MedPath

Survival of patients with recurrent malignant brain tumor (glioblastoma multiforme) treated with surgical resection and local chemotherapy using impregnated wafer (Gliadel® ) in relation to a clinical predictor; the methylation of methylguanin-DNA-methyltransferase (MGMT) promotor

Not Applicable
Completed
Conditions
Recurrent glioblastoma multiforme WHO IV, primary treated by surgical resection and radiochemotherapy.
Cancer
Glioblastoma Multiforme
Registration Number
ISRCTN15192099
Lead Sponsor
nfallkrankenhaus Berlin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

1. First recurrent manifestation of a glioblastoma multiforme
2. Female and male =18 years
3. Previous adjuvant radio-chemotherapy chemotherapy in accordance with the ”Stupp protocol
4. The indication for revision surgery follows the usual balancing of risks and benefits of the therapy, informed consent and –finally- decision of the patient

Exclusion Criteria

1. Patients who underwent more than one surgical revision of malignant glioma
2. Previous implantation of carmustine wafer (Giadel ®)
3. More than six cycles of the Stupp scheme (radio-chemotherapy)

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival (measured by the date of resection and carmustine wafer implantation and time of death) in relation to the methylation of the MGMT promoter
Secondary Outcome Measures
NameTimeMethod
<br> 1. Progression free survival after first revision surgery measured by the recurrence criteria (MacDonald) in cerebral CT and MRI scans in follow-up visits at 3, 6 and 12 months<br> 2. Quality of Life (generic: Short-Form [SF] 36) at one year of follow-up<br> 3. Complication rates (edema, infections, bleeding, surgical revisions for all causes, serious adverse events [SAE]) throughout the study<br>
© Copyright 2025. All Rights Reserved by MedPath