A Study Comparing GLIADEL to Stereotactic Radiosurgery in Metastatic Brain Disease

Eligibility Criteria

• 1. Age 18 years or older (Nebraska is 19 years or older)
• 2. Karnofsky Performance Score ≥ 70
• 3. RPA class I or II
• 4. Known or suspected primary solid cancer with metastatic brain tumor(s) - up to four in number and up to 4 cm in size with surgical resection planned for one or two tumors.
• 5. Adequate platelet count (≥ 100,000/mm3), transfusion permitted
• 6. Laboratory values adequate for patient to undergo surgery, including: (transfusion permitted to reach goals)
• 7. Women of childbearing potential must have a negative pregnancy test within 7 days of initiating study
• 8. INR ≤ 1.3
• 9. Estimated survival time of ≥ 3 months as determined by the patient's primary oncologist.
• 10. The subject is willing and able to consent to and abide by the protocol.
• 1. Prior treatment to the area of planned resection (surgery, radiation).
• 2. Prior whole brain radiation therapy.
• 3. Diagnosis of lymphoma, germ cell cancer, small cell lung cancer, anaplastic thyroid cancer.
• 4. Leptomeningeal disease
• 5. Neurodegenerative disorder (e.g. dementia).
• 6. Tumor size \> 4 cm.
• 7. RPA class III
• 8. Inability or unwillingness to co-operate with the requirements of the protocol
• 9. Any other clinically significant medical disease or condition laboratory abnormality or psychiatric illness that, in the Investigator's opinion, may interfere with protocol adherence or confound efficacy or safety assessment or a subject's ability to give informed consent.
• 10. Participation in other therapeutic clinical trials
• 11. Severe pulmonary, cardiac or other systemic disease, specifically:
• 1. New York Heart Association \> Grade 2 congestive heart failure within 6 months prior to study entry, unless asymptomatic and well controlled with medication
• 2. Uncontrolled or significant cardiovascular disease, clinically significant ventricular arrhythmia, clinically significant pulmonary disease
• 12. Subjects who have any other disease, either metabolic or psychological, which as per the Investigator assessment may affect the subject's compliance or place the subject at higher risk of potential treatment complications.
• 13. The subject has a bleeding diathesis, or must take anticoagulants, or antiplatelet agents including NSAIDs (non-steroidal anti-inflammatory drugs), at the time of scheduled resection that cannot be stopped for surgery.
• 14. Inability to obtain MRI studies.