Short Course of Radiation for Gliomas in Elderly Patients
A Phase II Study of Hypofractionated Radiation With CyberKnife Stereotactic Radiosurgery Boost for High Grade Gliomas in Elderly Patients With Good Performance Status
1 other identifier
interventional
26
1 country
1
Brief Summary
Patients with high grade brain tumors will be treated to test shortened course of radiation therapy with the use of precise, focused radiation with cyberknife.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Apr 2006
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2006
CompletedFirst Submitted
Initial submission to the registry
October 11, 2006
CompletedFirst Posted
Study publicly available on registry
October 12, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedJanuary 27, 2017
January 1, 2017
7.7 years
October 11, 2006
January 26, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
To assess the tolerability of short duration involved field radiation followed by CyberKnife Radiosurgery Boost
1 month
Secondary Outcomes (1)
Assessment of local control rate, progression free survival, overall survival, quality of life and toxicity and steroid dependence in this population with this regime
6 months
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed High Grade Glioma (oligo-, astro- or mixed gliomas).
- \>65 years of age
- KPS\>70
- No contraindication for Radiation or Chemotherapy
- Histopathologically confirmed newly diagnosed glioblastoma multiforme or Anaplastic Glioma (WHO Grade III) by surgical excision or biopsy.
- Patient must have recovered from the effects of surgery, post-operative infection, or other complications.
- Therapy should start within 5 weeks of surgery
- Must have an estimated survival of \> 8 weeks.
- KPS \> 70.
- Age \> 65 years.
- Must have a pre- and post operative contrast enhanced MRI scans
- Laboratory values within the following limits: ANC (absolute neutrophil count) \>/= 1.5x 109/l, Platelets \>/= 100x 10 9 /L, Hemoglobin \>/= 9g/dl, Serum Creatinine \>/= 1.5mg/dl., Serum total Bilirubin \</= 1.5 x upper limit of normal (ULN), SGOT/SGPT \</= 2.5x ULN, Albumin \>/= 3g/dl.
- If the patient receiving an enzyme inducing antiepileptic drug will be switched to an NEIAED (Non Enzyme Inducing Anti Epileptic Drug).
You may not qualify if:
- Histology grade less than Anaplastic Glioma ( WHO Grade III).
- Recurrent malignant glioma.
- Tumor involving the Brain stem.
- Any detected tumor foci beyond the cranial vault.
- Major medical or psychiatric illness, which in the investigator's opinion will prevent administration or completion of the protocol therapy.
- Prior malignancies, except for non-melanomatous skin cancers, or carcinoma in situ of uterus, cervix or bladder, unless disease free for \> 5 years.
- Prior radiation to the head or neck (except for T1 glottic cancer) resulting in overlap of radiation fields.
- Prior chemotherapy for the current disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anand Mahadevan, MD
Beth Israel Deaconess Medical Center, Harvard Medical School
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Radiation Oncologist
Study Record Dates
First Submitted
October 11, 2006
First Posted
October 12, 2006
Study Start
April 1, 2006
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
January 27, 2017
Record last verified: 2017-01