Adaptive Radiotherapy for Patients With GBM (ART-GBM)
ART-GBM: Feasibility Study of Adaptive Radiotherapy (ART) for Patients With Glioblastoma (GBM)
This is a single institution single arm feasibility study of MRI-guided, personalized adaptive radiation therapy with reduced margins for patients with glioblastoma.
研究概览
详细说明
The goal of this study is to evaluate MRI-guided adaptive radiation therapy to personalize radiotherapy planning for patients with glioblastoma, reduce margins, minimize toxicity, and improve survival.
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Marlowe Estioko
- 电话号码：267-343-6483
- 邮箱：Marlowe.estioko@pennmedicine.upenn.edu
学习地点
-
-
Pennsylvania
-
Philadelphia、Pennsylvania、美国、19104
- University of Pennsylvania
-
接触：
- Marlowe Estioko
- 电话号码：267-343-6483
- 邮箱：Marlowe.estioko@pennmedicine.upenn.edu
-
首席研究员：
- Emily Lebow, MD
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Histologically confirmed IDH-wildtype glioblastoma (WHO Grade 4)
- Age ≥ 18 years
- Karnofsky Performance Status ≥ 60
- Planned 30 or 15 fractions of radiation therapy with or without concurrent systemic therapy
- Ability to undergo MRI imaging with IV gadolinium contrast
- Ability to provide written informed consent
- Multifocal tumors permitted if clinician anticipates they will be encompassed in a single radiation plan
Exclusion Criteria:
- Prior intracranial radiotherapy
- Multicentric disease
- Leptomeningeal dissemination
- Pregnancy
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：MRI-Guided Adaptive Radiation Therapy
The study intervention is MRI-guided adaptive radiation therapy with reduced treatment margins among patients with glioblastoma. |
The study intervention is MRI-guided adaptive radiation therapy with reduced treatment margins among patients with glioblastoma. |
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Feasibility of MRI-Guided Adaptive Radiotherapy
大体时间：44 months
|
Feasibility will be defined as the proportion of patients who complete at least 2 out of 3 planned biweekly offline MRI-guided adaptations during the 6 week course of radiation therapy without any delay in scheduled treatment delivery (or 1 of the 2 planned offline adaptation during a 3 week course). Feasibility will be considered acceptable if ≥ 70% of enrolled patients meet this criterion. |
44 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Patterns of Failure after Adaptive Radiation Therapy
大体时间：44 months
|
Patterns of failure will be analyzed relative to the target volumes and dose distributions and categorized as central (in field), marginal, or out of field. |
44 months
|
|
Overall Survival
大体时间：44 months
|
Determine overall survival following adaptive radiation therapy and compare survival outcomes with a propensity score matched historical cohort treated with standard radiotherapy. |
44 months
|
|
Patient-Reported Symptom Burden, Functioning, and Quality of Life
大体时间：44 months
|
Longitudinal changes in patient reported symptoms, functional interference, neurologic function, and quality of life as assessed by validated patient reported outcome measures. |
44 months
|
|
Rates of Clinician Reported Toxicity
大体时间：44 months
|
Incidence and severity of treatment related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5.0. |
44 months
|
合作者和调查者
调查人员
- 首席研究员：Emily Lebow, MD、University of Pennsylvania
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.