Location-Molecular Integrated Outcomes in 450 Cerebellar Glioma Microsurgical Cases
Microsurgical Outcomes and Prognostic Analysis of 450 Cases of Cerebellar Gliomas: Integrating Pathology, Molecular Biomarkers, and Novel Clinical Insights
1 other identifier
observational
450
1 country
1
Brief Summary
The goal of this observational study is to learn if refined anatomical location-combined with molecular biomarkers-can predict surgical success and long-term survival in 450 adults and children with cerebellar gliomas who underwent microsurgical resection at a single center between 2014 and 2024. The main questions it aims to answer are:
- 1.Does tumor location (cerebellar hemisphere, vermis, fourth ventricle, or pontocerebellar-angle region) independently influence extent of resection and overall survival after adjustment for WHO grade and molecular profile?
- 2.Among IDH-wild-type low-grade gliomas, does gross-total resection plus early adjuvant radiotherapy improve 5-year overall and progression-free survival compared with lesser resection or radiotherapy omission?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2014
Longer than P75 for all trials
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
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2024
CompletedFirst Submitted
Initial submission to the registry
December 25, 2025
CompletedFirst Posted
Study publicly available on registry
January 15, 2026
CompletedJanuary 15, 2026
December 1, 2024
10 years
December 25, 2025
January 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall survival (OS) time
the number of months from the date of microsurgical resection to the date of death from any cause or last confirmed follow-up, measured for all 450 enrolled patients and compared across the four anatomical cerebellar locations and the predefined molecular sub-groups.
6 months
Secondary Outcomes (3)
Progression-Free Survival (PFS)
6 months
Extent of Resection (EOR)
6 months
Rate of Postoperative Complications
6 months
Study Arms (4)
Cerebellar hemisphere
Tumors arise from Cerebellar hemisphere
Vermis
Tumors arise from Cerebellar Vermis
Fourth ventricle
Tumors arise from Fourth ventricle
Pontocerebellar-angle (PCA) region
tumors from Pontocerebellar-angle (PCA) region
Eligibility Criteria
Study Population Description The study group is 450 consecutive patients treated at a single high-volume neuro-oncology center (West China Hospital and its Longquan branch) who underwent primary microsurgical resection for a newly diagnosed glioma that arose wholly within the cerebellum. * \*\*Age span\*\*: 3-78 years (median 38 years); 52.7 % ≤ 40 y, 47.3 % \> 40 y * \*\*Sex\*\*: 244 males (54.3 %), 206 females (45.7 %) * \*\*Tumor origin by cerebellar sub-site\*\* * Cerebellar hemisphere 223 (49.6 %) * Vermis 141 (31.3 %) * Fourth ventricle 67 (14.9 %) * Pontocerebellar-angle region 19 (4.2 %) * \*\*WHO grade at resection\*\*: Low-grade (I-II) 291 (64.7 %); High-grade (III-IV) 159 (35.3 %) * \*\*Pre-operative functional status\*\*: Median KPS 80 (IQR 70-90) * \*\*Molecular profile (full cohort tested)\*\* * IDH-mutant 152 (33.7 %), IDH-wild-type 298 (66.3 %) * 1p/19q codeleted 97 (21.5 %) * MGMT promoter methylated 161 (35.7 %) * TERT promoter mutant 83 (18.4 %)
You may qualify if:
- Pathologically proven cerebellar glioma (hemisphere, vermis, fourth ventricle, or pontocerebellar-angle region) per 2021 WHO CNS classification
- First microsurgical resection performed at our center between January 2014 and January 2024
- Age ≥ 3 years at surgery
- Pre-operative Karnofsky Performance Status (KPS) recorded
- Availability of post-operative contrast MRI for resection-extent calculation
- Minimum required molecular data: IDH1/2 status (immunohistochemistry ± sequencing)
- Continuous follow-up ≥ 6 months after surgery (out-patient visits or telephone confirmation)
You may not qualify if:
- Brain-stem glioma with secondary cerebellar invasion
- Recurrent or metastatic glioma
- Previous cranial radiation or glioma surgery at another institution
- Palliative resection (\< 20 % of tumor volume removed)
- Missing post-operative MRI or insufficient tissue for mandatory IDH testing
- Follow-up \< 6 months or lost to follow-up before 6-month landmark
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
West China Hospital of Sichuan University
Chengdu, Sichuan, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
December 25, 2025
First Posted
January 15, 2026
Study Start
January 1, 2014
Primary Completion
January 1, 2024
Study Completion
June 1, 2024
Last Updated
January 15, 2026
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL