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临床试验/NCT00253448
NCT00253448已完成2 期

Phase II Trial of Conventional Radiotherapy With Stereotactic Radiosurgery to High Risk Tumor Regions as Determined by Functional Imaging in Patients With Glioblastoma Multiforme

Case Comprehensive Cancer Center4 个研究点 分布在 1 个国家目标入组 35 人开始时间: 2002年12月1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
35
试验地点
4
主要终点
Overall Survival After Treatment

研究概览

简要总结

RATIONALE: Stereotactic radiosurgery may be able to send x-rays directly to the tumor and cause less damage to normal tissue. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving stereotactic radiosurgery together with radiation therapy may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving stereotactic radiosurgery together with radiation therapy works in treating patients with glioblastoma multiforme.

详细描述

OBJECTIVES:

Primary

  • Determine the feasibility and efficacy of stereotactic radiosurgery to high-risk tumor regions and conventional radiotherapy in patients with glioblastoma multiforme.
  • Determine overall survival of patients treated with this regimen.

Secondary

  • Determine 6-month progression-free survival of patients treated with this regimen.
  • Determine the absence of tumor growth and/or activity on conventional MR/MR spectroscopy imaging in patients treated with this regimen.
  • Determine the frequency and severity of RTOG (Radiation Therapy Oncology Group) CNS toxic effects in patients treated with this regimen.
  • Determine the neurologic function and quality of life of patients treated with this regimen.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed grade IV malignant glioblastoma multiforme
  • Diagnosis by surgical biopsy or resection within the past 5 weeks
  • Post-operative diagnostic contrast-enhanced MRI scan with MR spectroscopy must be performed prior to initiating study treatment
  • High-risk area of active tumor without margin by MR spectroscopy
  • Meets the following criteria for radiosurgery:
  • Maximum diameter ≤ 40 mm
  • Located > 5 mm from the optic nerve or chiasm
  • Does not involve the brainstem
  • No multifocal or recurrent malignant glioma
  • PATIENT CHARACTERISTICS:
  • Performance status
  • Karnofsky 50-100%
  • Life expectancy
  • At least 3 months
  • Hematopoietic
  • Not specified
  • Not specified
  • Not specified
  • Not pregnant
  • Negative pregnancy test
  • PRIOR CONCURRENT THERAPY:
  • Chemotherapy
  • At least 6 weeks since chemotherapy
  • Concurrent chemotherapy allowed
  • Endocrine therapy
  • Concurrent steroids allowed, but at the smallest therapeutic dose possible
  • Radiotherapy
  • No prior in-field radiotherapy to the head and neck
  • See Disease Characteristics
  • Recovered from prior surgery or any post-operative complication
  • Concurrent antiseizure medications allowed

排除标准

  • 未提供

结局指标

主要结局

Overall Survival After Treatment

时间窗: Minimum of 5 years.

Followed every 3 months for 2 years, every 6 months for 3 years, and annually thereafter for at least 5 years

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (4)

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