Comparison of Standard Neuronavigation With Intraoperative Magnetic Resonance Imaging (MRI) for the Neurosurgical Treatment of Malignant Brain Tumors
RACING
Randomized Assessment of Conventional Neuronavigation Versus Intraoperative MRI for the Neurosurgical Treatment of Glioblastomas
1 other identifier
interventional
14
2 countries
2
Brief Summary
The treatment of a specific subtype of highly malignant brain tumor (called "glioblastoma" or "glioblastoma multiforme") consists of neurosurgical resection, followed by radiotherapy and mostly chemotherapy as well. Increased extent of tumor resection is associated with prolonged survival. The standard treatment uses conventional neuronavigation systems to increase extent of tumor resection. However, the quality of this form of neuronavigation decreases throughout surgery because of "brain shift". This is caused by edema, loss of cerebrospinal fluid and tumor resection. A new form of neuronavigation uses intraoperative MRI to compensate for brain shift, and to check for the presence of residual tumor that can be removed. This study aims to compare the extent of glioblastoma resection between the standard treatment and intraoperative MRI.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2010
Longer than P75 for not_applicable
2 active sites
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
First Submitted
Initial submission to the registry
July 20, 2009
CompletedFirst Posted
Study publicly available on registry
July 21, 2009
CompletedStudy Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedApril 10, 2015
April 1, 2015
3.3 years
July 20, 2009
April 9, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Difference in Residual tumor volume
<72h after surgery
Secondary Outcomes (2)
Complications, Clinical Performance, and Quality of Life
3 months after surgery
Survival
2 years after surgery
Study Arms (2)
Conventional Neuronavigation
ACTIVE COMPARATORStandard form of neuronavigation: based on preoperative MRI without intraoperative correction for brain shift
Intraoperative MRI
EXPERIMENTALStandard neuronavigation plus intraoperative MRI to correct for brain shift
Interventions
Neuronavigation based on preoperative MRI
Eligibility Criteria
You may qualify if:
- supratentorial brain tumor, on contrast enhanced dMRI suspected to be GBM
- indication for gross total resection (GTR) of the tumor
- age ≥18 years
- WHO Performance Scale ≤ 2
- ASA class ≤ 3
- adequate knowledge of the Dutch or French language
- informed consent
You may not qualify if:
- recurrent brain tumor
- multiple brain tumor localizations
- earlier skull radiotherapy
- earlier chemotherapy for GBM
- Chronic Kidney Disease or other renal function disorder
- known MR-contrast allergy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Centre Hospitalier Universitaire de Liege
Liège, Belgium
Maastricht University Medical Center
Maastricht, Netherlands
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Henk van Santbrink, MD, PhD
Maastricht University Medical Center
- PRINCIPAL INVESTIGATOR
Didier Martin, MD, PhD
Centre Hospitalier Universitaire de Liege
- STUDY CHAIR
Koo van Overbeeke, MD, PhD
Maastricht University Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 20, 2009
First Posted
July 21, 2009
Study Start
February 1, 2010
Primary Completion
June 1, 2013
Study Completion
December 1, 2013
Last Updated
April 10, 2015
Record last verified: 2015-04