accepted to participate at the study will answer different questionnaires of the study before radiosurgery and at 3, 6, 9 and 12 months after the treatment of brain metastases. Baseline examinations will be done before receiving the treatment during the hospitalisation for the Gamma Knife treatment, and then they will be repeated at the evaluation visits which are classically done every 3 months. MRI's will also be performed every 3 months. In this way, no additional travel or MRI will be carried out as part of the study.

Eligibility criteria: Inclusion Criteria:

* Patient with newly diagnosed brain metastases
* Patient with cancer regardless of the type of primary cancer, with anatomopathological proof
* At least, one measurable lesion ≥ 10 mm on the MRI T1 gadolinium sequences
* Number of brain metastases lower or equal to 5
* Indication of radiosurgery treatment
* Age ≥ 18 years old
* ECOG-PS 0-2
* Expected survival \> 3 months
* Ability to complete self-administered questionnaires. If the patient has a motor disability (hemibody deficit) that does not allow to complete himself the questionnaires, these will be read by a CRA of the Neurosurgery department who will outline the questions without making any comment.
* A non-opposition form must have been completed by the patient

Exclusion Criteria:

* Previous cancer (\< 5 years) except of carcinoma of cervix uteri, basal cell or squamous cell skin carcinoma adequately treated
* Previous brain radiotherapy
* Neurological pathology with cognitive disorders existing before the study
* Having a contraindication for MRI
* Associated leptomeningeal disease
* Patients having another severe or uncontrolled pathology which could compromise the participation at the study (such as infection, cardiovascular, digestive, renal or pulmonary disease)
* Pregnant or breastfeeding woman. The women must not breastfeed for at least 6 months
* Impossibility to submit to the medical examinations of the study due to geographic, social or mental reasons

Primary outcomes:
measure: Impact at 6 months of the radiosurgery based on the evaluation of 4 criteria of the QLQ C30 questionnaire
timeFrame: 6 months
Secondary outcomes:
measure: Comparison of the scores obtained on the scales, questionnaires and Performance status at baseline and every 3 months (until 12 months) after Gamma Knife treatment
timeFrame: 1 year
measure: Comparison of the scores obtained on the scales and questionnaires according to the type of primary cancer at baseline and every 3 months (until 12 months) after Gamma Knife treatment
timeFrame: 1 year
measure: Comparison of the scores obtained on different scales according to the type of associated treatments at baseline and every 3 months (until 12 months) after Gamma Knife treatment
timeFrame: 1 year
measure: Correlation between the scores obtained on the different scales at the baseline and the progression-free survival / overall survival
timeFrame: 1 year
measure: Correlation between the scores obtained on the scales QLQ C30, BN20 (quality of life), IADL (autonomy), HADS (anxiety-depression), MoCA (cognition), ESAS (quality of life) at baseline and those obtained at 3, 6, 9, 12 months
timeFrame: 1 year
measure: Correlation between the scores obtained on the scales during the study and the clinical neurological response at baseline and every 3 monts until 12 months after Gamma Knife treatment
timeFrame: 1 year
Other outcomes:
Locations:
city: Lille
country: France
facility: CHRU de Lille - Hôpital Salengro
Study officials:
affiliation: Centre Oscar Lambret
name: Emilie Le Rhun, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: CHRU de Besançon
name: Franck Bonnetain, MD
role: STUDY_DIRECTOR
References: