Actively Recruiting

Age: 18Years +
All Genders
ID05775458

Role of Glutamate-mediated Excitotoxicity in Invasion and Progression Processes of Glioblastoma Multiforme

Led by IRCCS San Raffaele · Updated on 2025-06-11

50

Participants Needed

1

Research Sites

47 weeks

Total Duration

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AI-Summary

What this Trial Is About

Gliomas are the most common primary brain tumors in adults, with glioblastoma multiforme (GBM) being the most aggressive and associated with the poorest outcomes. Researchers are studying the role of glutamate, an amino acid important for brain function, in GBM growth and invasion. Alterations in glutamate synthesis and signaling may influence tumor aggressiveness, making it a focus for potential new treatments. The study involves measuring levels of glutamate and related proteins in blood, cerebrospinal fluid (CSF), and tumor tissue from adult patients with brain lesions suspected to be GBM. These patients are candidates for complete tumor removal surgery followed by radiotherapy and chemotherapy. Samples will be collected at baseline before surgery and during follow-up visits at 3, 6, and 9 months. Molecular analyses and imaging, including MRI scans, will also be performed. Participants will undergo regular blood sampling and MRI scans at specified intervals to monitor glutamate levels and tumor progression. Researchers will assess changes in glutamate and its scavengers in serum and CSF over time to understand their relationship with disease activity. The study includes collection of clinical and imaging data throughout the follow-up period, with the total observation lasting at least 9 months after surgery.

CONDITIONS

Brief Title

Glutamate Excitotoxicity and Its Role in Glioblastoma Biology

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patients with a brain lesion suspected for glioblastoma multiforme (GBM), who are candidates for gross total tumor resection followed by radiotherapy and chemotherapy.
  • Ability to provide informed consent.
Not Eligible

You will not qualify if you...

  • Age under 18 years.
  • Presence of liver disease.
  • Severe anemia with hemoglobin less than 8 mg/dl.
  • Pregnancy.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - Baseline (before surgery)

Participants undergo blood, cerebrospinal fluid, and tumor sampling to measure glutamate and related proteins before surgery.

1 visit (in-person)

Long-term Monitoring

Duration - 9 months

Participants have MRI imaging and blood sampling at 3, 6, and 9 months after surgery to monitor glutamate levels and tumor progression.

Visits at 3, 6, and 9 months after surgery

Trial Site Locations

Total: 1 location

1

IRCCS San Raffaele Scientific Institute

Milan, Milan, Italy, 20132

Actively Recruiting

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Research Team

S

Sincinelli Laura

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Na(+)-dependent glutamate transporters (EAAT1, EAAT2, and EAAT3) of the blood-brain barrier. A mechanism for glutamate removal.

R L O'Kane, I Martínez-López, M R DeJoseph...

https://pubmed.ncbi.nlm.nih.gov/10542215

MRS of brain metabolite levels demonstrates the ability of scavenging of excess brain glutamate to protect against nerve agent induced seizures.

Angela Ruban, Inbal E Biton, Arik Markovich...

https://pubmed.ncbi.nlm.nih.gov/25648322

Homeostasis of glutamate in brain fluids: an accelerated brain-to-blood efflux of excess glutamate is produced by blood glutamate scavenging and offers protection from neuropathologies.

V I Teichberg, K Cohen-Kashi-Malina, I Cooper...

https://pubmed.ncbi.nlm.nih.gov/18423998

Baseline levels of glucose metabolites, glutamate and glycerol in malignant glioma assessed by stereotactic microdialysis.

Michael Roslin, Roger Henriksson, Per Bergström...

https://pubmed.ncbi.nlm.nih.gov/12622454