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Simvastatin Effect on Radiation Therapy of Brain Metastases

Primary Purpose

Brain Metastases

Status
Completed
Phase
Phase 2
Locations
Egypt
Study Type
Interventional
Intervention
simvastatin in addition to radiation therapy
radiation therapy
Sponsored by
Ain Shams University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Brain Metastases focused on measuring brain metastases, simvastatin, radiation therapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with measurable brain metastases
  • Age more than 18 years old
  • Patients should be planned for radiation therapy

Exclusion Criteria:

  • Renal dysfunction (more than 1 upper normal level)
  • Hepatic dysfunction (alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >3 times the upper normal level )
  • Pregnancy or lactation.
  • Known hypersensitivity to simvastatin

Sites / Locations

  • Ain Shams university Hospitals

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

simvastatin

control

Arm Description

they will receive simvastatin in addition to radiation therapy

they will receive radiation therapy only

Outcomes

Primary Outcome Measures

a- Response rate
brain CT/MRI will be done at baseline and 4 weeks after radiotherapy to evaluate the reduction in tumor size

Secondary Outcome Measures

progression free and overall survival
it measures time from treatment initiation to either progression or death from any cause
adverse effects
any adverse/side effect will be evaluated

Full Information

First Posted
April 1, 2014
Last Updated
February 16, 2016
Sponsor
Ain Shams University
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1. Study Identification

Unique Protocol Identification Number
NCT02104193
Brief Title
Simvastatin Effect on Radiation Therapy of Brain Metastases
Official Title
The Effect of Simvastatin on the Clinical Outcome of Patients With Brain Metastases Treated With Radiation Therapy: a Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ain Shams University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the effect of simvastatin in combination with radiotherapy on the clinical outcomes of patients with brain metastases.
Detailed Description
Despite current advances in therapies, the outcome for patients with brain metastases is fatal. New therapeutic approaches, such as radiosensitizing agents, are needed to provide a significant survival advantage for those patients. Statins have been reported to enhance the efficacy of radiotherapy in addition to a neuroprotective effect. The aim of the study is to evaluate the effect of simvastatin on the efficacy and safety of radiation therapy in patients with brain metastases and on improving patients' quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain Metastases
Keywords
brain metastases, simvastatin, radiation therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
simvastatin
Arm Type
Experimental
Arm Description
they will receive simvastatin in addition to radiation therapy
Arm Title
control
Arm Type
Active Comparator
Arm Description
they will receive radiation therapy only
Intervention Type
Drug
Intervention Name(s)
simvastatin in addition to radiation therapy
Intervention Description
simvastatin 80 mg tablet once daily during the radiation therapy period in addition to radiation therapy 30 Gy delivered in 10 fractions over 2 weeks
Intervention Type
Radiation
Intervention Name(s)
radiation therapy
Intervention Description
radiation therapy 30 Gy delivered in 10 fractions over 2 weeks
Primary Outcome Measure Information:
Title
a- Response rate
Description
brain CT/MRI will be done at baseline and 4 weeks after radiotherapy to evaluate the reduction in tumor size
Time Frame
4 weeks after radiation therapy
Secondary Outcome Measure Information:
Title
progression free and overall survival
Description
it measures time from treatment initiation to either progression or death from any cause
Time Frame
up to 6 months
Title
adverse effects
Description
any adverse/side effect will be evaluated
Time Frame
during the treatment period
Other Pre-specified Outcome Measures:
Title
quality of life
Description
measures the patient quality of life
Time Frame
baseline, after radiation therapy, 6 weeks, 18 weeks, 30 weeks
Title
cognitive function assessment using Montreal cognitive assessment test
Description
assess the patient cognitive function by the evaluation of Montreal cognitive assessment test score
Time Frame
baseline, after radiation therapy, 6 weeks, 18 weeks, 30 weeks
Title
serum s100 B protein
Description
evaluate serum s100 B protein at baseline and after 2 weeks
Time Frame
baseline, after radiation therapy

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with measurable brain metastases Age more than 18 years old Patients should be planned for radiation therapy Exclusion Criteria: Renal dysfunction (more than 1 upper normal level) Hepatic dysfunction (alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >3 times the upper normal level ) Pregnancy or lactation. Known hypersensitivity to simvastatin
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
May A Shawki, master
Organizational Affiliation
Faculty of Pharmacy- Ain Shams university
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ain Shams university Hospitals
City
Cairo
ZIP/Postal Code
11566
Country
Egypt

12. IPD Sharing Statement

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Simvastatin Effect on Radiation Therapy of Brain Metastases

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