Hypofractionated Imrt (Vmat-Ra) For Elderly Patients With Newly Diagnosed High Grade Glioma
Study Details
Study Description
Brief Summary
To assess the effect of IMRT using VMAT rapidarc approach, followed by adjuvant temozolomide on survival and quality of life in elderly, poor performance status patients with newly diagnosed HGG.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
Investigators designed this study with the aim to assess the effect of IMRT using VMAT rapidarc approach, followed by adjuvant temozolomide on survival and quality of life in elderly, poor performance status patients with newly diagnosed HGG. The potential advantage of this approach is deliver a more selective irradiation to tumor's target with reducing the dose to normal brain and to allow the delivery of a higher dose, optimizing the therapeutic window.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Radiation To evaluate safety and feasibility of hypofractionated Intensity Modulated Radiotherapy |
Radiation: Radiation
hypofractionated IMRT
|
Outcome Measures
Primary Outcome Measures
- PFS [one year]
Progression free survival
Secondary Outcome Measures
- OS [one year]
Overall Survival
Other Outcome Measures
- Toxicity [one year]
Incidence of hematologic and non hematologic severe toxicities (grade III/ IV) will evaluate using NCI-CTCA scale. Late toxicity will evaluate using CTCA 4.2
- QoL [one year]
Quality of Life
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients aged ≥ 70 years
-
Karnosky performance status (KPS) ≤60
-
Histologically confirmed HGG after tumor biopsy
-
GBM
-
Anaplastic Astrocytoma
-
Anaplastic Oligoastrocytoma
-
Anaplastic Oligodendroglioma without IDH1 mutation and no codeletion 1p19q
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Estimated survival ≥ 3 months.
-
Normal liver, Kidney and bone marrow function
-
Written informed consent
Exclusion criteria:
-
Prior radiation therapy
-
Other primary cancer
Exclusion Criteria:
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | ICH Humanitas Cancer Center | Milan | Lombardia | Italy | 20090 |
Sponsors and Collaborators
- Istituto Clinico Humanitas
Investigators
- Study Director: Piera Navarria, MD, Humanitas Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1139