Actively Recruiting

Phase Not Applicable
Age: 21Years - 99Years
All Genders
NCT05532397

Evaluation of ex Vivo Drug Combination Optimization Platform in Recurrent High Grade Astrocytic Glioma

Led by National University Hospital, Singapore · Updated on 2025-09-23

10

Participants Needed

2

Research Sites

197 weeks

Total Duration

On this page

Sponsors

N

National University Hospital, Singapore

Lead Sponsor

N

National University of Singapore

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is an interventional, non-randomized, single site study. Brain tumor samples will be collected from patients for organoids generation and subject to panel drugs screening and QPOP analysis to derive the optimal drug combinations for treatment at the time of first high grade astrocytic glioma recurrence. The investigators hypothesize that patient-derived organoids (PDOs) mimic the biological characteristics of high grade astrocytic gliomas and serve as an ideal platform for the evaluation of drug sensitivities, accurately reflecting the patient's therapeutic response to the drugs.

CONDITIONS

Official Title

Evaluation of ex Vivo Drug Combination Optimization Platform in Recurrent High Grade Astrocytic Glioma

Who Can Participate

Age: 21Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients 21 years of age or older with ECOG performance status 0 to 2 and life expectancy over 3 months with suspected or confirmed high grade astrocytic glioma
  • Able and willing to provide signed informed consent before any study procedures
  • Patients planned for standard-of-care treatment with surgery/biopsy followed by temozolomide and radiotherapy
  • Documented tumor progression suitable for second line systemic therapy
  • Sufficient tumor tissue available for organoid generation and at least one QPOP result available or pending
  • Adequate bone marrow, liver, and kidney function as specified by laboratory criteria
  • Capable of swallowing tablets
  • Recovery from previous treatment-related toxicity to grade 0 or 1 except alopecia, or back to baseline preceding prior treatment
Not Eligible

You will not qualify if you...

  • Receipt of chemotherapy, radiotherapy, surgery, immunotherapy, or other therapy within 2 weeks before study entry
  • Pregnancy or breastfeeding at the start of systemic anti-cancer therapy
  • Women of childbearing potential must have a negative pregnancy test and agree to use contraception, as must men
  • Concurrent cancers distinct from the study cancer except certain treated or low-risk cancers
  • Presence of leptomeningeal disease or pure spinal high grade gliomas
  • Kidney disease preventing safe MRI scans with gadolinium contrast

AI-Screening

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Trial Site Locations

Total: 2 locations

1

Department of Hematology-Oncology, National University Hospital

Singapore, Singapore, 119074

Actively Recruiting

2

Ng Teng Fong General Hospital

Singapore, Singapore, 609606

Not Yet Recruiting

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Research Team

A

Andrea Wong

CONTACT

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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Evaluation of ex Vivo Drug Combination Optimization Platform in Recurrent High Grade Astrocytic Glioma | DecenTrialz