Status:

COMPLETED

Trial of Hypofractionated Radiation Therapy for Glioblastoma

Lead Sponsor:

AHS Cancer Control Alberta

Collaborating Sponsors:

Cross Cancer Institute

Conditions:

Glioblastoma

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

This study is being done to compare standard radiation therapy with hypofractionated radiation therapy for patients with newly diagnosed glioblastoma

Detailed Description

Hypofractionated radiation therapy (RT) in the treatment of patients with glioblastoma, 18 - 70 years of age with good performance status (ECOG 0 - 2), will be well tolerated and yield survival non-in...

Eligibility Criteria

Inclusion

  • Newly-diagnosed, histologically proven, intracranial glioblastoma or gliosarcoma treated with maximal safe resection, which may be biopsy alone if resection is not possible.
  • History and physical examination, including neurological examination, within 14 days prior to randomization.
  • Age between 18 and 70 years, inclusive.
  • ECOG performance score 0-2.
  • Stable or decreasing dose of corticosteroids for at least 14 days prior to randomization (Stupp et al.).
  • Laboratory evaluation obtained within 7 days prior to randomization, with adequate function as defined below: (Stupp et al.)
  • ANC ≥ 1.5 x 10\^9/L
  • Platelets ≥ 100 x 10\^9/L
  • Serum creatinine ≤ 1.5 times ULN
  • Total serum bilirubin ≤ 1.5 times ULN
  • ALT \< 3 times ULN
  • AST \< 3 times ULN
  • Alkaline phosphatase \< 3 times ULN
  • Patients must sign a study-specific informed consent prior to study registration and must be willing to comply with study treatment, questionnaire completion and follow-up.

Exclusion

  • Recurrent or multifocal malignant gliomas. Multicentric gliomas, defined as multiple, discrete areas of enhancement on T1 weighted MRI sequences with contrast all contained within one connected region of abnormality on T2 weighted/FLAIR MRI sequences, are allowed to enroll on this study.
  • Prior invasive malignancy (except for non-melanomatous skin cancer) unless expected survival from prior malignancy is ≥ 5 years.
  • Prior head or neck RT (except for T1 glottic cancer), or systemic therapy precluding delivery of concurrent and adjuvant temozolomide
  • Treatment with any other therapeutic clinical protocol within 30 days prior to study registration or during participation in the study.
  • Severe, active co-morbidity, defined as follows:
  • Unstable angina and/or congestive heart failure requiring hospitalization
  • Transmural myocardial infarction within the last 6 months
  • Acute bacterial or fungal infection requiring intravenous antibiotics at the time of study registration
  • Any severe, active co-morbidity precluding delivery of temozolomide.
  • Women of child-bearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception.
  • Pregnant or lactating women, due to possible adverse effects on the developing fetus or infant due to temozolomide.

Key Trial Info

Start Date :

September 25 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 14 2023

Estimated Enrollment :

133 Patients enrolled

Trial Details

Trial ID

NCT02206230

Start Date

September 25 2014

End Date

February 14 2023

Last Update

January 31 2024

Active Locations (1)

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Cross Cancer Institute

Edmonton, Alberta, Canada, T6G 1Z2