Diffuse midline glioma,Deep seated glioma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diffuse Midline Glioma patients showing T2WI high intensity lesions in hypothalamus or Thalamus or Brain stem or spinal cord Deep Seated Glioma patients Diagnosed as Glioma preoperatively together with Gadolinium ring-like enhanced lesions on pretreatment MRI Age :16 y.o. over and 75 y.o. under Within 6 weeks after tumor biopsy or tumor partial removal (If surgery was done) Completion of initial treatment including surgery, chemotherapy and/or radiation therapy Perfotmance status socore 3 under by ECOG criteria Labo data within 2 months showing Neutrophil 1,500/mm3 over Hemoglobin 8.0 g/dL over Platelets 10x10^4/mm3 over AST(GOT) 120 IU/L under ALT(GPT) 120 IU/L under eGFR 45 mL/min/1.73m2 over
Exclusion criteria
Exclusion criteria: DSG patients showing IDH mutant on surgical specimens WHO grade 2 or grade 1 or pathologically diagnosed as inflammation or demyelination disease previous chemotherapy or previous radiation therapy CSF dissemination including ventricle or cerebellum or brain stem or spinal cord active cancer lesions active cardiac disease phenylketonuria pregnant or during breast feeding Given other trial drugs within 3 months HIV antibody positive HBs antigen positive Inappropriate judged by our doctors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prediction rate of progression of DMG or DSG using 18F-BPA PET high uptake lesion | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall Survival Progression free survival The status of H3K27-altered in Immunohistochemical staining of the surgical specimens RIng-like enhancement or T2WI high intensity lesions The maximal diameter of the tumor on the pretreatment MRI The tumor volume showing 18F-BPA PET hot uptake lesions at pretreatment state 18F-BPA PET uptake avidity The relationship between H3K27-altered status and prognosis The prediction rate of progression of DMG or DSG using 11C-MET-PET hot uptake lesions or 18F-BPA PET hot uptake lesions The differences between tumor volume showing 18F-BPA PET hot uptake lesions and the progressive lesions on MRI The evaluation of the property between 18F-BPA PET and 11C-MET PET | — |
Contacts
University of Tsukuba Hospital