Feasibility of ONCOhabitats for Surgical and Treatment Planning in IDH-Wildtype Glioblastoma (SINUE)

NCT ID: NCT07111195

Last Updated: 2025-08-08

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

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-16

Study Completion Date

2026-09-30

Brief Summary

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The goal of this clinical trial is to validate ONCOhabitats, an advanced imaging software, as a medical device for the clinical management of IDH-wildtype glioblastoma.

The study aims to evaluate whether imaging biomarkers derived from pre-surgical MRI using ONCOhabitats can predict overall survival and support clinical decision-making.

The primary research questions are:

* Can ONCOhabitats identify vascular and molecular characteristics within the peritumoral infiltrated edema (IPE) that are associated with patient prognosis?
* Can these imaging biomarkers aid in stratifying patients according to their response to treatment, including temozolomide and immunotherapy?

Participants will:

* Be adults diagnosed with high-grade glioma who are scheduled for surgical tumor resection
* Undergo preoperative MRI processed with ONCOhabitats to segment the tumor into four biological habitats (HAT, LAT, IPE, and VPE)
* Provide tissue samples from each habitat when feasible, based on surgical and clinical considerations

Researchers will analyze:

* Imaging biomarkers (e.g., relative cerebral blood volume, rCBV)
* Molecular and histopathological features (e.g., MGMT promoter methylation, gene expression profiles associated with immunosuppression)
* Clinical and survival outcomes

This study seeks to enhance glioblastoma characterization and support personalized treatment strategies through the clinical validation of a software platform.

Detailed Description

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Conditions

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Glioblastoma IDH (Isocitrate Dehydrogenase) Wildtype

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with IDH-wildtype Glioblastoma

Patients with IDH-wildtype glioblastoma who have undergone a pre-surgical MRI study

The ONCOhabitats software for MRI-based habitat segmentation

Intervention Type DEVICE

ONCOhabitats is an MRI-based software platform designed to segment IDH-wildtype glioblastomas into four biologically distinct habitats (HAT, LAT, IPE, and VPE) based on vascular heterogeneity.

In this study, the software is applied preoperatively to generate imaging biomarkers that guide surgical sampling and are assessed for their ability to predict overall survival and stratify patients accordingly.

The intervention includes advanced perfusion imaging processing using the HTS methodology, non-invasive tumor characterization, and integration with molecular and histopathological data.

Interventions

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The ONCOhabitats software for MRI-based habitat segmentation

ONCOhabitats is an MRI-based software platform designed to segment IDH-wildtype glioblastomas into four biologically distinct habitats (HAT, LAT, IPE, and VPE) based on vascular heterogeneity.

In this study, the software is applied preoperatively to generate imaging biomarkers that guide surgical sampling and are assessed for their ability to predict overall survival and stratify patients accordingly.

The intervention includes advanced perfusion imaging processing using the HTS methodology, non-invasive tumor characterization, and integration with molecular and histopathological data.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adults (≥18 years old) at the time of diagnosis
* Radiological diagnosis of high-grade glioma
* Candidates for surgical resection
* Availability of complete preoperative MRI studies, including:
* T1-weighted MRI (pre- and post-gadolinium)
* T2-weighted MRI
* FLAIR (Fluid-Attenuated Inversion Recovery)
* T2\*-weighted DSC perfusion MRI
* Signed informed consent to participate in the clinical study

Exclusion Criteria

* Patients who do not provide informed consent
* Patients deemed inoperable

Withdrawal criteria:

* MRI data that cannot be processed using ONCOhabitats
* Patient withdraws informed consent at any time
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Clínico Universitario de Valencia

OTHER

Sponsor Role collaborator

Hospital Universitario de Canarias

OTHER

Sponsor Role collaborator

Hospital General Universitario de Alicante

OTHER

Sponsor Role collaborator

Hospital Universitario Virgen de la Arrixaca

OTHER

Sponsor Role collaborator

Hospital Vall d'Hebron

OTHER

Sponsor Role collaborator

Juan M Garcia-Gomez

OTHER

Sponsor Role lead

Responsible Party

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Juan M Garcia-Gomez

Full professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Hospital General Universitario Dr. Balmis

Alicante, , Spain

Site Status RECRUITING

Hopsital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Clínico Universitario Virgen de la Arrixaca

Murcia, , Spain

Site Status RECRUITING

Hospital Universitario de Canarias

Santa Cruz de Tenerife, , Spain

Site Status RECRUITING

Hospital Clínic i Universitari de València

Valencia, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Juan Miguel García Gómez, PhD, Full Professor

Role: CONTACT

+34 963877069

Facility Contacts

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Cristina Alenda González

Role: primary

+34 965913817

Francisco Ramon Martínez Ricarte

Role: primary

Belén Ferri Ñíguez

Role: primary

+34 606884561

Julio Manuel Plata Bello

Role: primary

+34 922678900

Vicent Quilis Quesada

Role: primary

+34 963248164

References

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Juan-Albarracin J, Fuster-Garcia E, Perez-Girbes A, Aparici-Robles F, Alberich-Bayarri A, Revert-Ventura A, Marti-Bonmati L, Garcia-Gomez JM. Glioblastoma: Vascular Habitats Detected at Preoperative Dynamic Susceptibility-weighted Contrast-enhanced Perfusion MR Imaging Predict Survival. Radiology. 2018 Jun;287(3):944-954. doi: 10.1148/radiol.2017170845. Epub 2018 Jan 19.

Reference Type BACKGROUND
PMID: 29357274 (View on PubMed)

Del Mar Alvarez-Torres M, Juan-Albarracin J, Fuster-Garcia E, Bellvis-Bataller F, Lorente D, Reynes G, Font de Mora J, Aparici-Robles F, Botella C, Munoz-Langa J, Faubel R, Asensio-Cuesta S, Garcia-Ferrando GA, Chelebian E, Auger C, Pineda J, Rovira A, Oleaga L, Molla-Olmos E, Revert AJ, Tshibanda L, Crisi G, Emblem KE, Martin D, Due-Tonnessen P, Meling TR, Filice S, Saez C, Garcia-Gomez JM. Robust association between vascular habitats and patient prognosis in glioblastoma: An international multicenter study. J Magn Reson Imaging. 2020 May;51(5):1478-1486. doi: 10.1002/jmri.26958. Epub 2019 Oct 26.

Reference Type BACKGROUND
PMID: 31654541 (View on PubMed)

Juan-Albarracin J, Fuster-Garcia E, Garcia-Ferrando GA, Garcia-Gomez JM. ONCOhabitats: A system for glioblastoma heterogeneity assessment through MRI. Int J Med Inform. 2019 Aug;128:53-61. doi: 10.1016/j.ijmedinf.2019.05.002. Epub 2019 May 16.

Reference Type BACKGROUND
PMID: 31160012 (View on PubMed)

Related Links

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Other Identifiers

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INNEST/2022/087

Identifier Type: -

Identifier Source: org_study_id

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