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Image Guided Reirradiation of High-grade Glioma

Study Purpose

The purpose of the study is to evaluate the short- and long term toxicity of radiotherapy to patients with recurrent high-grade glioma who have previously received radiotherapy and to determine the best dose and treatment regimen. Positron emission tomography (PET) using an amino acid tracer, 18-fluoro-ethyltyrosine (18F-FET), is used for target delineation.The study examines, in four sequential treatment groups, the effect of dose, hypofractionation and treatment volume on toxicity. Upon completion of the phase I part, the study progresses to phase II where the best dose- and treatment regimen will be chosen for treatment.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - recurrent high-grade glioma.
  • - previous focal radiotherapy for high-grade glioma.
  • - no standard treatment options available/indicated.
  • - ECOG (Eastern Cooperative Oncology Group) performance status 0 or 1 or 2.
  • - life expectancy > 3 months.
  • - hemoglobin value > 6 mmol/l (transfusion permitted) - able to understand oral and written Danish.

Exclusion Criteria:

  • - disseminated recurrent disease.
  • - infection or wound dehiscence or other pathological condition in meninges/skull/scalp.
  • - symptoms of elevated intracranial pressure.
- very early recurrence following primary radiotherapy (< or equal to 3 months) - contraindications to magnetic resonance imaging (MRI) or positron emission tomography (PET) - other previous radiotherapy to the brain than primary course of irradiation

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT02025231
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Rigshospitalet, Denmark
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Svend Aage Engelholm, MD
Principal Investigator Affiliation Department of Radiation Oncology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Terminated
Countries Denmark, Sweden
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Malignant Glioma, Glioblastoma
Arms & Interventions

Arms

Experimental: External beam radiotherapy

Hypofractionated external beam radiation delivered in 4 different sequential dose/fractionation groups.

Interventions

Radiation: - External beam radiotherapy

Study group 1: 3.5 Gray x 10, 5 fractions per week. Study group 2: 3.5 Gray x 10 + 7 Gray boost to biological target volume, 5 fractions per week. Study group 3: 5.9 Gray x 10, 5 fractions per week. Study group 4 (planning target volumes: 100 millilitres - 300 millilitres): 3.5 Gray x 10, 5 fractions per week. Phase II dosis: to be chosen based on results of phase I study.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Copenhagen, Denmark

Status

Address

Department of Radiation Oncology, Rigshospitalet

Copenhagen, , 2100

Skånes universitetssjukhus, Lund, Sweden

Status

Address

Skånes universitetssjukhus

Lund, , 22185