About this trial
This study aims to evaluate the efficacy of Laser Interstitial Thermal Therapy (LITT) in treating recurrent or progressive, low-grade gliomas (LGG) in pediatric, adolescent and young adult patients.
Eligibility criteria
Qualifiers
Participants must have recurrent or progressive pediatric LGG who have received at least one prior treatment. Prior treatment may include surgery alone and/or systemic therapy.
Participants must have histologically confirmed LGG that is recurrent or progressive after prior treatment and determined to be a candidate for LITT by central review. All patients will undergo central review prior to LITT. Any number of previous recurrences are permissible provided the participant meets other enrollment criteria.
Tumor size: up to 5 cm in largest dimension not including any cystic component. Larger tumors will need to be discussed with the study team. Additional adjunctive interventions such as cyst aspiration prior to or concurrent with a LITT procedure is allowed at the treating surgeon's discretion.
Suprasellar gliomas not arising from the optic pathway are eligible.
Disqualifiers
Optic pathway gliomas
Spinal tumors
Brainstem Lesions: Infiltrative brainstem lesions are excluded. However, exophytic brainstem lesions, which are more accessible and present a lower risk, may be eligible for LITT.
Any lesion/location determined by central review to be contraindicated for LITT.
Trial design
Treatments tested in this trial
- Laser Interstitial Thermal Therapy (LITT)
- Magnetic resonance imaging (MRI)
- Questionnaires
Treatment groups
Sponsors and collaborators
University of California, San Francisco
Lead sponsor
Pacific Pediatric Neuro-Oncology Consortium
Collaborator