Recurrent glioblastoma multiforme WHO IV, primary treated by surgical resection and radiochemotherapy. Cancer Glioblastoma Multiforme
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. First recurrent manifestation of a glioblastoma multiforme 2. Female and male =18 years 3. Previous adjuvant radio-chemotherapy chemotherapy in accordance with the ”Stupp protocol" 4. The indication for revision surgery follows the usual balancing of risks and benefits of the therapy, informed consent and –finally- decision of the patient
Exclusion criteria
Exclusion criteria: 1. Patients who underwent more than one surgical revision of malignant glioma 2. Previous implantation of carmustine wafer (Giadel ®) 3. More than six cycles of the Stupp scheme (radio-chemotherapy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival (measured by the date of resection and carmustine wafer implantation and time of death) in relation to the methylation of the MGMT promoter | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Progression free survival after first revision surgery measured by the recurrence criteria (MacDonald) in cerebral CT and MRI scans in follow-up visits at 3, 6 and 12 months 2. Quality of Life (generic: Short-Form [SF] 36) at one year of follow-up 3. Complication rates (edema, infections, bleeding, surgical revisions for all causes, serious adverse events [SAE]) throughout the study | — |
Countries
Germany