High Grade Glioma
Conditions
Keywords
WHO grade III and IV
Brief summary
The primary goal of this study is evaluate T cell immune status and immune reconstitution and the association with specific cytokines in patients with newly diagnosed HGGs undergoing the standard RT/TMZ and adjuvant TMZ.
Detailed description
Numbers of T-cell subtypes at six time points in patients with newly diagnosed HGGs undergoing standard RT/TMZ and adjuvant TMZ: 1. Baseline within 2 weeks before initiation of RT/TMZ 2. At the end of RT/TMZ approximately week 6 3. Before adjuvant TMZ approximately week 10 4. After 2 cycle of TMZ approximately week 18 5. After 4 cycle of TMZ approximately week 26 6. Three month after last cycle of TMZ Secondary Endpoints 1. Changes in serial T cell subtypes and cytokines levels 2. Incidence of lymphopenia related infections 3. Changes in T-cell numbers and subtypes with TMZ administration 4. Overall survival
Interventions
pts will have 6 blood collections (30ml/collection) throughout course of standard treatment
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients must be at least 18 years of age. 2. Patients must have histologically confirmed new diagnosed high grade glioma by pathology (WHO grade III and IV). 3. Patients proposed post-operative treatment plan must include standard radiation and temozolomide. 4. Patients must have a Karnofsky performance status ≥ 60% (i.e. the patient must be able to care for himself/herself with occasional help from others). 5. Patients must be able to provide written informed consent. 6. Steroid use is allowed.
Exclusion criteria
1\. Patients with HIV are excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in T Cell subtypes and cytokines as a function of treatment | 6 time points in pts undergoing standard RT/TMZ and adjuvant TMZ | baseline approx 6wks approx 10wks aprox 18wks approx 26wks 3 months after last cycle of TMZ |
Countries
United States