Study Evaluating the Efficacy of Radiotherapy With SIB-IMRT, Associated With Temozolomide in Glioblastomas

NCT03181477 | Active Not Recruiting

• 1 other identifier: 2016-A000679-42
• Study Type: interventional
• Target: 67
• Locations: 1 country
• Sites: 7

Brief Summary

Glioblastoma (GBM) is the most aggressive and most frequent brain tumour. Approximately four people per 100,000 inhabitants are diagnosed with this disease every year. The standard treatment comprises surgical resection (whenever possible), normofractionated radiotherapy at a dose of 60Gray (Gy) and temozolomide (TMZ). Median overall survival in these patients is 14.6 months \[13.2-16.8\]. In a previous phase I clinical trial, dose escalation tolerance using simultaneous-integrated boost intensity-modulated radiation therapy (SIB-IMRT) technic has been evaluated. The investigator demonstrated that SIB-IMRT until a dose of 80Gy in 32 daily fractions, associated with TMZ is feasible and well tolerated by patients with glioblastoma. The aim of this present phase II clinical trial is to evaluate the overall survival at 18 months for patients with glioblastoma receiving TMZ, according to standard protocol, associated to radiotherapy delivered at 80Gy using SIB-IMRT technic. The first planning target volume (PTV), including oedema and tumour highlighted on T2 flair magnetic resonance imaging (MRI) sequences, will receive 60.8Gy in 32 daily fractions. The second PTV, including tumour highlighted on T1 MRI sequences, will receive 80.0Gy in 32 daily fractions. Secondary objectives are tolerance, survival free progression and quality of live evaluations. Sixty seven patients will be enrolled in this present trial.

Conditions

Glioblastoma, Adult

Keywords

Phase II; Radiotherapy with SIB-IMRT; Tomozolomide

Outcome Measures

Primary Outcomes (1)

• Overall survival

  18 months

Study Arms (1)

radiotherapy + chimiotherapy

OTHER

Radiotherapy of 80 GY + Chemotherapy (Temozolomide)

Device: Radiotherapy

Interventions

Radiotherapy DEVICE

Radiotherapy of 80 GY + Chemotherapy (Temozolomide)

radiotherapy + chimiotherapy

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged from 18 to 70 years old.
• Patients with a unifocal Glioblastoma (grade IV astrocytoma in the World Health Organization (WHO) classification) with postoperative macroscopic residue after biopsy or resection alone.
• Location of the tumor or residual tumor, detected by Magnetic Resonance Imaging (MRI) sequences T1 gadolinium, more than 1cm from the optic chiasm
• Diagnosis confirmed by pathology.
• Time from surgery (if performed) and the start of radiation therapy less than 6 weeks.
• performance status 0 or 1 in the WHO classification.
• methylation status of the MGMT promoter gene requested
• blood count: Neutrophil more than 1500/mm3 Platelets more than 100 000/mm3
• Liver function test Bilirubin less than 1,5 times upper limit transaminases than 3 times upper limit
• patient informed and informed consent signed
• Possibility to trat by radiation withintensity modulated (fixed beams modulated or rotational modulation (TomoTherapy, dynamic arctherapy)) strictly respecting the constraints to organs at risk (Crystalline: 8 Gy max, Posterior chamber of the eye: 45 Gy max , optic nerve: 54 Gy max, chiasm: 54 Gy max, brain Stem: 2% 58 Gy D2 \<64 Gy, Dmax \<69 Gy spinal cord: 46 Gy max, healthy brain (brain - PTV): 60 Gy max 33%, 50 Gy to 50% and D100 \<45 Gy to the brain in toto).
• The patient must be affiliated to a social security scheme.

You may not qualify if:

• Other histological "Glioblastoma".
• Excision macroscopically complete individualized on postoperative MRI.
• Patient unable to give consent.
• A patient with against-indication to performed MRI (pacemaker, uncontrollable claustrophobia ...).
• The patient must not have received radiation therapy or previous chemotherapy for this condition.
• Other neoplasia unstabilized and / or treated for less than 5 years.
• Patient already included in another clinical trial with an experimental molecule.
• Inability to submit to medical monitoring testing for geographical, social or psychological.
• Pregnancy or breastfeeding
• Private Person of liberty under supervision or under curatorship
• No affiliation to a social security scheme or medical state aid or the universal medical coverage

Sponsors & Collaborators

• Centre Georges Francois Leclerc: lead

Study Sites (7)

CHU Amiens Picardie

Amiens, 80054, France

Location

CHU Besançon

Besançon, France

Location

Centre Georges François Leclerc

Dijon, 21850, France

Location

Centre d'oncologie et de radiothérapie

Mâcon, France

Location

Institut de cancérologie de Lorraine

Nancy, France

Location

Paul Strauss

Strasbourg, 67000, France

Location

Centre de cancérologie des dentellières

Valenciennes, France

Location

MeSH Terms

Conditions

Glioblastoma

Interventions

Radiotherapy

Condition Hierarchy (Ancestors)

Astrocytoma; Glioma; Neoplasms, Neuroepithelial; Neuroectodermal Tumors; Neoplasms, Germ Cell and Embryonal; Neoplasms by Histologic Type; Neoplasms; Neoplasms, Glandular and Epithelial; Neoplasms, Nerve Tissue

Intervention Hierarchy (Ancestors)

Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2017
• First Posted: June 8, 2017
• Study Start: April 7, 2017
• Primary Completion: September 2, 2023
• Study Completion: September 2, 2025
• Last Updated: February 17, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

FR (7)