Glioblastoma Clinical Trial
Official title:
Phase I Pilot Study of Preoperative Chemoradiation for Glioblastoma
Trial to determine the safety of neoadjuvant treatment with concurrent temozolomide and radiation therapy, followed by surgery and then further temozolomide.
Prior to any definitive treatment and after enrollment, the patient will undergo
stereotactic biopsy of the lesion to confirm the histology of the lesion and to determine
methylated methylguanine methyltransferase (MGMT) status. Standard image-guided stereotactic
technique will be used. Patients will be treated with conformal radiation therapy.
Temozolomide will be given from the day prior to radiation therapy through the last day of
radiation therapy. 4-6 weeks after radiation therapy the patient will undergo craniotomy and
maximal safe resection. Temozolomide will continue beginning 4 weeks after surgery.
Imaging:
MRI within 2 weeks prior to the start of the protocol. MRI at 4 weeks after chemoradiation
therapy and prior to surgery. MRI within 48 hours after surgery.
MRI after every 2 cycles of chemotherapy and then every 2 months until progression, up to 2
years.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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