| Pre-randomisation | Baseline | Months 0–24 Follow-up visit every 2 months (± 2 weeks); MRI every 3 months (± 4 weeks) | Intracranial failure | |||||||||||||||||||||
 | 2 | 3 | 4 | 6 | 8 | 9 | 10 | 12 | 14 | 15 | 16 | 18 | 20 | 21 | 22 | 24 | |||||||||
Initial local treatment and confirmation of melanoma | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||||
Urine pregnancy test | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||||
eGFR | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||||
MRI of brain | X | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | X | ||||||
Disease statusa | X | Any imaging after randomisation will be as clinically indicated by local protocol or for suspicion of systemic progression.. | |||||||||||||||||||||||
ECOG Performance Status | X | Â | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
AE/SAE reporting | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
Medical history | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||||
Physical examination | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
Systemic therapies | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
Steroid use | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
Participation in other clinical trials | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
QoL questionnaires | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
Health economic resource use questionnaires | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
NCF assessments | Â | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | ||||||
WBRT | For patients randomised to the WBRT treatment arm: WBRT is to commence < 4 weeks from randomisation and no more than 8 weeks from completion of local brain metastases treatment For patients who receive salvage WBRT during follow-up: Patients may undergo salvage WBRT at any time during the observation period, at the local investigator’s discretion | ||||||||||||||||||||||||
 | Beyond 24 monthsb |  | |||||||||||||||||||||||
 | Patients who have experienced intracranial failure by 24 months Follow-up visit every 2 months (± 2 weeks); MRI every 3 months (± 4 weeks) | Patients who have NOT had an intracranial failure by 24 months Follow-up visit every 3 months (± 2 weeks); MRI every 6 months (± 4 weeks) | Intracranial failure | ||||||||||||||||||||||
 | 26 | 27 | 28 | 30 | 32 | 33 | 34 | 36 | 38 | 39 | 40 | 42 | 44 | 45 | 46 | 48 | 27 | 30 | 33 | 36 | 39 | 42 | 45 | 48 | |
MRI of brain | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | Â | X | X |
Disease statusa | Any imaging after randomisation will be as clinically indicated by local protocol or for suspicion of systemic progression | ||||||||||||||||||||||||
ECOG Performance Status | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
AE/SAE reporting | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
Physical examination | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
Systemic therapies | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
Steroid use | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
Participation in other clinical trials | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
QoL questionnaires | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
Health economic resource use questionnaires | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
NCF assessments | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | Â | X | X | X | X | X | X | X | X | X | X | X |
WBRT | For patients randomised to the WBRT treatment arm: WBRT is to commence < 4 weeks from randomisation and no more than 8 weeks from completion of local brain metastases treatment For patients who receive salvage WBRT during follow-up: Patients may undergo salvage WBRT at any time during the observation period, at the local investigator’s discretion |