RecruitingPhase 2NCT04623931

Chemotherapy and Radiation Therapy for the Treatment of IDH Wildtype Gliomas or Non-histological (Molecular) Glioblastomas

Phase II Trial of Treatment Intensification for IDH Wildtype, Non-Histological Glioblastoma, Gliomas (IDH Wildtype Lower Grade Glioma Treatment Intensification)


Sponsor

M.D. Anderson Cancer Center

Enrollment

40 participants

Start Date

Jan 30, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

This phase II trial studies how well temozolomide and radiation therapy work in treating patients with IDH wildtype historically lower grade gliomas or non-histological molecular glioblastomas. Radiation therapy uses high-energy x-rays to kill tumor cells and shrink tumors. Giving chemotherapy with radiation therapy may kill more tumor cells. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. The goal of this clinical research study is to compare receiving new radiation therapy doses and volumes to the prior standard treatment for patients with historically grade II or grade III IDH wild-type gliomas, which may now be referred to as IDH wildtype molecular glioblastomas at some institutions. Receiving temozolomide in combination with radiation therapy may also help to control the disease.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing an intensive combined treatment of chemotherapy and radiation therapy for people with a type of brain tumor called IDH wildtype glioma (also known as molecular glioblastoma), which is a high-grade tumor that behaves aggressively even if it was originally diagnosed as lower-grade. **You may be eligible if...** - You have been diagnosed with a glioma (brain tumor) that is IDH wildtype, confirmed by molecular testing — including types such as diffuse astrocytoma, oligodendroglioma, or similar - You have had surgery, and your post-operative MRI is available for radiation planning - You are in reasonably good functional health (Karnofsky score ≥ 70) - Your blood counts and organ function are within acceptable ranges **You may NOT be eligible if...** - Your tumor is IDH mutant (a different type of glioma with better prognosis) - Your overall health is too poor to receive chemoradiation - You have already received radiation to the brain area being treated Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERQuality-of-Life Assessment

Ancillary studies

OTHERQuestionnaire Administration

Ancillary studies

RADIATIONRadiation Therapy

Undergo radiation therapy

DRUGTemozolomide

Given PO


Locations(1)

M D Anderson Cancer Center

Houston, Texas, United States

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NCT04623931


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