Status:

NOT_YET_RECRUITING

Preoperative Preradiotherapy TTFields

Lead Sponsor:

The Christie NHS Foundation Trust

Collaborating Sponsors:

University of Manchester

Northern Care Alliance NHS Foundation Trust

Conditions:

Glioblastoma

Eligibility:

All Genders

35+ years

Phase:

NA

Brief Summary

PreOperative PreRAdIotherapy Tumour Treating Fields (PORTRAIT) is a Phase I study that will test the safety and feasibility of Optune administered preoperatively and preradiotherapy in patients with a...

Detailed Description

Glioblastoma is the most common primary malignant brain tumour in adults. Its outcomes are poor due to local disease progression in most patients. Current treatment includes surgery followed by chemot...

Eligibility Criteria

Inclusion

  • Patient is aged \>35 years (age range of more likely to suffer from an IDHwt WHO grade 4 astrocytoma)\*
  • Patient is male or female.
  • Patient has a new radiological diagnosis of glioblastoma.
  • Patient has a performance status judged by World Health Organisation, Eastern Cooperative Oncology Group \[ECOG\] score = 0-1.
  • Patient has been reviewed by Neuro-oncology multidisciplinary team (MDT - neurosurgeon, clinical oncologist, radiologist and pathologist); MDT consensus that offering study entry is clinically appropriate and safe i.e. patient unlikely to come to harm (e.g. hydrocephalus) from delayed surgery and pre-operative Optune based on available clinical information and imaging.
  • PI has confirmed at the first clinic visit that study entry is clinically appropriate and safe (e.g. lack of severe and debilitating symptoms of raised intracranial pressure).
  • There is intention to treat the patient with surgical resection and postoperative adjuvant therapy as per current standard of care (40Gy/15 fr or 60Gy/30fr).
  • Patient has adequate haematological and biochemical parameters for surgery and contrast agent administration (full blood count and coagulation profile deemed acceptable by clinical team, eGFR \>30ml/min).
  • Patient has mental capacity to consent for treatment.
  • Patient is able and willing to give informed consent
  • Criteria specific to the experimental arm:
  • Patient is able and willing to comply with study protocol requirements to continuously shave their head
  • Patient is able and willing to comply with study protocol requirements to wear Optune equipment for the required duration.

Exclusion

  • Patients with uncontrolled seizures.
  • Patients are due to undergo a planned biopsy procedure only.
  • Patients have a suspicion of other tumour on CT body scan or known malignancy except non-melanoma skin cancer, completely resected or prostate cancer (with Prostate Specific Antigen of less than or equal to 0.1 ng/ml) within the past three years.
  • Patients have contraindications to contrast-enhanced MRI scanning (e.g. claustrophobia, gadolinium allergy).

Key Trial Info

Start Date :

July 31 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT06136611

Start Date

July 31 2024

End Date

December 1 2025

Last Update

June 24 2024

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