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imited fraction radiation in anaplastic astrocytoma

Phase 2
Conditions
Health Condition 1: C719- Malignant neoplasm of brain, unspecified
Registration Number
CTRI/2021/08/035719
Lead Sponsor
AIIMS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Age 18 - 65 years

� Patients of either sex will be included

� Karnofsky performance score 70 and above

� Biopsy proven Anaplastic Astrocytoma (WHO grade III), 1p19q non-co deleted (IDH wt, ATRX retained or lost).

� Baseline investigations [LFT, RFT, complete blood count] should be within normal limits Hemoglobin >10gm/dl, Platelet >100000, TLC-4000-11000

� No history of prior anti-cancer treatment with radiotherapy, chemotherapy, or surgery

� The patient must sign an informed consent before entry into the study

Exclusion Criteria

Age >65 years and <18 years

� Unresectable disease

� Previous history of neurosurgery or radiotherapy

� Recurrent disease

� Patients with significant co-morbid condition

� History of previous malignancy

� Karnofsky Performance score below 70

� Not compliant for regular follow up

� Spinal AA

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary endpoint <br/ ><br>i) To compare PFS (Progression free survival) in hypo-fractionated radiotherapy to conventional radiotherapy <br/ ><br>ii) To compare 2-year OS in hypo-fractionated radiotherapy to conventional radiotherapy <br/ ><br>Secondary endpoint <br/ ><br>i) To correlate neutrophil count, lymphocyte and CD4 count with PFS and OS <br/ ><br>ii) To assess late treatment toxicity in both treatment armTimepoint: Primary endpoint <br/ ><br>i) To compare PFS (Progression free survival) in hypo-fractionated radiotherapy to conventional radiotherapy <br/ ><br>ii) To compare 2-year OS in hypo-fractionated radiotherapy to conventional radiotherapy <br/ ><br>Secondary endpoint <br/ ><br>i) To correlate neutrophil count, lymphocyte and CD4 count with PFS and OS <br/ ><br>ii) To assess late treatment toxicity in both treatment arm
Secondary Outcome Measures
NameTimeMethod
Secondary endpoint <br/ ><br>i) To correlate neutrophil count, lymphocyte and CD4 count with PFS and OS <br/ ><br>ii) To assess late treatment toxicity in both treatment armTimepoint: Progression Free Survival (PFS) will be defined as the interval between surgery and date of documented (radiological) progression. <br/ ><br>� Overall Survival (OS) will be defined as the interval between surgery and date of death <br/ ><br>� 2-year Overall survival (OS) will be defined as percentage surviving at 3 year <br/ ><br>� Data will be censored at the last date of follow up.
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