NCT03621748

Brief Summary

This study protocol examines a comparison between local and general anesthesia (Awake vs. Asleep Craniotomy) in the removal of brain tumors that are in areas of the brain that do not directly control bodily functions (non-eloquent gliomas).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 2, 2018

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 8, 2018

Completed
10 months until next milestone

Study Start

First participant enrolled

June 1, 2019

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 21, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 21, 2023

Completed
Last Updated

May 26, 2023

Status Verified

May 1, 2023

Enrollment Period

4 years

First QC Date

August 2, 2018

Last Update Submit

May 24, 2023

Conditions

Keywords

craniotomyawake craniotomy

Outcome Measures

Primary Outcomes (1)

  • Extent of resection

    Extent of resection (EOR) defined as the residual volume, in cm3, of tumor measured by MRI

    up to 48 hrs post operation

Secondary Outcomes (3)

  • Percentage of baseline tumor volume resected

    up to 48 hrs post operation

  • VAS Postoperative anxiety

    Day 1(+14 days) , Post op day 0, 1, 2 weeks, 3mth

  • Length of Surgery

    Intraoperative

Other Outcomes (5)

  • Length of hospital stay (LOS)

    0-30 days post operation

  • The Karnofsky Performance Score

    Day 1 (+14 days), Post-operative up to 48 hrs, 3-6 weeks, 3mths, 6mths, and 9 mths

  • FACT-Br

    Day 1 (+14 days), Post-operative up to 48 hrs, 3-6 weeks, 3mths, 6mths, and 9 mths

  • +2 more other outcomes

Study Arms (2)

Non-Awake Cohort

ACTIVE COMPARATOR

Cohort undergoing craniotomy utilizing general anesthesia protocol

Procedure: Non-awake Anesthesia Protocol

Awake Cohort

EXPERIMENTAL

Cohort undergoing craniotomy utilizing awake anesthesia protocol

Procedure: Awake Anesthesia Protocol

Interventions

Awake is defined as the patient being awake with electrical brain stimulation mapping during the critical portions of the procedure.

Awake Cohort

Non-awake is general anesthesia as per convention with intubation.

Non-Awake Cohort

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with age ≥18 years old.
  • WHO grade I, II, III, and IV Glioma in non-eloquent brain cortex based on magnetic resonance imaging (MRI)
  • An elective procedure.
  • A single lesion.
  • No major comorbidities that would necessitate an extended hospital stay.
  • Newly diagnosed tumors.

You may not qualify if:

  • Patients with age \< 18 years old.
  • Non-gliomas
  • Eloquent location (motor, sensory, language)
  • Non-elective procedure.
  • Multiple lesions.
  • Major comorbidities.
  • Recurrent tumors.
  • Patients lacking capacity to consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic in Florida

Jacksonville, Florida, 32224, United States

Location

Related Links

Study Officials

  • Kaisorn L Chaichana

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

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
PRINCIPAL INVESTIGATOR
PI Title
Senior Associate Consultant

Study Record Dates

First Submitted

August 2, 2018

First Posted

August 8, 2018

Study Start

June 1, 2019

Primary Completion

May 21, 2023

Study Completion

May 21, 2023

Last Updated

May 26, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will not share

Locations