- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03582514
PreOperative Brain Irradiation in Glioblastoma (POBIG)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Gerben R Borst, MD, PhD
- Phone Number: 0161 446 3000
- Email: gerben.borst@nhs.net
Study Locations
-
-
Greater Manchester
-
Manchester, Greater Manchester, United Kingdom, M20 4BX
- Recruiting
- The Christie NHS Foundation Trust
-
Contact:
- Gerben R Borst, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years.
- Male or female.
- New radiological diagnosis of glioblastoma.
- Performance status judged by World Health Organisation, Eastern Cooperative Oncology Group [ECOG] score = 0-1.
- Case has been reviewed by Neuro-oncology multidisciplinary team (MDT - neurosurgeon, clinical oncologist, radiologist and pathologist); MDT consensus that offering study entry is clinically appropriate and safe i.e. patient unlikely to come to harm (e.g. hydrocephalus) from delayed surgery and pre-operative radiotherapy based on available clinical information and imaging.
- Confirmation at first clinic visit that study entry is clinically appropriate and safe (e.g. lack of severe and debilitating symptoms of raised intracranial pressure).
- Intention to treat with surgical resection and postoperative adjuvant therapy as per current standard of care (Stupp regimen).
- Tumour size, location and configuration meet radiotherapy treatment planning criteria (e.g. to secure cold spot/hot spot, meets dose constraints for organs at risk when accounting for post-operative radiotherapy).
- Adequate haematological and biochemical parameters for surgery and contrast agent administration (full blood count and coagulation profile deemed acceptable by clinical team, eGFR >30ml/min).
- Mental capacity to consent for treatment.
- Able and willing to give informed consent.
Exclusion Criteria:
- Planned biopsy procedure only.
- Suspicion of other tumour on CT body scan or known malignancy except non-melanoma skin cancer, completely resected cervical or prostate cancer (with Prostate Specific Antigen of less than or equal to 0.1 ng/ml) within the past 3 years.
- Contraindications to contrast-enhanced MRI scanning (e.g. claustrophobia, gadolinium 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)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose or volume radiation escalation
Patients with a new radiological diagnosis of GBM (judged by the neuro-oncology multidisciplinary team) are to be considered for this study. This study arm will use 5 radiotherapy doses (6 Gy, 8 Gy, 10 Gy, 12 Gy and 14 Gy) and three treatment volumes (<30 cm3, 30-60 cm3 and >60 cm3). The study will use 6 dosing levels based on a combination of radiotherapy dose and treatment volume. The stepwise inclusion process allows for variation in tumour volume and location. The study will commence with dosing level 1: 8 Gy to <30 cm3 and 6 Gy to 30-60 cm3. In collaboration with the Clinical Trials Unit, the Trial Management Group will enter outcome data for patients at a given dose level into the CRM model. The model output will then guide dose escalation to determine the next dose level. After the single fraction of radiotherapy, patients will receive the standard treatment. |
Dose and volume escalation of preoperative single-fraction radiotherapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum tolerated dose (MTD) and maximum tolerated irradiation volume (MTIV) of single-fraction preoperative radiotherapy in patients with a new radiological diagnosis of glioblastoma
Time Frame: 18 months
|
These will be determined by the following dose limiting complications:
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Registration of postoperative surgical complications.
Time Frame: 18 months
|
18 months
|
|
Radiotherapy related complications
Time Frame: 18 months
|
18 months
|
|
Progression free survival.
Time Frame: 18 months
|
18 months
|
|
Overall survival.
Time Frame: 18 months
|
18 months
|
|
Steroid dose after preoperative radiotherapy.
Time Frame: 18 months
|
18 months
|
|
The tumor volume differences measured between the post-surgery MRI and pre-radiotherapy MRI
Time Frame: 18 months
|
To confirm usability of the MRI to select GBM patients for preoperative single fraction radiotherapy.
|
18 months
|
Concordance between MRI based diagnosis of glioblastoma and definitive histological diagnosis.
Time Frame: 18 months
|
18 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Gerben R Borst, MD, PhD, The Christie NHS Foundation Trust
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CFTSp200
- 21/NW/0121 (Other Identifier: GM South Research Ethics Committee)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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