Pulsed radiation compared with usual radiation for newly diagnosed glioblastoma
Official title: Temporally-Modulated Pulsed Radiation Therapy Versus Standard Radiation Therapy for the Treatment of Newly Diagnosed, IDH Wildtype, MGMT-Unmethylated Glioblastoma
Status: Recruiting. It is looking for patients now. Talk to your care team about whether it fits you.
The trial team last updated this record on .
The short version
This trial compares radiation given in short bursts with breaks to the usual way of giving radiation.
Read our full plain-language summary
What the trial team says
This phase III trial compares temporally-modulated pulsed radiation therapy versus standard radiation therapy in treating patients with newly diagnosed, IDH wildtype, MGMT-unmethylated glioblastoma. After completion of surgery, the standard of care for glioblastoma is radiation therapy. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. For older and frail patients, standard treatment also includes the chemotherapy drug temozolomide. Temozolomide is in a class of medications called alkylating agents. It works by damaging the cell's DNA and may kill tumor cells and slow down or stop tumor growth. Approximately 70% of glioblastoma patients have MGMT-unmethylated status. MGMT unmethylated tumors are less likely to respond to temozolomide chemotherapy, so there is more reliance on radiation therapy to kill the tumor cells. Recent clinical trials studying new therapies for MGMT-unmethylated glioblastoma have failed to improve outcomes over temozolomide. These recent studies also indicate that 80% of patients experience a decline in memory and thinking function after treatment. TMPRT differs from standard radiation therapy by delivering the same amount of radiation dose in 10-13 "pulses" with 3-minute breaks between pulses. TMPRT with temozolomide may work better than standard radiation therapy with temozolomide in increasing survival, as well as improving memory and thinking function in patients with newly diagnosed, IDH wildtype, MGMT-unmethylated glioblastoma.
Key facts
- Registry number
- NCT07452458
- Stage of testing
- Phase 3
- Conditions studied
- Glioblastoma, IDH-Wildtype, MGMT-Unmethylated Glioblastoma
Where it is running
This trial lists 54 sites.
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California
- UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care (Irvine)
- USC / Norris Comprehensive Cancer Center (Los Angeles)
- UC Irvine Health/Chao Family Comprehensive Cancer Center (Orange)
- University of California Davis Comprehensive Cancer Center (Sacramento)
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Colorado
- Saint Mary's Hospital and Regional Medical Center (Grand Junction)
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Illinois
- Alton Memorial Hospital (Alton)
- Decatur Memorial Hospital (Decatur)
- Northwestern Medicine Cancer Center Kishwaukee (DeKalb)
- Northwestern Medicine Cancer Center Delnor (Geneva)
- Cancer Care Center of O'Fallon (O'Fallon)
- HSHS Saint Elizabeth's Hospital (O'Fallon)
- Memorial Hospital East (Shiloh)
- Northwestern Medicine Cancer Center Warrenville (Warrenville)
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Iowa
- UI Health Care Mission Cancer and Blood - Ankeny Clinic (Ankeny)
- Saint Anthony Regional Hospital (Carroll)
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic (Clive)
- Iowa Methodist Medical Center (Des Moines)
- UI Health Care Mission Cancer and Blood - Des Moines Clinic (Des Moines)
- Broadlawns Medical Center (Des Moines)
- UI Health Care Mission Cancer and Blood - Laurel Clinic (Des Moines)
- UI Healthcare Mission Cancer and Blood - Pella (Pella)
- UI Health Care Mission Cancer and Blood - Waukee Clinic (Waukee)
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Kansas
- University of Kansas Cancer Center (Kansas City)
- University of Kansas Cancer Center-Overland Park (Overland Park)
- University of Kansas Hospital-Westwood Cancer Center (Westwood)
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Maryland
- Maryland Proton Treatment Center (Baltimore)
- University of Maryland/Greenebaum Cancer Center (Baltimore)
- UM Upper Chesapeake Medical Center (Bel Air)
- UM Baltimore Washington Medical Center/Tate Cancer Center (Glen Burnie)
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Missouri
- Siteman Cancer Center at Saint Peters Hospital (City of Saint Peters)
- MU Health - University Hospital/Ellis Fischel Cancer Center (Columbia)
- Siteman Cancer Center at West County Hospital (Creve Coeur)
- University of Kansas Cancer Center - Briarcliff (Kansas City)
- University of Kansas Cancer Center - North (Kansas City)
- University of Kansas Cancer Center - Lee's Summit (Lee's Summit)
- Washington University School of Medicine (St Louis)
- Siteman Cancer Center-South County (St Louis)
- Siteman Cancer Center at Christian Hospital (St Louis)
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Nevada
- Renown Regional Medical Center (Reno)
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New York
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center (New York)
- Montefiore Medical Center-Einstein Campus (The Bronx)
- Montefiore Medical Center-Weiler Hospital (The Bronx)
- Montefiore Medical Center - Moses Campus (The Bronx)
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Ohio
- Case Western Reserve University (Cleveland)
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Oklahoma
- University of Oklahoma Health Sciences Center (Oklahoma City)
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Wisconsin
- ThedaCare Regional Cancer Center (Appleton)
- University of Wisconsin Carbone Cancer Center - Johnson Creek (Johnson Creek)
- University of Wisconsin Carbone Cancer Center - Eastpark Medical Center (Madison)
- University of Wisconsin Carbone Cancer Center - University Hospital (Madison)
- Froedtert Menomonee Falls Hospital (Menomonee Falls)
- Medical College of Wisconsin (Milwaukee)
- Froedtert and MCW Moorland Reserve Health Center (New Berlin)
- Drexel Town Square Health Center (Oak Creek)
- Froedtert West Bend Hospital/Kraemer Cancer Center (West Bend)
How to use this
Talk to your care team first. They know your history and can tell you whether this trial is worth your time.
Joining a trial is always your choice. A trial is a test, not a proven treatment. Being in one is not a promise that it will help you.
This page is built from the trial's listing on ClinicalTrials.gov, a service of the U.S. National Library of Medicine. That listing is the authority, and it may have changed since we last read it. We do not run this trial and we cannot enroll you in it.