MeDex: No Perioperative Dexamethasone in Brain Metastases

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Louisville

About this trial

Perioperative treatment of newly diagnosed cancer patients with brain metastasis without dexamethasone (Dex).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

New brain tumor(s) on imaging

Visceral mass(es) suspicious or confirmed for neoplasm

No contraindications for craniotomy

Age ≥ 18 years

Disqualifiers

Presence of BMs not eligible for resection that are each > 2 cm in any one dimension

>4 BMs not eligible for resection that are each 2 cm in any one dimension

Treatment with laser interstitial thermal therapy (LITT)

High concern for primary CNS lymphoma

Trial design

Design model

Single group

Treatments tested in this trial

  • Withholding perioperative Dexamethasone

    Other intervention

    Patients will not receive perioperative Dex before, during, and up to 3 weeks after surgery.

Treatment groups

35 Participants
are divided into 1 treatment group
Group A: Withholding perioperative dexamethasoneExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Dexamethasone Rescue Need

Initiation of dexamethasone after enrollment up to 3 weeks after surgery.

Time frame
4 weeks post operative (+-) 2 weeks

Secondary outcomes

1

Immunosuppression Assessment

Presence of absence of lymphopenia prior to adjuvant cancer therapy.

Time frame
4 weeks post operative (+-) 2 weeks

Other outcomes

Sponsors and contacts

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