Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Melanoma Brain Metastases Treated with Stereotactic Radiosurgery and Systemic Therapy

Official title: Impact of Stereotactic Radiosurgery With Cyberknife In Patients With Brain Melanoma Metastases In The Era Of New Drugs

Run by European Institute of Oncology · NCT07691255 · Data updated 2026-11-12

This study looks at how stereotactic radiosurgery for melanoma brain metastases works when patients are also receiving immunotherapy or targeted therapy.

More Melanoma (Skin Cancer) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorEuropean Institute of Oncology
Academic / other
Drugs / interventionsimmunotherapy, Radiation
Locations2 sites (Milan, Italy and 1 other locations)
StatusRecruiting
StartedAugust 25, 2026
Main results expectedJanuary 1, 2030
Study endsJanuary 1, 2030
Registry record updatedSeptember 10, 2026
Trial IDNCT07691255 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with melanoma brain metastases suitable for stereotactic radiotherapy, who may or may not be receiving systemic therapy.

Probably not a fit

Patients whose brain metastases do not respond to radiation or who cannot tolerate systemic therapy may not experience a benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Researchers will observe adults with melanoma that has spread to the brain who are treated with stereotactic radiosurgery (SRS) at the European Institute of Oncology between 2026 and 2028. The goal is to see how the timing and sequencing of SRS with systemic therapies influence outcomes and to collect real-world data to guide future treatment decisions. It is an observational study without a specified intervention beyond standard SRS and concurrent or non-concurrent systemic therapy. Eligible participants are adults with brain-d metastatic melanoma treatable by SRS, able to provide informed consent, and without prior whole-brain radiotherapy or non-cutaneous melanoma. Data will be collected from medical records to analyze local control, survival, and safety.

Why it matters

Potential benefit: If successful, the study could clarify how best to combine SRS with systemic therapies to improve outcomes for patients with melanoma brain metastases.

How similar studies have gone: Previous analyses suggest SRS provides good local control for limited brain metastases, but this study seeks to expand understanding in the context of modern systemic therapies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age \> 18
* Written informed consent for treatment and research purposes
* Melanoma Brain Metastases (MBM) diagnosed with brain MRI/CT
* MBM treatable with stereotactic radiotherapy
* Systemic therapy (immunotherapy, target therapy, or both) is allowed, as concurrent or non-concurrent treatment with stereotactic radiotherapy

Exclusion Criteria:

* Leptomeningeal neoplastic infiltration
* Previous whole-brain radiotherapy or surgical removal of brain metastases
* Patients with histological diagnosis of non-cutaneous melanoma (e.g. uveal melanoma)

Where it's running

  • European Institute of Oncology, Milan
    Milan, Italy, Italy
    Recruiting
  • European Institute of Oncology, Milan
    Milan, Mi, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.