Proton and Heavy Ion Beam Radiation vs. Photon Beam Radiation for Newly Diagnosed Glioblastoma.

NCT ID: NCT04536649

Last Updated: 2020-09-02

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

369 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-01

Study Completion Date

2025-09-30

Brief Summary

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This is a multi-center prospective phase 3 clinical trial to explore the efficacy and side effects of standard-dose photon radiation versus standard-dose proton radiation versus carbon ion boost plus standard proton radiation for newly diagnosed glioblastoma. The patients enrolled will be randomly allocated with 1:1:1 to three group: Control Group, standard-dose photon radiotherapy; Study Group A, standard-dose proton radiotherapy; Study Group B, standard-dose proton radiotherapy plus induction carbon-ion radiotherapy boost. The primary endpoint is overall survival (OS).

Detailed Description

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This multi-center prospective phase 3 clinical trial will enroll 369 patients with newly diagnosed glioblastoma. Patients will be randomly allocated with 1:1:1 to three groups: Control Group, standard-dose photon radiotherapy (60 Gy); Study Group A, standard-dose proton radiotherapy (60 GyE); Study Group B, standard-dose proton radiotherapy (60 GyE) plus induction carbon-ion radiotherapy boost (15GyE/3F). All patients will receive concurrent and adjuvant temozolomide according to the Stupp protocol. The primary endpoint is overall survival (OS). The secondary endpoint is progression-free survival, side effect and quality life.

Conditions

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Glioblastoma

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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Standard-dose Photon Radiotherapy

The patients will receive standard-dose photon radiation (60Gy/30F for high-risk area) with concurrent temozolomide (75mg/m2, qd), adjuvant temozolomide (150-200mg/m2, qd, D1-5, 28d/cycle)

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

Multimodal brain imaging-guided radiotherapy using different beams

Standard-dose Proton Radiotherapy

The patients will receive standard-dose proton radiation (60GyE/30F for high-risk area) with concurrent temozolomide (75mg/m2, qd), adjuvant temozolomide (150-200mg/m2, qd, D1-5, 28d/cycle).

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

Multimodal brain imaging-guided radiotherapy using different beams

Standard-dose Proton Radiotherapy plus Carbon-Ion Boost

The patients will receive carbon-ion radiation boost (15GyE/3F for residual lesion) priot to standard-dose proton radiation (60GyE/30F for high-risk area) with concurrent temozolomide (75mg/m2, qd), then adjuvant temozolomide (150-200mg/m2, qd, D1-5, 28d/cycle).

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

Multimodal brain imaging-guided radiotherapy using different beams

Interventions

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Radiotherapy

Multimodal brain imaging-guided radiotherapy using different beams

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Age\> 18 years old and \<80 years old
* Pathologically confirmed newly-diagnosed GBM
* Redisual lesion after subtotal resection, partial resection, or biopsy
* No dissemination or metastasis in the spinal canal, single lesion, supratentorial lesion
* ECOG score 0-1
* Sign the informed consent form before starting the research

Exclusion Criteria

* No pathological confirmed evidence of GBM
* Multiple lesions or distant spread indicated by imaging studies
* Receive conventional photon/proton/carbon ion radiation therapy on the head
* Received intracranial radioactive particle implantation
* A history of malignant tumors or multiple primary tumors (except skin basal cell carcinoma)
* Positive pregnancy test for women of childbearing age
* With the accompanying diseases or conditions affect the safety of patients during normal enrollment or research
* Active mental disorders or other mental disorders that affect the patients ability to sign informed consent and understand
* Uncontrolled active infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RenJi Hospital

OTHER

Sponsor Role collaborator

Ruijin Hospital

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role collaborator

Shanghai Proton and Heavy Ion Center

OTHER

Sponsor Role lead

Responsible Party

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Jiade J. Lu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiade J Lu

Role: PRINCIPAL_INVESTIGATOR

Shanghai Proton and Heavy Ion Center

Locations

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Shanghai Proton and Heavy Ion Center

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Jiade J Lu, M.D.

Role: CONTACT

021-38296516 ext. 86

Other Identifiers

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SPHIC-TR-HNCNS-2020-45

Identifier Type: -

Identifier Source: org_study_id

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