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临床试验/JPRN-jRCT2032230060
JPRN-jRCT2032230060招募中2 期

Multicenter, phase II trial of Tumor Treatment Fields system in patients with newly diagnosed IDH-wildtype lower-grade glioma - Multicenter, phase II trial of Tumor Treatment Fields system in patients with newly diagnosed IDH-wildtype lower-grade glioma

Tanaka Shota0 个研究点目标入组 50 人开始时间: 2023年4月30日最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
50

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • At the time of enrollment, patients will be included if they meet all of the following criteria.
  • 1) Diagnosis of IDH wild-type glioma (grade III) (anaplastic astrocytoma) *after tumor resection or biopsy.
  • *According to the WHO Classification of Brain Tumors, Fourth Revision (2016)
  • 2) No history of surgical treatment for glioma (first case), except for resection or biopsy. However, if a second surgery (excision) is performed on the residual lesion within 28 days of the first surgery (excision or biopsy), the patient is eligible.
  • 3) Implantation of carmustine intracerebroventricularly at the time of surgery is acceptable.
  • 4) Preoperative contrast-enhanced MRI of the head shows tumor only supratentorial (not in the brainstem or cerebellum).
  • 5) No evidence of disseminated lesions on contrast-enhanced MRI of the head prior to enrollment.
  • 6) Can be registered regardless of the presence or absence of measurable lesions prior to enrollment.
  • 7) Radiation therapy with temozolomide (TMZ) is the initial treatment.
  • Radiotherapy is administered for more than 50 Gy in the initial treatment and TMZ in combination with radiotherapy is administered for more than 30 days.
  • 8) Within 49 days of the last day of radiation therapy with TMZ
  • 9) Age 18 years or older on the date consent is obtained.
  • 10)Karnofsky performance status (KPS) more than equal 70
  • 11) No prior chemotherapy or radiation therapy for other types of cancer. However, prior endocrine therapy (hormone therapy for breast cancer, hormone therapy for prostate cancer) is eligible.
  • 12) All of the following conditions are met. All laboratory tests should be the most recent within 14 days before registration.
  • (1) Neutrophil Counts>=1,500 /mm3
  • (2) Hemoglobin>=8.0 g/dL
  • (3) Platelet Counts>=10 *10,000/mm3
  • (4)AST(GOT)<=120 U/L
  • (5)ALT(GPT)<=120 U/L
  • (6)Creatinine<=1.5 mg/dL
  • 13) Expected to survive at least 12 weeks from the date of registration
  • 14) Can use effective contraceptive methods (if of childbearing age)
  • 15) The patient's free written consent to participate in this clinical trial has been obtained after receiving a full explanation of the study (no surrogate consent is acceptable).

排除标准

  • Any of the following conditions shall not apply
  • 1) Have active overlapping cancers(Simultaneous overlapping/multiple cancers and iatrogenic overlapping/multiple cancers with a disease-free interval of 5 years or less. However, carcinoma in situ (intraepithelial carcinoma) and intramucosal carcinoma equivalent lesions that are considered curable by local treatment are not included in active multiple/multiple cancers.)
  • 2) Has an infection requiring systemic treatment
  • 3) Complicated infectious meningitis requiring treatment
  • 4) Fever greater than 38 degree Celsius at axillary temperature at the time of registration
  • 5) Delayed wound healing after excision or biopsy
  • 6) Patients with implanted medical devices that are contraindicated, such as pacemakers, defibrillators, or deep brain stimulators
  • 7) Pregnant, possibly pregnant, or breastfeeding women
  • 8) Psychosis or psychiatric comorbidities that would make participation in the study difficult
  • 9) Receiving continuous systemic administration (oral or intravenous) of steroids or other immunosuppressive agents for diseases other than brain tumors. Steroids for brain tumors are acceptable
  • 10) Complicated unstable angina (angina with onset or worsening of attacks within 3 weeks prior to enrollment), or history of myocardial infarction within 6 months
  • 11) Pulmonary fibrosis, interstitial pneumonia, or severe emphysema as diagnosed by chest x-ray, or with one or more of the following
  • 12) Gadolinium is not available due to drug allergy
  • 13) HIV antibody is positive
  • 14) HBs antigen is positive
  • 15) Participating in another clinical trial
  • 16) Other conditions that the investigator or subinvestigator considers inappropriate for participation in this study

研究者

发起方
Tanaka Shota

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