Glioblastoma Clinical Trial
Official title:
Phase II Study of High Dose Radiotherapy and Concurrent Temozolomide Using Biologically-based Target Volume Definition in Patients With Newly Diagnosed Glioblastoma
This clinical trial increases radiation to areas of the brain considered to be at risk for cancer. The at-risk areas are identified by a biological MRI scan. The study will look at side effects of the radiation and overall survival.
This study evaluates if increasing radiation dose to at-risk areas impacts overall survival
without causing a decrease in quality of life or an increase in radiation side effects.
Standard radiation dose for glioblastoma (GBM) is 60 Gray in 30 fractions, with patients
receiving 1 fraction per day, Monday through Friday.
This trial will use a total of 75 Gray in 30 fractions, with participants receiving 1
fraction per day, Monday through Friday. Participants will still receive the standard
chemotherapy (temozolomide) at the standard dose (75 mg/m2, once daily, 7 days a week).
This study also uses a different imaging technique to identify the tumor target and the
tissues at risk. Normal imaging techniques will be used to define the standard target volume
and will receive the standard radiation dose (60 Gray). A special MRI sequence will identify
at risk areas based on diffusion and perfusion abnormalities. This area will receive the
higher radiation dose (75 Gray).
Participants will also be asked to complete quality of life questionnaires and neurocognitive
evaluations at specific time points. This is to identify any side effects from the higher
radiation dose. Preliminary work done at University of Michigan suggests a lack of side
effects from the higher dose of radiation.
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