Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID05190172

PRO-GLIO: Proton Versus Photon Therapy in IDH-mutated Diffuse Grade II and III Gliomas

Led by Oslo University Hospital · Updated on 2026-05-01

225

Participants Needed

1

Research Sites

782 weeks

Total Duration

On this page

Sponsors

O

Oslo University Hospital

Lead Sponsor

S

Sahlgrenska University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating proton therapy compared to photon irradiation for patients with IDH-mutated grade II and III diffuse glioma. This study aims to determine if proton therapy is as safe as photon therapy in terms of survival at 2 years after radiotherapy, while also assessing quality of life and rehabilitation needs. The trial focuses on reducing unwanted late treatment effects without impairing long-term survival. Participants will be randomly assigned to receive either proton or photon radiation therapy. The study is divided into three parts: survival outcomes and quality-adjusted life years (QALY) analysis, cognitive function testing using internet-based and in-depth neuropsychological assessments, and patient-reported outcome measures to identify challenges faced by this patient group. Treatment is delivered at specialized centers, and patients in the proton therapy group must be willing to travel to a proton therapy center. During the study, participants will undergo regular assessments including survival data, cognitive tests, fatigue questionnaires, neurological function scales, and quality of life evaluations over periods up to 15 years. Researchers will monitor adverse events, seizure rates, tumor recurrence, and economic impacts. The primary outcome is intervention-free survival at 2 years, with ongoing follow-up extending well beyond this time to capture long-term effects and patient-reported outcomes.

CONDITIONS

Brief Title

PRO-GLIO: PROton Versus Photon Therapy in IDH-mutated Diffuse Grade II and III GLIOmas

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients must be 18 to 65 years old on the day of consent.
  • Diagnosis of IDH-mutated astrocytoma grade 2 or 3, or oligodendroglioma grade 2 or 3 according to WHO 2021.
  • Indication for radiotherapy.
  • WHO/ECOG performance status 0-2.
  • Ability to undergo MRI.
  • No significant contrast enhancing tumor at the time of randomization.
  • Ability and willingness to travel to a proton therapy center if randomized to that arm.
  • Women of child-bearing potential must use effective contraception during radiotherapy, chemotherapy, and for 1 year after chemotherapy.
  • Ability to understand study information and treatment.
  • Signed informed consent.
  • Ability to speak and understand Norwegian or Swedish language.
Not Eligible

You will not qualify if you...

  • Prior treatment (except surgery) for diffuse glioma.
  • Concomitant or previous malignancies except certain treated skin or cervical cancers with sufficient disease-free intervals.
  • Known CDKN2A/B homozygous deletion.
  • Any medical, psychological, familial, sociological, or geographical factors impairing compliance with study procedures.
  • Body weight greater than 150 kg.

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Duration of radiation therapy as per individual treatment plan

Participants receive radiation therapy either with protons or photons as part of their assigned treatment group.

Multiple visits for radiation therapy sessions

Follow-up

Duration - Up to 15 years after treatment

Participants are monitored for survival, cognitive function, fatigue, neurological function, adverse events, and quality of life over several years after treatment.

Scheduled visits at 6 weeks, 3 months, 5 months, 1 year, 2, 5, 10, and 15 years post-treatment

Trial Site Locations

Total: 1 location

1

Oslo University Hospital

Oslo, Norway

Actively Recruiting

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Research Team

P

Petter Brandal, MD PhD

D

Danielle Hagen

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Investigating survival, quality of life and cognition in PROton versus photon therapy for IDH-mutated diffuse grade 2 and 3 GLIOmas (PRO-GLIO): a randomised controlled trial in Norway and Sweden.

Liv Cathrine Heggebø, Ida Maria Henriksen Borgen, Hillevi Rylander...

https://pubmed.ncbi.nlm.nih.gov/36940951