Clinical Study on 5-aminolevulinic Acid Hydrochloride (5-ALA) for Fluorescence-guided Resection of Malignant Gliomas
Clinical Phase I/II Study on 5-aminolevulinic Acid Hydrochloride (5-ALA) for Fluorescence-guided Resection of Malignant Gliomas
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Radiological suspicion of a malignant glioma with distinct ring- or garland shaped, contrast agent-enhancing tumour structures and a core area of reduced intensity in the MRI (tumour necrosis)
- Indication for surgical tumour resection
- First operation of the tumour, no other tumour-specific pre-treatment
- Karnofsky Performance Scale 70%
- Patient's written informed consent
- Age 18-75 years
Exclusion Criteria:
- Porphyria, hypersensitivity to porphyrins
Renal insufficiency:
- Creatinine > 2.0 mg/dl
Hepatic insufficiency:
- Bilirubin > 3 mg/dl
- Quick test < 60 %
- GT > 100 U/I
- Other known malignancy (except basaliomas)
Women:
- Existing/planned pregnancy (to be checked by a pregnancy test if of child-bearing age)/lactation or inadequate contraception (hormone cycle regulation pill or condom)
Men:
- Inadequate contraception (condom)
- Dementia or mental condition making it impossible to understand the therapy and therefore prohibiting written consent
- Simultaneous participation or participation in another clinical trial in the preceding 30 days
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Dose level 1
0,2 mg/Kg
|
Other Names:
|
|
Active Comparator: Dose level 2
2,0 mg/Kg
|
Other Names:
|
|
Active Comparator: Dose level 3
20 mg/Kg
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Detection of a dose-efficacy relationship between the dose levels and the extent and quality of fluorescence in the tumour core (of newly diagnosed malignant glioma).
Time Frame: Within 3 hours
|
After completion of resection, global fluorescence extent in the tumour core will be assessed by the first and second surgeon.
It will be estimated whether approx.
0/3, 1/3, 2/3 or 3/3 of the tumour core is identified using standard white operation light were fluorescent (irrespective of fluorescence quality).
The global quality of Gliolan induced tissue fluorescence within the tumour core will be recorded as being strong, weak or missing.
As an objective control of the subjective assessment of the fluorescent quality, selected areas will be measured spectrometrically.
|
Within 3 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Glioma
- Brain Neoplasms
- Photosensitizing Agents
- Dermatologic Agents
- Aminolevulinic Acid
Other Study ID Numbers
Other Study ID Numbers
- MC-ALS.8-I/GLI
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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