At a glance
ClinicalIndex Comparison Record- ✓Adult patients aged 18-80 years
- ✓ECOG performance status 0-2 or Karnofsky ≥70
- ✓Expected lifetime more than 6 months
- ✓Pathologically proven small cell lung cancer within 5 years; recent confirmation required if original diagnosis >5 years ago
- ✕Clinical or radiologic evidence of new, untreated, and/or progressive brain metastases prior to registration
- ✕Previous radiotherapy of the brain
- ✕Cannot tolerate immobilization or MRI contraindications (cardiac pacemaker, implanted defibrillator, certain cardiac valve replacements, certain metal implants)
- ✕Radiographic evidence of hydrocephalus, ventricular system distortion, leptomeningeal metastases, or increased intracranial pressure requiring immediate decompression surgery
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
SRS/SRT/Hypo-RT Versus HA-WBRT for No More Than 10 Brain Metastases in Patients With Small-Cell Lung Cancer: A Prospective, Randomized, Multicenter Phase III Trial (SHARP Trial)
In Brief
A Phase 3 clinical trial evaluating Experimental group (SRS/SRT/Hypo-RT) and Controled group (HA-WBRT) for Small-cell Lung Cancer and 5 related conditions. Currently recruiting, targeting 340 participants across 1 site.
Detailed Summary
This phase III trial compares the effect of stereotactic radiosurgery and whole brain radiation therapy that avoids the hippocampus (the memory zone of the brain) for the treatment of small cell lung cancer that has spread to the brain.
Study Details
Timeline
Interventions
The prescription dose of SRS/SRT is 18-22Gy in 1 fraction, 27Gy in 3 fractions and 30Gy in 5 fractions. The prescription dose of Hypo-RT is 40Gy in 8 fraction. The prescription dose could be adjusted if lesions are located in brain stem when treat with SRS/SRT/Hypo-RT.
The prescription dose of HA-WBRT is 30Gy in 10 fraction.