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临床试验/DRKS00000634
DRKS00000634已完成2 期

Amino-acid PET Versus MRI Guided Re-irradiation in Patients With Recurrent Glioblastoma Multiforme - a Randomised Phase II Trial - GLIAA

niversitätsklinikum Freiburg0 个研究点目标入组 200 人开始时间: 2014年10月10日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
200

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized controlled study
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 one(—)
性别
All

入选标准

  • 1. Patient's written informed consent (IC) obtained latest the day after FET-PET acquisition
  • 2. Legal capacity: Patient is able to understand the nature, significance and consequences of the study
  • 3. Age > 18 years (no upper limit of age)
  • 4. Karnofsky Performance Score (KPS) > 60%
  • 5. Registration performed
  • 6. Recurrence of a Glioblastoma multiforme (GBM) (WHO grade IV) and either not eligible for tumor resection or with macroscopic residual tumor after resection of the recurrent GBM
  • 7. Histological confirmation of a Glioblastoma multiforme (GBM) at initial or secondary diagnosis
  • 8. Previous radiation therapy of high grade glioma (WHO III or WHO IV) with a total dose of maximum 59-60 Gy (single dose 1.8 - 2.0 Gy)
  • 9. At least 6 months between the end of pre-irradiation and randomisation
  • 10. Recurrent tumor visible on FET-PET and MRI-T1(Gd) with the maximum diameter measuring 1 cm to 6 cm by either technique. If multifocal tumor, the sum of all diameters has to be 1-6 cm on FET-PET and T1(Gd)-MRI
  • 11. Target volume definition possible according to both study arms
  • 12. Start of re-irradiation planned within 2 weeks from FET-PET and MRI

排除标准

  • 1. Patient is not able to understand the nature, significance and consequences of the study
  • 2. Patient's written informed consent has been obtained later than the day after the FET-PET acquisition
  • 3. No histological confirmation of GBM
  • 4. Recent (= 4 weeks before IC) histological result showing no tumor recurrence
  • 5. No prior radiation treatment of high grade glioma HGG (WHO III or WHO IV)
  • 6. Previous treatment of GBM with Avastin or other molecular targeted therapies less than 6 months before MRI and FET-PET used for radiotherapy planning
  • 7. Technical impossibility to use MRI or FET-PET dataset for RT planning
  • 8. Less than 2 weeks between the last day of last chemotherapy given, if other than TMZ or CCNU, and planned start of re-irradiation
  • 9. Less than 3 weeks between resection of recurrent GBM and planned start of re-irradiation
  • 10. Molecular targeted therapies or chemotherapy other than TMZ or CCNU planned during re-irradiation
  • 11. Additional molecular targeted therapy or chemotherapy other than TMZ or CCNU or further surgery planned before diagnosis of further tumor progression after study intervention
  • 12. Simultaneous participation in other interventional trials which could interfere with this trial and/or participation in a clinical trial within the last thirty days before the start of this study and/or previous participation (randomisation) in this study
  • 13. Pregnancy, nursing, or patient not willing to prevent a pregnancy during treatment
  • 14. Known or persistent abuse of medication, drugs or alcohol
  • 15. Known allergy against the MRI contrast agent Gadolinium or the PET tracer 18F-FET or against any of the components

研究者

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