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Iodine-125 Brachytherapy Together With Chemotherapy in Patients With Newly Diagnosed Glioblastoma (IBCNG)

Primary Purpose

Glioblastoma

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Iodine-125+Chemotherapy
Surgical resection+Radiochemotherapy
Sponsored by
The Affiliated Hospital of Qingdao University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma focused on measuring Glioblastoma, Iodine-125, Surgical resection, Radiochemotherapy, Chemotherapy, Radiation

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1. Diagnosis of glioblastoma confirmed by histology
  • 2. Age: 18-75 years old
  • 3. Single lesion located in one hemisphere with a diameter between 2 and 6 centimeters
  • 4. No prior anticancer therapy for glioblastoma besides biopsy.
  • 5. ECOG PS:0-2 point

Exclusion Criteria:

  • 1. Infra-tentorial tumor or tumor involves the ependymal surface.
  • 2. Nonmeasurable disease.
  • 3. Evidence of uncontrolled intracranial pressure.
  • 4. Severe heart, brain, and lung diseases.
  • 5.Severe hepatic or renal dysfunction.
  • 6. Uncontrolled, active infection.
  • 7. Severe clotting dysfunction.
  • 8. Pregnant.
  • 9. Uncontrolled hypertension.
  • 10. Participated in any other clinical treatment trial within 4 weeks before randomization.
  • 11. Severe vascular diseases within 6 months before randomization.
  • 12. Participants who received major surgical treatment within 4 weeks or were expected to be treated during the trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Iodine-125+Chemotherapy

    Surgical resection+Radiochemotherapy

    Arm Description

    Iodine-125; Temozolomide

    Surgical resection; Radiotherapy; Temozolomide:

    Outcomes

    Primary Outcome Measures

    Progression-free survival (PFS)
    PFS is defined as the time from randomization to progression or death from any causes. Progression is defined as the RANO Criteria indicated.

    Secondary Outcome Measures

    Overall Survival (OS)
    OS is defined as the time from randomization to death from any causes.
    Survival rates at 6 months and 1 year
    The survival rates were measured at 6 months and 1 year
    EORTC QLQ-C30
    The Quality of life is measured with EORTC QLQ-C30 (The European Organization for Research and Treatment of Cancer Core Quality of Life questionnaire). The EORTC QLQ-C30 is designed to measure cancer patients' physical, psychological and social functions. The questionnaire is composed of multi-item scales and single items.
    ECOG Performance Status
    ECOG PS (Eastern Cooperative Oncology Group, performance status) is to assess how a patient's disease is progressing, and how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. The scale is from 0 to 5. Higher scores mean a worse outcome.
    Complications
    Complications 1 week after operation were assessed. The complications after operation include headache, nausea, vomit, myodynamia, seizer, and so on.

    Full Information

    First Posted
    April 20, 2021
    Last Updated
    June 28, 2021
    Sponsor
    The Affiliated Hospital of Qingdao University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04856852
    Brief Title
    Iodine-125 Brachytherapy Together With Chemotherapy in Patients With Newly Diagnosed Glioblastoma
    Acronym
    IBCNG
    Official Title
    Iodine-125 Brachytherapy Together With Chemotherapy Compared With Surgical Resection Followed by Concomitant Radiochemotherapy in Patients With Newly Diagnosed Glioblastoma,a Randomized, Open-label, Multi-center Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 28, 2021 (Anticipated)
    Primary Completion Date
    August 1, 2022 (Anticipated)
    Study Completion Date
    August 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    The Affiliated Hospital of Qingdao University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate the efficacy and safety of Iodine-125 brachytherapy together with chemotherapy compared with surgical resection followed by concomitant radiochemotherapy in patients with newly diagnosed glioblastoma.
    Detailed Description
    This is a prospective, multicentric open-label trial to evaluate the efficacy and safety of Iodine-125 brachytherapy together with chemotherapy compared with surgical resection followed by concomitant radiochemotherapy in patients with newly diagnosed glioblastoma. The primary efficacy outcome was evaluated with progression-free survival (PFS).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Glioblastoma
    Keywords
    Glioblastoma, Iodine-125, Surgical resection, Radiochemotherapy, Chemotherapy, Radiation

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    84 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Iodine-125+Chemotherapy
    Arm Type
    Experimental
    Arm Description
    Iodine-125; Temozolomide
    Arm Title
    Surgical resection+Radiochemotherapy
    Arm Type
    Active Comparator
    Arm Description
    Surgical resection; Radiotherapy; Temozolomide:
    Intervention Type
    Other
    Intervention Name(s)
    Iodine-125+Chemotherapy
    Other Intervention Name(s)
    Iodine-125+Temozolomide
    Intervention Description
    Iodine-125: Iodine-125 if necessary, 0.6-0.8mCi, PD:120-150Gy Temozolomide: 75 mg per square meter of body-surface area per day, 7 days per week,42 days.
    Intervention Type
    Other
    Intervention Name(s)
    Surgical resection+Radiochemotherapy
    Other Intervention Name(s)
    Surgical resection+Radiotherapy+Temozolomide
    Intervention Description
    Surgical resection: Maximal surgical resection, including gross total resection, subtotal resection, and partial resection. Radiation: total 60 Gy, 2 Gy per daily fraction (Monday to Friday) for 6 weeks. Temozolomide: 75 mg per square meter of body-surface area per day, 7 days per week,42 days.
    Primary Outcome Measure Information:
    Title
    Progression-free survival (PFS)
    Description
    PFS is defined as the time from randomization to progression or death from any causes. Progression is defined as the RANO Criteria indicated.
    Time Frame
    2.5 years after randomization
    Secondary Outcome Measure Information:
    Title
    Overall Survival (OS)
    Description
    OS is defined as the time from randomization to death from any causes.
    Time Frame
    2.5 years after randomization
    Title
    Survival rates at 6 months and 1 year
    Description
    The survival rates were measured at 6 months and 1 year
    Time Frame
    at 6 months and 1 year after operation respectively
    Title
    EORTC QLQ-C30
    Description
    The Quality of life is measured with EORTC QLQ-C30 (The European Organization for Research and Treatment of Cancer Core Quality of Life questionnaire). The EORTC QLQ-C30 is designed to measure cancer patients' physical, psychological and social functions. The questionnaire is composed of multi-item scales and single items.
    Time Frame
    2.5 year after randomization
    Title
    ECOG Performance Status
    Description
    ECOG PS (Eastern Cooperative Oncology Group, performance status) is to assess how a patient's disease is progressing, and how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. The scale is from 0 to 5. Higher scores mean a worse outcome.
    Time Frame
    2.5 year after randomization
    Title
    Complications
    Description
    Complications 1 week after operation were assessed. The complications after operation include headache, nausea, vomit, myodynamia, seizer, and so on.
    Time Frame
    within 1 week after operation

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 1. Diagnosis of glioblastoma confirmed by histology 2. Age: 18-75 years old 3. Single lesion located in one hemisphere with a diameter between 2 and 6 centimeters 4. No prior anticancer therapy for glioblastoma besides biopsy. 5. ECOG PS:0-2 point Exclusion Criteria: 1. Infra-tentorial tumor or tumor involves the ependymal surface. 2. Nonmeasurable disease. 3. Evidence of uncontrolled intracranial pressure. 4. Severe heart, brain, and lung diseases. 5.Severe hepatic or renal dysfunction. 6. Uncontrolled, active infection. 7. Severe clotting dysfunction. 8. Pregnant. 9. Uncontrolled hypertension. 10. Participated in any other clinical treatment trial within 4 weeks before randomization. 11. Severe vascular diseases within 6 months before randomization. 12. Participants who received major surgical treatment within 4 weeks or were expected to be treated during the trial.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Xiaokun Hu, PhD
    Phone
    +8618661801166
    Email
    huxiaokun770@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Xiaokun Hu, MD
    Organizational Affiliation
    The Affiliated Hospital of Qingdao University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Iodine-125 Brachytherapy Together With Chemotherapy in Patients With Newly Diagnosed Glioblastoma

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