Study of Neurologic Progression With Motexafin Gadolinium and Radiation Therapy (SMART)
Randomized Phase III Trial of Xcytrin® (Motexafin Gadolinium) Injection for the Treatment of Brain Metastases in Patients With Non-Small Cell Lung Cancer Undergoing Whole Brain Radiation Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Liverpool, New South Wales, Australia
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St. Leonards, New South Wales, Australia
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Wollongong, New South Wales, Australia
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Queensland
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Herston, Queensland, Australia
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Woollongabba, Queensland, Australia
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Victoria
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East Melbourne, Victoria, Australia
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Footscray, Victoria, Australia
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Geelong, Victoria, Australia
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Heidelberg, Victoria, Australia
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Linz, Austria
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Wien, Austria
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Antwerpen, Belgium
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Bruxelles, Belgium
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Haine-Saint-Paul, Belgium
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Leuven, Belgium
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Alberta
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Calgary, Alberta, Canada
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Edmonton, Alberta, Canada
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Nova Scotia
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Halifax, Nova Scotia, Canada
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Ontario
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Hamilton, Ontario, Canada
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Kingston, Ontario, Canada
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London, Ontario, Canada
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Ottawa, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Quebec City, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Caen, France
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Lille, France
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Lyon, France
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Montbeliard, France
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Nice, France
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Pierre Benite, France
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Rennes, France
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Saint Herblain, France
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Vandoeuvre Les Nancy, France
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Villejuif, France
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Aachen, Germany
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Berlin, Germany
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Essen, Germany
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Freiberg, Germany
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Hamburg, Germany
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Heidelberg, Germany
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Herne, Germany
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Magdeburg, Germany
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Munchen, Germany
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Gravenhage, Netherlands
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Heerlen, Netherlands
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Rotterdam, Netherlands
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Arizona
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Phoenix, Arizona, United States
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Arkansas
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Fort Smith, Arkansas, United States
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Little Rock, Arkansas, United States
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California
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Berkeley, California, United States
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Concord, California, United States
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Greenbrae, California, United States
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Los Angeles, California, United States
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Montebello, California, United States
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Sacramento, California, United States
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Stanford, California, United States
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Colorado
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Aurora, Colorado, United States
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Connecticut
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Hartford, Connecticut, United States
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New Haven, Connecticut, United States
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Illinois
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Chicago, Illinois, United States
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Indiana
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Fort Wayne, Indiana, United States
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Indianapolis, Indiana, United States
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Louisiana
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Shreveport, Louisiana, United States
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Maryland
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Baltimore, Maryland, United States
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Washington D.C, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Michigan
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Detroit, Michigan, United States
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Grand Rapids, Michigan, United States
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Minnesota
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Minneapolis, Minnesota, United States
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Missouri
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St. Louis, Missouri, United States
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Nebraska
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Omaha, Nebraska, United States
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New Jersey
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Camden, New Jersey, United States
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Morristown, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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New York
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New York, New York, United States
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Rochester, New York, United States
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Ohio
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Akron, Ohio, United States
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Cleveland, Ohio, United States
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Columbus, Ohio, United States
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Pennsylvania
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Hershey, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Tennessee
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Knoxville, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Houston, Texas, United States
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Laredo, Texas, United States
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San Antonio, Texas, United States
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Tyler, Texas, United States
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Virginia
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Charlottesville, Virginia, United States
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Wisconsin
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Madison, Wisconsin, United States
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults (≥18 years old) with radiologically proven parenchymal brain metastases from histologically confirmed non-small cell lung cancer;
- KPS score of ≥70;
- Each patient must sign a study-specific Informed Consent form
Exclusion Criteria:
- Liver metastases;
- Extracranial metastases in two or more organs;
- Known leptomeningeal metastases or subarachnoid spread of tumor;
- Prior whole brain radiation;
- Plan to use radiosurgery or radiation boost after completion of WBRT;
- Planned chemotherapy during study treatment (prior and subsequent chemotherapy is allowed);
- Prior total resection of a single brain metastasis;
- Laboratory values as follows:
LDH > 1.3 x upper limit of normal (ULN); ANC < 1500 /mm³; Platelets < 50,000 /mm³; Creatinine > 2.0 mg/dL; AST or ALT > 2 x ULN; Total bilirubin > 2 x ULN;
- Women who are pregnant or lactating
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Mehta MP, Shapiro WR, Glantz MJ, Patchell RA, Weitzner MA, Meyers CA, Schultz CJ, Roa WH, Leibenhaut M, Ford J, Curran W, Phan S, Smith JA, Miller RA, Renschler MF. Lead-in phase to randomized trial of motexafin gadolinium and whole-brain radiation for patients with brain metastases: centralized assessment of magnetic resonance imaging, neurocognitive, and neurologic end points. J Clin Oncol. 2002 Aug 15;20(16):3445-53. doi: 10.1200/JCO.2002.07.500.
- Carde P, Timmerman R, Mehta MP, Koprowski CD, Ford J, Tishler RB, Miles D, Miller RA, Renschler MF. Multicenter phase Ib/II trial of the radiation enhancer motexafin gadolinium in patients with brain metastases. J Clin Oncol. 2001 Apr 1;19(7):2074-83. doi: 10.1200/JCO.2001.19.7.2074.
- Rosenthal DI, Nurenberg P, Becerra CR, Frenkel EP, Carbone DP, Lum BL, Miller R, Engel J, Young S, Miles D, Renschler MF. A phase I single-dose trial of gadolinium texaphyrin (Gd-Tex), a tumor selective radiation sensitizer detectable by magnetic resonance imaging. Clin Cancer Res. 1999 Apr;5(4):739-45.
- Magda D, Lepp C, Gerasimchuk N, Lee I, Sessler JL, Lin A, Biaglow JE, Miller RA. Redox cycling by motexafin gadolinium enhances cellular response to ionizing radiation by forming reactive oxygen species. Int J Radiat Oncol Biol Phys. 2001 Nov 15;51(4):1025-36. doi: 10.1016/s0360-3016(01)01810-7.
- Miller RA, Woodburn K, Fan Q, Renschler MF, Sessler JL, Koutcher JA. In vivo animal studies with gadolinium (III) texaphyrin as a radiation enhancer. Int J Radiat Oncol Biol Phys. 1999 Nov 1;45(4):981-9. doi: 10.1016/s0360-3016(99)00274-6.
Helpful Links
Study record dates
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Non-small cell lung cancer
- Treatment Outcome
- Brain metastases
- Brain Neoplasms/secondary
- Quality of Life,
- Brain Neoplasms/radiotherapy
- Neoplasms/complications/prevention & control,
- Neuropsychological Tests,
- Metalloporphyrins/therapeutic use,
- Combined Modality Therapy,
- Drug therapy,
- Cranial Irradiation,
- Radiotherapy/Targeted,
- Prospective Studies,
- Neoplasm Recurrence/Local,
Additional Relevant MeSH Terms
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Neoplastic Processes
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Lung Neoplasms
- Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Neoplasm Metastasis
- Brain Neoplasms
- Antineoplastic Agents
- Photosensitizing Agents
- Dermatologic Agents
- Motexafin gadolinium
Other Study ID Numbers
Other Study ID Numbers
- PCYC-0211
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