About this trial
This is a prospective, single-arm study. The study population consists of adult patients with a confirmed diagnosis of EGFR-positive high-grade glioma who have radiographic residual tumor following surgical resection. Participants will receive nimotuzumab in combination with the standard Stupp regimen after glioma surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1)Aged 18 to 75 years.
2)Newly diagnosed glioblastoma consistent with the World Health Organization (WHO) Classification of Tumours of the Central Nervous System, 5th edition.
3)Epidermal growth factor receptor (EGFR)-positive status confirmed by immunohistochemistry (defined as brown-yellow staining in >10% of tumor cells).
4)Partial surgical resection with radiographically measurable residual tumor.
Disqualifiers
1)EGFR-negative status.
2)Prior treatment with chemotherapy, anti-EGFR therapy, or radiotherapy; or a history of other malignancies within the past 5 years.
3)Presence of severe comorbidities or active infections, or persistent vomiting that may interfere with the oral administration of temozolomide (TMZ).
Trial design
Single group
Treatments tested in this trial
nimotuzumab
DrugNimotuzumab 200 mg will be administered via intravenous infusion once weekly for 6 weeks, followed by 200 mg via intravenous infusion once every 4 weeks for a total of 6 doses.
Temozolomide
DrugTemozolomide will be administered orally at a dose of 150-200 mg/m²/day for 5 consecutive days. Each cycle lasts 28 days, for a total of 6 cycles.
Radiotherapy
RadiationPTV:60Gy/2Gy/30f,6weeks
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival
defined as the time from randomization (or the initiation of treatment) to the first documented tumor progression or death from any cause, whichever occurs first
Secondary outcomes
Overall Survival
defined as the time from randomization (or the initiation of treatment) to death from any cause.
Objective Response Rate
defined as the proportion of patients who achieve a Complete Response (CR) or a Partial Response (PR) out of the total number of evaluable patients
Disease Control Rate
defined as the proportion of patients who achieve a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) out of the total number of evaluable patients
Adverse Event
any unfavorable or unintended medical occurrence in a patient or clinical trial subject administered a pharmaceutical product or device, which does not necessarily have a causal relationship with the treatment
Locations
Sponsors and contacts
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