About this trial
The purpose of this study is to evaluate the treatment regimen of using Laser Interstitial Thermal Therapy (LITT) and Hypo-fractionated Radiation Therapy to treat patients with newly diagnosed gliomas.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with radiographic evidence of suggestive of a primary high-grade glioma
Brain MRI with contrast demonstrates an enhancing mass within 60 days prior to registration. Patient must be deemed a candidate for LITT from MRI by Neurosurgery in order to be eligible.
History and physical including neurological exam within 30 days prior to registration
Karnofsky performance status ≥50% within 30 days prior to registration
Disqualifiers
Patients that are not surgical candidates for stereotactic biopsy or laser ablation
History or presence of serious uncontrolled ventricular or significant arrhythmias.
Any of the following within 6 months prior to registration: myocardial infarction, severe/unstable angina, coronary artery bypass graft, congestive heart failure, cerebrovascular accident, transient ischemic attack , pulmonary embolism
Infratentorial tumor or evidence of leptomeningeal spread
Trial design
Single group
Treatments tested in this trial
LITT
Procedure/SurgeryThis procedure is done under MRI guidance and employs low-powered thermal energy to achieve tumor ablation through coagulation.
Hypofractionated Radiation Therapy
RadiationTreatments will be delivered once daily on consecutive treatment days (typically 5 fractions per week). Radiation therapy simulation is to be performed within 10 days of the LITT procedure.
Treatment groups
Trial outcomes
Primary outcomes
Adverse Events
The ability to complete protocol treatment (i.e. LITT and radiation therapy) without undue treatment-related acute toxicity as defined below: * Safety: \< 40% rate of irreversible Grade 3 or higher neurologic treatment-related toxicity * Early stopping rules: Two or more Grade 2 or higher symptomatic CNS hemorrhages; Eight treatment-related Grade 3 or higher non-hematologic or Grade 4 or higher hematologic treatment related toxicities
Secondary outcomes
Progression-free survival at 6 months
To describe progression-free survival rate in subjects with newly diagnosed high-grade gliomas treated with Laser Interstitial Thermal Therapy
Median progression-free survival
To describe median progression-free survival rate in subjects with newly diagnosed high-grade gliomas treated with Laser Interstitial Thermal Therapy followed by hypofractionated radiation therapy.
Median overall survival
To describe median progression-free survival rate in subjects with newly diagnosed high-grade gliomas treated with Laser Interstitial Thermal Therapy followed by hypofractionated radiation therapy.
1-year overall survival
To describe 1- year survival rate in subjects with newly diagnosed high-grade gliomas treated with Laser Interstitial Thermal Therapy followed by hypofractionated radiation therapy.
Sponsors and contacts
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University of Maryland, Baltimore
Lead sponsor
Keep Punching Foundation
Collaborator