Prospective Trial of Two Hypofractionated Radiotherapy Regimens Versus Conventional Radiotherapy in Diffuse Brainstem Glioma in Children

NCT ID: NCT01878266

Last Updated: 2021-08-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

119 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2016-05-31

Brief Summary

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This Trial offers a reduction in patient burden, which is especially preferable in children with a poor compliance and poor performance status. This prospective randomized trial was extension to the previous controlled prospective study performed in Children's Cancer Hospital, Egypt and registered at clinicaltrials.com (NCT01635140). The ultimate aim of this work is to demonstrate noninferiority of the hypofractionated regimens relative to the conventional regimen in a controlled randomized clinical study.

Detailed Description

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In this study will add a third arm in which we will increase in the total dose to 4500 cGy in 15 fractions in 3 weeks may lead to improvement in Over-all survival or Progression-Free Survival.

Conditions

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Pediatric Brain Stem Glioma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hypofractionated Arm (1)

A total dose of 39 Gy in daily fractions of 3 Gy, 5 Fractions per week , by conformal radiotherapy sparing of the supratentorial brain. The planning target volume included the tumor as defined by the T2-weighted MRI images with a margin of 1.5-2.0 cm. Margins were adjusted for bony structures and tentorium. With exception of steroids, no neoadjuvant, concomitant, or adjuvant systemic treatment was allowed

Group Type EXPERIMENTAL

Hypofractionated Arm (1)

Intervention Type RADIATION

A total dose of 39 Gy in daily fractions of 3 Gy, 5 Fractions per week

Hypofractionated Arm (2)

The same planning and treatment procedures will be performed. The total dose will be 4500 cGy in 15 fractions in 3 weeks; giving 300 cGy per fraction.

Group Type EXPERIMENTAL

Hypofractionated Arm (2)

Intervention Type RADIATION

The total dose to 4500 cGy in 15 fractions in 3 weeks

Conventional Arm (3)

The same planning and treatment procedures will be performed with 54.0 Gy in 30 fractions giving 1.8 Gy per fraction.

Group Type OTHER

Conventional Arm (3)

Intervention Type RADIATION

A total dose of 54 Gy in 30 fractions giving 1.8 Gy per fraction.Conventional arm

Interventions

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Hypofractionated Arm (1)

A total dose of 39 Gy in daily fractions of 3 Gy, 5 Fractions per week

Intervention Type RADIATION

Hypofractionated Arm (2)

The total dose to 4500 cGy in 15 fractions in 3 weeks

Intervention Type RADIATION

Conventional Arm (3)

A total dose of 54 Gy in 30 fractions giving 1.8 Gy per fraction.Conventional arm

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

1. Newly diagnosed patients with a diffuse intrinsic brainstem glioma
2. Aged 2-18years,
3. Have symptoms for less than 3 months and at least two findings of the neurologic triad: cranial nerve deficits, ataxia, or long tract signs.
4. No performance criteria were required for entry onto the study.

Exclusion Criteria

* Children were not eligible if they had received any prior therapy other than steroids Treatment
Minimum Eligible Age

2 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Cancer Hospital Egypt 57357

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Children's Cancer Hospital Egypt 57357

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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CCHE-BT002

Identifier Type: -

Identifier Source: org_study_id

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