Intraoperative Radiotherapy in Newly Diagnosed Glioblastoma Multiforme (INTRAGO-II)
Glioblastoma
About this trial
This is an interventional treatment trial for Glioblastoma focused on measuring Glioblastoma, Intraoperative Radiotherapy, Radiotherapy Dose Escalation
Eligibility Criteria
Inclusion Criteria
- Age ≥18 and ≤ 80 years
- Karnofsky Performance Score (KPS) ≥ 60%
- Supratentorial T1-Gd enhancing lesion(s) amenable to total resection
- Legal capacity and ability of subject to understand character and individual consequences of the clinical trial
- Patient's written IC obtained at least 24h prior to surgery
- For women with childbearing potential: adequate contraception
Patients must have adequate organ functions
Bone marrow function:
- Platelets ≥ 75.000/μL
- WBC ≥ 3.000/μL
- Hemoglobin ≥ 10.0 g/dL
Liver Function:
- ASAT and ALAT ≤ 3.0 times ULN
- ALP ≤ 2.5 times ULN
- Total Serum Bilirubin < 1.5 times ULN
Renal Function:
- Serum Creatinine ≤ 1.5 times ULN
Inclusion Criteria Related to Surgery:
- IORT must be technically feasible
- Histology supports diagnosis of GBM
Exclusion Criteria
- Multicentric disease (e.g. in both hemispheres) or non-resectable satellite lesions
- Previous cranial radiation therapy
- Cytostatic therapy / chemotherapy for cancer within the past 5 years
- History of cancers or other comorbidities that limit life expectancy to less than five years
- Previous therapy with anti-angiogenic substances (such as bevacizumab)
- Technical impossibility to use MRI or known allergies against MRI and/or CT contrast agents
- Participation in other clinical trials testing cancer-derived investigational agents/procedures.
- Pregnant or breast feeding patients
Fertile patients refusing to use safe contraceptive methods during the study
Exclusion Criteria Related to Surgery:
- Active egress of fluids from a ventricular defect
- In-field risk organs and/or IORT dose >8 Gy to any risk organ
Sites / Locations
- Barrow Neurological Institute (SJHMC)
- Stritch School of Medicine Loyola UniversityRecruiting
- Long Island Jewish Medical Center, North Shore University HospitalRecruiting
- Lenox Hill Hospital, Hofstra Northwell School of MedicineRecruiting
- West Virginia UniversityRecruiting
- Hospital Alemão Oswaldo CruzRecruiting
- Montreal Neurological Institute and HospitalRecruiting
- Beijing Tian Tan Hospital, Capital Medical UniversityRecruiting
- University Hospital AugsburgRecruiting
- Charité - UniversitätsmedizinRecruiting
- St. Georg HospitalRecruiting
- University Hospital MannheimRecruiting
- Technical University of Munich (TUM), Department of Radiation OncologyRecruiting
- Klinikum StuttgartRecruiting
- Helios University Hospital WuppertalRecruiting
- Gangnam Severance Hospital, Yonsei University College of MedicineRecruiting
- Catalan Institute of Oncology (ICO)Recruiting
- Hospital Reina SofiaRecruiting
- The London Clinic
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Experimental Arm (A)
Control Arm (B)
Standard surgery plus intraoperative radiotherapy (20-30 Gy) followed by radiochemotherapy (EBRT: 60 Gy, 75 mg/m2/d temozolomide) and adjuvant chemotherapy with 150-200 mg/m2/d temozolomide per cycle (5/28 days).
Standard surgery followed by radiochemotherapy (EBRT: 60 Gy, 75 mg/m2/d temozolomide) and adjuvant chemotherapy with 150-200 mg/m2/d temozolomide per cycle (5/28 days).