INtraoperative photoDYnamic Therapy of GliOblastoma (INDYGO)
A Pilot Study of the Feasibility of Intraoperative Photodynamic Therapy of Glioblastoma.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Lille, France
- Hôpital Roger Salengro, CHRU
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient male or female ≥18 years
- General status (WHO) of Performance status 0, 1 or 2
- Probable glioblastoma according to clinical and radiological criteria,
- whose surgical indication was given in Multidisciplinary consultation meeting (RCP) of neurooncology,
- Decision to treat the patient as part of the Clinical trial also taken in neuro-oncology RCP ("Multidisciplinary consultation meeting")
- Patient operable on the basis of absence of cardiopulmonary disease history; a complete medical check-up sufficient to insure a post-operative state with normal daily life
- Clinical neuro-oncological monitoring and long-term MRI scheduled at the hospital CHRU of Lille, center of reference of the region
- Patient able to understand and sign voluntarily Informed consent
- Patient able to adhere to the visit's calendar of the study and other imperatives of the protocol
- Women of child-bearing potential should benefit of an effective contraception
- For patients receiving hepatotoxic therapy in the long term, this treatment must be suspended during the 24h after taking 5-ALA
- Patient assigned to an heath insurance
Exclusion Criteria:
- Contraindications to 5-ALA (Gliolan®) and to per-operative PhotoDynamic Therapy "perPDT":
Contraindications to 5-ALA
- Porphyria
- Taking photosensitizer treatment
- Severe renal or hepatic impairment
- Bilirubin> 1.5 x maximum level, Alkaline Phosphatases and transaminases (ASAT)> 2.5 x Maximum. rates
- Creatinine clearance <30 mL / min;
- Non-compliance with the rules of prevention of the transient risk of cutaneous photosensitization
- Contraindications to surgery
- Contraindications to magnetic resonance imaging (MRI)
- Treatment with an experimental drug within 30 Days prior to the start of the study
- Clinical follow-up impossible to perform for psychological, familial, social or geographical reasons,
- Legal incapacity (persons deprived of their liberty or Guardianship or guardianship),
- Pregnant or nursing women
- Refusal to participate or sign the consent of the study
- Soy allergy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: "perPDT"
Single arm : per-operative PhotoDynamic Therapy (perPDT) during the surgery of Glioblastoma excision.
|
The protocol requires the realization of specific procedures in addition to the usual care. The per-operative photodynamic therapy ("perPDT") added to surgery for glioblastoma excision. The patient will receive 5-ALA (5- alanine ,GLIOLAN drinkable) 4h before surgery + lighting of the tumor bed by a light source (laser) at the end of resection (Prolonged surgery of 45 minutes).
patient will receive 5-ALA (5- alanine ,GLIOLAN drinkable) 4h before surgery
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Patients having the full "PerPDT" treatment with unacceptable and unexpected toxicities (grade ≥ 3) graded According to NCI CTC Version 4.0
Time Frame: From the intake of Gliolan (5-Ala) until 1 month post "perPDT"
|
In particular, the following complications will be investigated: severe infection, new neurological deficit responsible for severe disability, status epilepticus, deaths during the postoperative period. Target: At least 6/10 patients who benefited of complete "PerPDT" and without unacceptable and unexpected toxicities |
From the intake of Gliolan (5-Ala) until 1 month post "perPDT"
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression Free Survival (PFS)
Time Frame: From the Date of diagnosis of glioblastoma until the date of Relapse defined, assessed up to 24 months
|
Determined according to international RANO criteria
|
From the Date of diagnosis of glioblastoma until the date of Relapse defined, assessed up to 24 months
|
|
Overall Survival (OS)
Time Frame: From the date of Diagnosis of glioblastoma until the date of death, assessed up to 24 months
|
Determined according to international RANO criteria
|
From the date of Diagnosis of glioblastoma until the date of death, assessed up to 24 months
|
|
Response to treatment
Time Frame: From the date of perPDT until relapse/death, assessed up to 24 months
|
Evaluated by MRI every 3 months
|
From the date of perPDT until relapse/death, assessed up to 24 months
|
|
Incidence of "per PDT" treatment-emergent Adverse Events
Time Frame: From the beginning of treatment with perPDT up to relapsing/death, assessed up to 24 months
|
Collection of all Adverse events (AEs and SAEs) (according to NCI-CTC V4.0) and reviewing by an Independent Safety Monitoring Board.
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From the beginning of treatment with perPDT up to relapsing/death, assessed up to 24 months
|
|
Quality of Life Questionnaire -C30 ( QLQ-C30)
Time Frame: Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
The QLQ-C30 is composed of both multi-item scales and single-item measures.
These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items.
|
Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
|
Quality of Life Questionnaire - Brain Cancer Module (QLQ-BN20)
Time Frame: Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
Measuring the health-related quality of life in patients with brain cancer
|
Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Analyze of Peripheral Blood Mononuclear Cells
Time Frame: Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
Every 3 months from the signature of Consent form until relapse/death, assessed up to 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Nicolas Reyns, MD, PhD, University Hospital, Lille
Publications and helpful links
General Publications
- Vermandel M, Dupont C, Lecomte F, Leroy HA, Tuleasca C, Mordon S, Hadjipanayis CG, Reyns N. Standardized intraoperative 5-ALA photodynamic therapy for newly diagnosed glioblastoma patients: a preliminary analysis of the INDYGO clinical trial. J Neurooncol. 2021 May;152(3):501-514. doi: 10.1007/s11060-021-03718-6. Epub 2021 Mar 20.
- Peciu-Florianu I, Vannod-Michel Q, Vauleon E, Bonneterre ME, Reyns N. Long term follow-up of patients with newly diagnosed glioblastoma treated by intraoperative photodynamic therapy: an update from the INDYGO trial (NCT03048240). J Neurooncol. 2024 Jul;168(3):495-505. doi: 10.1007/s11060-024-04693-4. Epub 2024 May 16.
Study record dates
Study Major Dates
Study Start (Actual)
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 (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2016_06
- 2016-002706-39 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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