Status:

RECRUITING

The SAFE-Trial: Awake Craniotomy Versus Surgery Under General Anesthesia for Glioblastoma Patients.

Lead Sponsor:

Jasper Gerritsen

Collaborating Sponsors:

Elisabeth-TweeSteden Ziekenhuis

University Medical Center Groningen

Conditions:

Glioblastoma

Glioblastoma Multiforme

Eligibility:

All Genders

18-90 years

Phase:

NA

Brief Summary

The trial is designed as a multicenter randomized controlled study. 246 patients with presumed Glioblastoma Multiforme in eloquent areas on diagnostic MRI will be selected by the neurosurgeons accordi...

Detailed Description

Rationale Glioblastoma Multiforme (GBM) or Astrocytoma's grade IV (WHO) are devastating tumors with one of the worst prognoses in oncology. Extending resection improves survival in patients with GBM. ...

Eligibility Criteria

Inclusion

  • Age ≥18 years and ≤ 90 years
  • Tumor diagnosed as Glioblastoma Multiforme on MRI with distinct ring-like pattern of contrast enhancement with thick irregular walls and a core area reduced signal suggestive of tumour necrosis as assessed by the surgeon
  • Tumors situated in or near eloquent areas; motor cortex, sensory cortex, subcortical pyramidal tract or speech areas as indicated on MRI (Sawaya Grading II and II)
  • The tumor is suitable for resection (according to neurosurgeon)
  • Karnofsky performance scale 80 or more
  • Written Informed consent

Exclusion

  • Tumors of the cerebellum, brain stem or midline
  • Multifocal contrast enhancing lesions
  • Substantial non-contrast enhancing tumor areas suggesting low grade gliomas with malignant transformation
  • Medical reasons precluding MRI (eg, pacemaker)
  • Inability to give consent because of or language barrier
  • Psychiatric history
  • Previous brain tumour surgery
  • Previous low-grade glioma.
  • Second primary malignancy within the past 5 years with the exception of adequately treated in situ carcinoma of any organ or basal cell carcinoma of the skin.
  • Severe aphasia or dysphasia

Key Trial Info

Start Date :

April 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2027

Estimated Enrollment :

246 Patients enrolled

Trial Details

Trial ID

NCT03861299

Start Date

April 1 2019

End Date

September 1 2027

Last Update

November 21 2023

Active Locations (5)

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Page 1 of 2 (5 locations)

1

University Hospital Ghent

Ghent, Belgium, 9000

2

Elisabeth-Tweesteden Ziekenhuis

Tilburg, North Brabant, Netherlands, 5022 GC

3

Erasmus MC

Rotterdam, South Holland, Netherlands, 3015 CE

4

Medical Center Haaglanden

The Hague, South Holland, Netherlands, 2261 CP