Health Condition 1: null- HIGH GRADE GLIOMA (ANAPLASTIC ASTROCYTOMA GRADE III, GLIOBLASTOMA GRADE IV) Health Condition 2: C719- Malignant neoplasm of brain, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed cases of high grade gliomas (Anaplastic Astrocytoma Grade III and Glioblastoma Grade IV) 2. KPS >60 3. Life expectancy >8 weeks 4. Adequate renal, hepatic andhematological function 5. Taking any anti epileptic except Valpraote as seizure prophylaxis 6. Willing to participate in study
Exclusion criteria
Exclusion criteria: 1. Previous history of use of Valproate or hypersensitivity to Valproate 2. Pregnancy 3. History of acute or chronic liver disease 4. Any history of comorbidities (Diabetes, Hypertension etc) not controlled on medication 5. Patients having second malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. PFS (RADIOLOGICAL PROGRESSION- tumor recurrence in patients with complete resection or increased contrast uptake by 25% or more in patients with incomplete resection or biopsy only compared to baseline for same lesion by same technique CLINICAL PROGRESSION- clinically deteriorating KPS, neurological function or increased corticosteroid dosage by 50% or more) 2. Response Rate as per RANO criteria 3. OS is time interval between randomisation and death due to any causeTimepoint: 1. PFS at 1 year 2. Response Rate at 3, 6 and 9 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of Life (QOL) 2. Recurrence pattern (CENTRAL RECURRENCE- recurrence between 100% to 95% isodose region INFIELD RECURRENCE-recurrence between 95% to 80% isodose region MARGINAL RECURRENCE-recurrence between 80% to 20% isodose region DISTANT RECURRENCE-recurrence beyond 20% isodose region)Timepoint: 1. QOL at 3,6,9,12 months | — |
Countries
India
Contacts
PGIMER, CHANDIGARH