Stereotactic Radiation Therapy With or Without Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases
Breast Cancer, Cognitive/Functional Effects, Lung Cancer

About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring cognitive/functional effects, tumors metastatic to brain, stage IV breast cancer, stage IV prostate cancer, stage IV non-small cell lung cancer, male breast cancer, recurrent breast cancer, recurrent prostate cancer, recurrent non-small cell lung cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
Diagnosis of cerebral metastases meeting the following criteria:
- One to three presumed brain metastases
Metastases must be from a histologically confirmed extracerebral site (e.g., lung, breast, prostate)
- Histologic confirmation may have been from the primary tumor site, from another metastatic site (e.g., osseous metastasis, adrenal metastasis), or from the metastatic brain lesion(s)
- Each lesion must measure less than 3.0 cm by contrast MRI of the brain performed within the past 21 days
- Lesions must not be within 5 mm of the optic chiasm or within the brainstem
- Eligibility for treatment with gamma knife or linear accelerator-based radiosurgery confirmed by a radiation oncologist
- No primary germ cell tumor, small cell carcinoma, or lymphoma
- No leptomeningeal metastases
- Hormone receptor status not specified
PATIENT CHARACTERISTICS:
- Male or female
- Menopausal status not specified
- ECOG performance status 0-2
- Not pregnant
- Negative pregnancy test
Fertile patients must use effective contraception
- Male patients must continue to use contraception for 3 months after the completion of radiotherapy
- No pacemaker or other MRI-incompatible metal in the body
- No known allergy to gadolinium
PRIOR CONCURRENT THERAPY:
- More than 7 days since prior and no concurrent chemotherapy
- No prior cranial radiotherapy
- No prior resection of cerebral metastases
- Concurrent hormonal agents, steroids, and/or anticonvulsants allowed
Sites / Locations
- Arizona Oncology-Deer Valley Center
- Arizona Oncology Services Foundation
- Memorial Medical Center
- Kaiser Permanente - Division of Research - Oakland
- St. Joseph Hospital Regional Cancer Center - Orange
- Rohnert Park Cancer Center
- Kaiser Permanente Medical Center - Santa Clara Kiely Campus
- Kaiser Permanente Medical Center - Santa Rosa
- University of Colorado Cancer Center at UC Health Sciences Center
- Veterans Affairs Medical Center - Denver
- Mayo Clinic - Jacksonville
- Florida Hospital Cancer Institute at Florida Hospital Orlando
- Northside Hospital Cancer Center
- Saint Joseph's Hospital of Atlanta
- Northeast Georgia Medical Center
- Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler
- Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center
- Northwest Community Hospital
- Via Christi Cancer Center at Via Christi Regional Medical Center
- Lucille P. Markey Cancer Center at University of Kentucky
- Owensboro Mercy Medical Center
- Ochsner Cancer Institute at Ochsner Clinic Foundation
- Lowell General Hospital
- Saint Vincent Hospital at Worcester Medical Center
- Henry Ford Hospital
- Josephine Ford Cancer Center at Henry Ford Hospital
- West Michigan Cancer Center
- CCOP - Duluth
- Mayo Clinic Cancer Center
- CentraCare Clinic - River Campus
- Cancer Institute of Cape Girardeau, LLC
- Saint Luke's Cancer Institute at Saint Luke's Hospital
- Billings Clinic - Downtown
- Immanuel Medical Center
- Seacoast Cancer Center at Wentworth - Douglass Hospital
- Elliot Regional Cancer Center at Elliot Hospital
- Somerset Medical Center
- J. Phillip Citta Regional Cancer Center at Community Medical Center
- Carolinas Medical Center/Levine Cancer Institute
- Blumenthal Cancer Center at Carolinas Medical Center
- Cape Fear Valley Medical Center Cancer Center
- Coastal Carolina Radiation Oncology Center
- Forsyth Regional Cancer Center at Forsyth Medical Center
- Medcenter One Hospital Cancer Care Center
- Sanford Bismarck Medical Center
- Summa Center for Cancer Care at Akron City Hospital
- Cancer Care Center, Incorporated
- Cancer Treatment Center
- Legacy Mount Hood Medical Center
- Legacy Good Samaritan Hospital & Comprehensive Cancer Center
- Legacy Good Samaritan Hospital and Medical Center
- Geisinger Cancer Institute at Geisinger Health
- Frankford Hospital Cancer Center - Torresdale Campus
- Cancer Centers of the Carolinas - Faris Road
- CCOP - Greenville
- Greenville Cancer Center of the Carolinas (CCOP)
- University of Texas Medical Branch
- Legacy Salmon Creek Medical Center
- St. Vincent Hospital Regional Cancer Center
- All Saints Cancer Center at Wheaton Franciscan Healthcare
- Tom Baker Cancer Centre - Calgary
- Margaret and Charles Juravinski Cancer Centre
- Princess Margaret Hospital
- CHUS-Hopital Fleurimont
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Arm I
Arm II
Patients undergo stereotactic radiosurgery (SRS)
Patients undergo SRS as in arm I. Within 14 days, patients then undergo whole-brain radiotherapy 5 days a week for 2.5 weeks.