Reducing Cognitive Impairment in Glioma with Repetitive Transcranial Magnetic Stimulation and Cognitive Strategy Training

NCT ID: NCT06043765

Last Updated: 2024-11-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-24

Study Completion Date

2026-08-31

Brief Summary

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The TRUE-GRIT study will assess the feasibility of a study protocol investigating the efficacy of a combination therapy consisting of cognitive strategy training (CST) and repetitive transcranial magnetic stimulation (rTMS) to reduce cognitive impairment in adult glioma patients. This study is part of the GRIP-project, a project aimed at investigating interventions for improving quality of life in brain tumor patients.

Detailed Description

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Conditions

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Cognitive Impairment Glioma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Cognitive strategy training + real rTMS

Verum rTMS to PPC contralateral to the tumor (3000 10Hz pulses at 110% RMT, 30 10-s trains, 30s inter-trial interval, 20 mins total)

Group Type EXPERIMENTAL

real repetitive transcranial magnetic stimulation (rTMS)

Intervention Type DEVICE

real rTMS -- 3 sessions a week/7 weeks (21 sessions)

cognitive strategy training

Intervention Type BEHAVIORAL

7 weekly sessions with a trained neuropsychologist.

Cognitive strategy training + sham rTMS

Sham rTMS to PPC contralateral to the tumor (3000 10Hz pulses at 110% RMT, 30 10-s trains, 30s inter-trial interval, 20 mins total).

Group Type SHAM_COMPARATOR

sham repetitive transcranial magnetic stimulation (rTMS)

Intervention Type DEVICE

sham rTMS - 3 sessions a week/7 weeks (21 sessions)

cognitive strategy training

Intervention Type BEHAVIORAL

7 weekly sessions with a trained neuropsychologist.

Interventions

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real repetitive transcranial magnetic stimulation (rTMS)

real rTMS -- 3 sessions a week/7 weeks (21 sessions)

Intervention Type DEVICE

sham repetitive transcranial magnetic stimulation (rTMS)

sham rTMS - 3 sessions a week/7 weeks (21 sessions)

Intervention Type DEVICE

cognitive strategy training

7 weekly sessions with a trained neuropsychologist.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age
* Histological diagnosis of diffuse glioma (WHO grade 2,3, or 4)
* Subjective cognitive impairment, defined as CFQ-score ≥ 44
* Being able to give informed consent and undergo treatment and measurements based on researchers insight
* Stable disease, i.e. no oncological treatment for ≤ 2 months prior to inclusion; no radiological progression on the most recent MRI, not older than 6 months, and no clinical progression at inclusion
* Stable dosage (for at least 8 weeks) of anti-epileptic medication

Exclusion Criteria

* Current pregnancy or have given birth less than three months ago
* Current other treatment for cognitive complaints
* Karnofsky performance score \<70
* A tumor located in the parietal cortex
* TMS exclusion: implanted medical devices (e.g. pacemaker, deep brain stimulator, cochlear implants, medical infusion device, etc.); metal in the body; sleep deprivation
* MRI exclusion: extreme claustrophobia or metallic objects in or on the body
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Linda Douw

OTHER

Sponsor Role lead

Responsible Party

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Linda Douw

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Linda Douw, PhD

Role: PRINCIPAL_INVESTIGATOR

Amsterdam UMC, location VUmc

Locations

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VU University Medical Centers, location VUmc

Amsterdam, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Maxine Gorter, MSc

Role: CONTACT

+31615413273

Facility Contacts

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Maxine Gorter, MSc

Role: primary

00314444444

Related Links

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https://www.amc.nl/web/research/trials-collaborations/het-grip-programma.htm

Website of the GRIP project, of which TRUE-GRIT is part of (in Dutch)

Other Identifiers

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NL82233.029.22

Identifier Type: -

Identifier Source: org_study_id

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