Glioma IDH mutated. Glioma low grade (WHO 2) and anaplastic (WHO 3) brain tumor
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age > 18 years - Resection (any grade) or biopsy of one of the following: glioma, WHO grade 2 or 3, IDH mutated - Indication and fit for standard treatment with radiotherapy and chemotherapy o For WHO grade 2 tumors 50.4 Gy (RBE) in 28 fractions. o For WHO grade 3 tumors 59.4 Gy (RBE) in 33 fractions. - Ability to comply with the protocol, including neuropsychological testing and imaging, as judged by the local investigator. - Ability to understand the requirements of the study and to give written informed consent. - Written informed consent.
Exclusion criteria
Exclusion criteria: - Any prior cranial radiotherapy. - Prior or second invasive malignancy, except non-melanoma skin cancer, completely resected cervical or prostate cancer (with PSA of less than or equal to 0.1 ng/mL). - Extensive white matter disease visible on pre-therapy imaging (Fazekas grade >=2) - Contra-indication for MR imaging (i.e. metal implants, claustrophobia) - Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule in the participating hospitals - Any other serious medical condition that could interfere with follow-up. - Aphasia or language barrier interfering with endpoints and questionnaires (i.e. assessment of QoL, neurocognitive performance)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameters/endpoints: • Next intervention free survival during follow-up. • Freedom of neuropsychological decline during follow-up, defined as a significant decline in performance in one of the following neuropsychological tests: Hopkins Verbal Learning test, Trail making test, Controlled Oral Word Association and Dutch Language Interoperative Protocol. • Toxicity evaluated with CTCAE - 5.0 | — |
Secondary
| Measure | Time frame |
|---|---|
| • MRI changes during follow up. • Quality of life, as measured by QLQ-C30, BN20 and EQ5D. • Health economics, as measured by the Productivity Cost Questionnaire and Medical Consumption Questionaire. | — |
Countries
Netherlands
Contacts
Erasmus MC, Universitair Medisch Centrum Rotterdam