About this trial
A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for the treatment of recurrent Glioblastoma
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males and females ≥ 18 and ≤ 85 years of age
Patients must have histologically confirmed diagnosis of WHO grade IV glioblastoma (including variants such as gliosarcoma, giant cell glioblastoma).
Single, gadolinium-enhancing tumor recurrence ≤ 3cm in maximum diameter
Patient not amenable for surgical resection due to any of the following but not limited reasons: patient refusal, medically ineligible, surgically too high risk due to tumor location in a deep and/or eloquent location.
Disqualifiers
Medical contraindication to MRI (cardiac devices are allowed if MRI compatible)
More than 3 relapses per RANO criteria
Acquired and or genetic clinical bleeding tendency
Suspicious of infratentorial or leptomeningeal or intraventricular disease
Trial design
Single group
Treatments tested in this trial
Device :DaRT seeds
DeviceThe sources are impregnated with a layer containing Ra-224 which is well fixated to the surface of the source. Ra-224 undergoes a series of decay events with each daughter product producing an alpha particle
Treatment groups
Trial outcomes
Primary outcomes
Feasibility - DaRT seed placement
Feasibility will be determined according to the rate of successful placement of Alpha DaRT sources into brain tumors.
Safety - Adverse events
Safety will be determined according to incidence of acute grade 3 or greater unanticipated Adverse Events (AE) according to CTCAE v5.0 criteria
Secondary outcomes
Toxicity profile
according to CTCAE v5.0
Radiographic local tumor control
per RANO criteria
Rate of pseudo-progression at first post-implant scan
RANO criteria
Overall survival
Sponsors and contacts
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