Hypoxia-targeted Radiotherapy Boost for GBM

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNYU Langone Health

About this trial

The purpose of this study is to evaluate the use of dynamic contrast-enhanced MRI (DSC-MRI) to identify and target hypoxic tumor regions in glioblastoma (GBM). The study is divided into two phases: Phase 1 will focus on biologic validation in newly diagnosed GBM patients, while Phase 2 will assess the clinical implementation of DSC-MRI-guided radiotherapy in recurrent or postoperative GBM patients. The primary endpoints are the validation of DSC-MRI in identifying hypoxic regions and assessing the safety and efficacy of radiation therapy based on these findings.

Eligibility criteria

Qualifiers

Willing and able to provide written informed consent.

≥18 years of age.

All suspected GBM patients including newly diagnosed and recurrent GBM who are undergoing resection (Phase 1). Or all suspected newly diagnosed or recurrent GBM being treated with radiation where there is still visible tumor) (Phase 2)

Participants with a history of prior malignancies and previous LITT are permitted to enroll.

Disqualifiers

Subjects with bone marrow impairment as evidenced by hemoglobin <8.0 g/dL, neutrophil count <1.5 × 109/L, or platelets <100 × 109/L.

Significant cardiac conduction abnormalities, including a history of long corrected QT (QTc) interval syndrome (>450 msec per Fridericia's formula) and/or pacemaker, or impaired cardiovascular function such as New York Heart Association classification >2 at screening.

Subjects who are pregnant or breast-feeding.

Contraindication to temozolomide

Trial design

Treatments tested in this trial

  • Dynamic susceptibility contrast MRI (DSC-MRI)
  • Cercare Medical Neurosuite (CMN) DSC-MRI-derived hypoxia maps
  • Varian TrueBeam

Treatment groups

25 Participants
are divided into 2 treatment groups

Sponsors and collaborators