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GlioblastomaEMITTNCT04596930

MR-guided LITT Therapy in Patients With Primary Irresectable Glioblastoma

A study testing Laser ablation thermal therapy in people with Glioblastoma, run by Radboud University Medical Center at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Objective: In preparation of a randomized controlled trial, the investigators aim to assess pilot data on technical feasibility and safety of laser interstitial thermal therapy (LITT) at Radboud University Medical centre and to assess practical feasibility of a randomized study in patients with primary irresectable… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glioblastoma
What is being tested?
Laser ablation thermal therapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteNetherlands
Study dates
22 Jan 2021to 31 May 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • In order to be eligible to participate in the study, a patient must meet all of the following criteria:
  • Informed consent, age >18-year-old
  • Supratentorial localization
  • Maximal volume <=70cc on post-contrast T1 MRI
  • Safe trajectory/trajectories possible for ablation of 70% of the tumour, avoiding eloquent structures or transgression of a ventricle or vessel .
  • Karnofsky Performance Status (KPS) >= 70

Who cannot join

  • A potential subject who meets any of the following criteria will be excluded from participation in this study:
  • Contra-indication for general anaesthesia or MRI
  • Lesion >70cc on post-contrast MRI on the day before intervention.
  • Non-glioblastoma diagnosis as per frozen section analysis
  • Pregnancy

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Radboud UMC

    Nijmegen

Other trials in Netherlands

About this study

Official title: MR-guided LITT Therapy in Patients With Primary Irresectable Glioblastoma: a Randomized Pilot Study

Objective: In preparation of a randomized controlled trial, the investigators aim to assess pilot data on technical feasibility and safety of laser interstitial thermal therapy (LITT) at Radboud University Medical centre and to assess practical feasibility of a randomized study in patients with primary irresectable glioblastoma, as compared with standard of care.

Study design: Prospective randomized pilot study. Randomization stopped (amendment September 2nd, 2021),

Read more

Study population: 20 patients aged >= 18 with radiologically suspected diagnosis of primary glioblastoma and contra-indication for surgical resection.

Intervention: Patients will be randomized to receive either (i) biopsy and LITT (n=10) or (ii) biopsy alone (n=10).

Conditions
Glioblastoma
Being tested
Laser ablation thermal therapy
Medical subject headings
Glioblastoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Laser ablation thermal therapyProcedure or surgery

    The Visualase Thermal Therapy System is used to necrotize or coagulate soft tissue through interstitial irradiation under MRI guidance

Study groups in NCT04596930
Study groupRoleWhat they receive
LITT armExperimentalPatients will be randomized to receive biopsy and LITT (n=10)
Receives: Procedure: Laser ablation thermal therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Inclusion rate of patients meeting the inclusion criteria

    To assess practical feasibility of a randomized study in this patient population, in preparation of a future randomized controlled trial

    Measured: 12 months

  2. Number drop out (informed consent)

    To assess practical feasibility of a randomized study in this patient population, in preparation of a future randomized controlled trial

    Measured: 30 days

  3. Number of patients with completed follow-up at 3 months

    To assess practical feasibility of a randomized study in this patient population, in preparation of a future randomized controlled trial

    Measured: 3 months

  4. 30-days mortality

    To assess safety of LITT at our center in patients with irresectable glioblastoma

    Measured: 30 days

  5. Number of patients with complications

    To assess safety of LITT at our center in patients with irresectable glioblastoma

    Measured: 3 months

  6. Time from inclusion to procedure

    To assess feasibility of LITT at our center in patients with irresectable glioblastoma

    Measured: 3 months

  7. Time from LITT to adjuvant therapy

    To assess feasibility of LITT at our center in patients with irresectable glioblastoma

    Measured: 3 months

  8. Ablation of 90 percent of the target lesion in at least 70 percent of patients

    To assess feasibility of LITT at our center in patients with irresectable glioblastoma

    Measured: 3 months

Secondary outcomes (4)
  1. Overall survival and progression free survival

    To assess preliminary data on survival

    Measured: 12 months

  2. Euro quality of life-5D (from 11111, best outcome to 55555 worse outcome)

    To assess preliminary data on quality of life

    Measured: 3 months

  3. European Organisation for Research and Treatment of Cancer - BN20 brain module

    To assess preliminary data on quality of life

    Measured: 3 months

  4. Tumor volume evolution

    To assess tumour volume evolution on MRI at 3 months post-operatively

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2020
  2. Study start22 Jan 2021
  3. Primary completion11 Feb 2022
  4. Study completion31 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04596930
Sponsor's protocol ID
NL73896.091.20
Acronym
EMITT
Status last verified
Sep 2021
First submitted
15 Oct 2020
Last updated
9 Aug 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Viozzi I, Overduin CG, Rijpma A, Rovers MM, Laan MT. MR-guided LITT therapy in patients with primary irresectable glioblastoma: a prospective, controlled pilot study. J Neurooncol. 2023 Sep;164(2):405-412. doi: 10.1007/s11060-023-04371-x. Epub 2023 Jul 28.

    PubMed 37505379

Questions about this trial

What is this clinical trial studying?

A study testing Laser ablation thermal therapy in people with Glioblastoma, run by Radboud University Medical Center at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Inclusion rate of patients meeting the inclusion criteria (time frame: 12 months). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04596930, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Aug 2022.

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