Actively Recruiting

Phase 2
Age: 65Years +
All Genders
NCT07476794

Daily Temozolomide for Elderly Patients With Unmethylated MGMT- Promoter Newly Diagnosed GliOblatoma

Led by Sunnybrook Health Sciences Centre · Updated on 2026-03-17

118

Participants Needed

1

Research Sites

208 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Glioblastoma is an aggressive type of brain cancer. Standard treatment usually includes three weeks of radiation therapy alone or combined with chemotherapy using Temozolomide. After a four- to six-week break, more Temozolomide chemotherapy is usually given. However, some tumors have a marker ("unmethylated MGMT") that predicts the usual chemotherapy won't work. Because of this, this project will explore other treatment options to help slow the disease and improve survival. In this study, the same chemotherapy (Temozolomide) normally given after radiation therapy for glioblastoma. The only difference is that it will be given with a modified regimen.

CONDITIONS

Official Title

Daily Temozolomide for Elderly Patients With Unmethylated MGMT- Promoter Newly Diagnosed GliOblatoma

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older
  • Newly diagnosed WHO grade 4 IDH wild-type glioblastoma confirmed by tissue analysis
  • Tumor has unmethylated MGMT promoter based on local testing
  • Completed radiation therapy of 40 Gy in 15 fractions with concurrent Temozolomide within 6 weeks before enrollment
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
  • Karnofsky Performance Status (KPS) of 60 or higher
  • Adequate organ function shown by lab test results within 28 days before enrollment including:
    • Absolute neutrophil count over 1,500 cells/mm³
    • Platelet count over 100,000 cells/mm³
    • Serum creatinine less than 1.5 times the upper normal limit
    • Total serum bilirubin less than 1.5 times the upper normal limit
    • ALT and/or AST less than 2.5 times the upper normal limit
  • Signed informed consent obtained from participant or legal representative
Not Eligible

You will not qualify if you...

  • Presence of diffuse leptomeningeal involvement at diagnosis
  • Unable to have contrast-enhanced MRI
  • Known allergy to Temozolomide or Dacarbazine
  • Severe myelosuppression
  • Active hepatitis B infection
  • Severe or uncontrolled medical conditions that may affect safety or study completion, including active systemic infection, diabetes, hypertension, coronary artery disease, or psychiatric disorders
  • History of prior or second invasive cancer except:
    • Non-melanoma skin cancer
    • Completely removed cervical carcinoma in situ
    • Low risk prostate cancer or under active surveillance
    • Other cancers treated with curative intent more than 3 years before study entry

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N3M5

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Daily Temozolomide for Elderly Patients With Unmethylated MGMT- Promoter Newly Diagnosed GliOblatoma | DecenTrialz