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Glioma Glioblastoma MultiformeFUTURE-GBNCT05399524

Functional and Ultrasound Guided Resection of Glioblastoma

A study testing Additional pre- and intra-operative imaging in people with Glioma Glioblastoma Multiforme, run by University of Oxford at 24 sites in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Functional and ultrasound-guided resection of glioblastoma: assessing the use of additional imaging during surgery to improve outcomes for patients with glioblastoma brain tumours Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Glioma Glioblastoma Multiforme
What is being tested?
Additional pre- and intra-operative imaging
Could I receive a placebo?
No, everyone receives an active treatment
How many people
357 participants
Where
24 sitesUnited Kingdom
Study dates
1 Nov 2020to Nov 2025
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-70 years
  • Neuro-oncology Multi-Disciplinary Team (MDT) decision that the imaging shows a primary GB tumour which is maximally resectable (attempted gross total resection of all enhancing tumour)
  • Patient is suitable for concomitant adjuvant radiotherapy and Temozolomide (TMZ) chemotherapy or adjuvant TMZ at the time of MDT decision
  • Able to receive 5-ALA
  • Willing and able to give informed consent
  • Able to complete trial questionnaires, this may be with support where English is not their first language. (Stage 2 only)
  • Able to provide a proxy who is willing to complete questionnaires as requested (Stage 2 only).

Who cannot join

  • Midline/basal ganglia/cerebellum/brainstem GB
  • Multifocal GB
  • Recurrent GB
  • Suspected secondary GB
  • Contraindication to MRI

Trial locations and contacts

24 sites in 1 country.

24 sites in 1 country

United Kingdom24 sites, 24 recruiting
  • Queen Elizabeth Hospital, University Hospitals Birmingham NHSFT

    Birmingham, B15 2TH

    Colin Watts, c.watts.2@bham.ac.uk

    Not yet recruiting
  • Royal Sussex County Hospital

    Brighton, BN2 5BE

    Giles Critchley, giles.critchley@nhs.net

    Not yet recruiting
  • Southmead Hospital, North Bristol NHST

    Bristol, BS10 5NB

    Neil Barua, neilbarua@doctors.org.uk

    Recruiting
  • Addenbrookes Hospital, Cambridge University NHSFT

    Cambridge, CB2 0QQ

    Stephen Price, sjp58@cam.ac.uk

    Recruiting
  • University Hospital of Wales, Cardiff & Vale University Health Board

    Cardiff, CF14 4XW

    George Eralil, george.eralil@wales.nhs.uk

    Recruiting
  • University Hospital, Coventry

    Coventry, CV2 2DX

    Sandeep Solanki, Sandeep.Solanki@uhcw.nhs.uk

    Not yet recruiting
  • Ninewells Hospital, NHS Tayside

    Dundee, DD2 1SG

    Anna Solth, anna.solth1@nhs.scot

    Recruiting
  • The Royal Infirmary of Edinburgh, NHS Lothian

    Edinburgh, EH16

    Paul Brennan, paul.brennan@ed.ac.uk

    Recruiting
  • Hull Royal Infirmary

    Hull, HU3 2JZ

    Chittoor Rajaraman, chittoor.rajaraman@nhs.net

    Recruiting
  • Leeds General Infirmary

    Leeds, LS1 3EX

    Robert Corns, robertcorns@nhs.net

    Recruiting
  • The Walton Centre

    Liverpool, L9 7LJ

    Michael Jenkinson, Michael.Jenkinson@liverpool.ac.uk

    Recruiting
  • Royal London Hospital, Barts Health NHS Trust

    London, E1 1BB

    Edward McKintosh, edward.mckintosh@nhs.net

    Recruiting
  • King's College Hospital

    London, SE5 9RS

    Keyoumars Ashkan, k.ashkan@nhs.net

    Recruiting
  • Charing Cross Hospital/St Mary's, Imperial College Healthcare NHS Trust

    London, W6 8RF

    Sophie Camp, sophie.camp@nhs.net

    Dipankar Nandi, dipankar.nandi@nhs.net

    Recruiting
  • James Cook University Hospital, South Tees Hospitals NHSFT

    Middlesbrough, TS4 3BW

    Anil Varma, anil.varma@nhs.net

    Recruiting
  • Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHSFT

    Newcastle upon Tyne, NE1 4LP

    Damian Holliman, damian.holliman@nhs.net

    Not yet recruiting
  • Queen's Medical Centre, Nottingham University Hospitals NHST

    Nottingham, NG7 2UH

    Stuart Smith, stuart.smith@nottingham.ac.uk

    Recruiting
  • The John Radcliffe Hospital, Oxford University Hospitals NHSFT

    Oxford, OX3 9DU

    Puneet Plaha, Puneet.plaha@ouh.nhs.uk

    Recruiting
  • Derriford Hospital, University Hospitals Plymouth NHS Trust

    Plymouth, PL6 8DH

    James Palmer, jamespalmer1@nhs.net

    Recruiting
  • Royal Preston Hospital, Lancashire Teaching Hospitals NHSFT

    Preston, PR2 9HT

    Isaac Phang, Isaac.Phang@LTHTR.nhs.uk

    Not yet recruiting
  • Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHST

    Romford, RM7 0AG

    Nik Haliasos, n.haliasos@nhs.net

    Not yet recruiting
  • Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust

    Sheffield, S10 2JF

    Yahia Al-Tamimi, yahia.al-tamimi@nhs.net

    Not yet recruiting
  • Southampton General Hospital, University Hospital Southampton NHSFT

    Southampton

    Paul Grundy, paul.grundy@nhs.net

    Recruiting
  • Royal Stoke University Hospital, University Hospitals of North Midlands NHST

    Stoke-on-Trent, ST4 6QG

    Erminia Albanese, Erminia.Albanese@uhnm.nhs.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: FUTURE-GB Trial (Functional and Ultrasound-guided Resection of Glioblastoma) A 2-Stage Trial. A Learning Phase Evaluation of Participating Centres, Followed by a Randomised, Controlled Multicentre Phase III Trial.

Functional and ultrasound-guided resection of glioblastoma: assessing the use of additional imaging during surgery to improve outcomes for patients with glioblastoma brain tumours

Read the detailed description

Stage 1 (IDEAL IIB study) of the trial is observational only and all participants will receive all technologies during surgery.

Stage 2 will be randomised. Randomisation will be via the web-based service provided by the Oxford Clinical Trials Research Unit (OCTRU), using the method of minimisation. Participants will be randomised 1:1 to either:

  1. Standard care surgery (neuronavigation based on preoperative imaging and intraoperative use of 5-ALA)(Control arm)
  2. Standard care surgery (neuronavigation based on preoperative imaging and intraoperative use of 5-ALA) AND of DTI neuronavigation and NiUS (Intervention arm)

At baseline all participants will undergo a routine preoperative neuronavigation MRI scan. Those participants randomised to the experimental arm, will also have a DTI scan (additional 5 minutes in the MRI). All participants will then undergo the planned resection of their tumour, with the additional technologies if they are in the experimental arm. Following surgery, participants in both arms have the same follow up schedule and undergo standard clinical care for a total of 24 months.

Being tested
Standard of Care, Additional pre- and intra-operative imaging
Keywords
DTI, iUS
Medical subject headings
Glioblastoma

What participants receive

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

  • Standard of CareOther

    Neuronavigation and intraoperative 5-ALA

  • Additional pre- and intra-operative imagingOther

    Also called DTI, IUS

    Additional DTI scan during routine pre-operative tumour MRI scan, additional use of intraoperative ultrasound in addition to normal to standard of care (Neuronavigation and intraoperative 5-ALA)

Study groups in NCT05399524
Study groupRoleWhat they receive
Additional pre- and intra-operative imagingExperimentalSurgery to resect the GB using Diffusion Tensor Imaging (DTI) and intraoperative Ultrasound (iUS) (navigated iUS where available) in addition to standard care (i.e. neuronavigation based on preoperative MRI and intraoperative use of 5-aminolevulinic acid (5-ALA))
Receives: Other: Additional pre- and intra-operative imaging
Standard of CareActive comparatorThe comparator is standard care as per current NICE guidelines (i.e. neuronavigation based on preoperative MRI and intraoperative use of 5-ALA).
Receives: Other: Standard of Care

What is being measured

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

  1. Stage 1 Primary Outcome: to demonstrate the feasibility of using DTI and iUS in addition to standard of care for neurosurgery using a combination of qualitative and quantitative data to prove workflow capability at each site.

    Sites are qualitatively assessed through a standardisation stage, providing feedback to enable learning and ensure the workflow is followed. Sites with satisfactory data will "progress" and pass into Stage 2.

    The measures assessed in combination are:

    1. Operation length, in normal range for this surgery.
    2. Use of DTI neuronavigation \& iUS to achieve maximal safe tumour resection without major neurological deficit, measured by getting clear, relevant images for the DTI \& US scans, and accurate pre-operative tractography.
    3. Extent of tumour resection (cm³ remaining) on postoperative MRI scan.
    4. Surgical Complications/Serious Adverse Events-measured from recorded post-operative complications and a 6-month notes check to ensure patient safety.

    If the assessment panel is satisfied with the data after ~3 recruits, a site will progress into Stage 2 of the trial, the RCT. Data will be analysed for Stage 1 once all sites have progressed through into Stage 2 of the trial.

    Measured: Measured 6 weeks post-surgery

  2. Stage 2 Primary Outcome: to assess whether additional imaging to standard of care changes Deterioration Free Survival (DFS) (Where deterioration relates to global health status only)

    This is measured by a composite of:

    1. Change in global health status domain of the QLQ-C30 questionnaire (Quality of Life Questionnaire Cancer) from baseline to final questionnaire completion. Questionnaires are administered at baseline, 6 weeks, then every 3 months until 24months.
    2. Progression Free Survival (PFS). This is measured by radiological tumour progression on imaging, which is taken 3-months post-op and 3-monthly thereafter.
    3. Overall Survival (OS) with an event defined as either deterioration, progression or death.

    Measured: Measured from baseline up to 24 months

Secondary outcomes (9)
  1. Stage 2: To assess if additional intraoperative imaging changes DFS where deterioration relates to physical and social functioning, and motor and communication dysfunction

    This is measured using a combination of specific questions (physical functioning and social functioning) in the QLQ-C30 (Quality of Life Questionnaire Cancer) and BN20 questionnaire (Quality of Life Questionnaire Brain) (motor dysfunction and communication deficit questions), combined with the values of Progression Free Survival (PFS) and overall survival (OS) taken from the primary outcome.

    Questionnaires are administered at baseline, 6 weeks, then every 3 months until 24months.

    Measured: Measured from baseline up to 24 months

  2. Stage 2: To assess whether additional intraoperative imaging to standard of care changes time to deterioration

    Defined similar to DFS with the exception that progression is excluded as an event (i.e. only deterioration or death are considered). There will be five time to deterioration outcomes, one for each of the domains utilised in the primary and secondary DFS outcomes, used in turn to define deterioration

    Measured: Measured from baseline up to 24 months

  3. Stage 2: To assess whether additional intraoperative imaging to standard of care improves Overall Survival (OS)

    OS (time from randomisation to death or trial closure)

    Measured: To be recorded at 24 months

  4. Stage 2: To assess whether additional intraoperative imaging (DTI and iUS*) to standard of care (Neuronavigation and intraoperative 5-ALA) changes Progression Free Survival (PFS)

    PFS (time from randomisation to radiological tumour progression on imaging, as agreed in local MDT

    This involves using the post-operative MRI scan as a reference point and making comparisons will the ensuing MRI reports that are recieved 3 months post-surgery and 3 monthly thereafter until 24 months post-surgery.

    Measured: MRI at 6 months post-op., and then 3 monthly up to 24 months or an MRI performed outside protocol if patient is symptomatic

  5. Stage 2: To assess whether additional intraoperative imaging (DTI and iUS*) to standard of care (Neuronavigation and intraoperative 5-ALA) changes the extent of tumour resection

    Extent of resection as percent of pre-operative tumour volume on postoperative contrast enhanced MRI

    Measured: Measured 1 week post-surgery

  6. Stage 2: To assess whether additional intraoperative imaging (DTI and iUS*) to standard of care (Neuronavigation and intraoperative 5-ALA) changes the incidence of surgical complications

    Number and type of surgical complications

    Measured: Measured from surgery up to 24 months

  7. Stage 2: To assess whether additional intraoperative imaging (DTI and iUS*) to standard of care (Neuronavigation and intraoperative 5-ALA) changes the number of patients eligible for adjuvant treatment following surgery

    Number of patients eligible for adjuvant treatment

    Measured: Measured 3 months post surgery

  8. Stage 2: To assess whether additional intraoperative imaging (DTI and iUS*) to standard of care (Neuronavigation and intraoperative 5-ALA) changes functional outcome postoperatively

    Measured by any change in the functional performance assessment which consistes of a combination of:

    1. The WHO (World Health Organisation) performance status
    2. A 5-minute telephone mini-MoCA (The Montreal Cognitive Assessment, Montreal Version)
    3. Barthel Index
    4. MRC (Medical Research Council) grading of power in all 4 limbs

    Assessments are made at baseline, at hospital discharge, 6 weeks post-op, 3 months post-op, then 3 monthly thereafter until 24 months.

    Measured: Measured from baseline up to 24 months

  9. Stage 2: Assess the correlation of proxy to participant classification assessment of quality of life

    Assessed using comparisons between the patient and proxy responses to the Quality of Life questionnaires administered. Specifically comparisons between the answers to questions 29 and 30 of the QLQ-C30.

    Measured: Measured from baseline up to 24 months. Proxy will not complete questionnaires when participant stops completing them.

Timeline

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

  1. First posted1 Jun 2022
  2. Study start1 Nov 2020
  3. Primary completionOct 2025 (estimated)
  4. Study completionNov 2025 (estimated)

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
Randomised
Intervention model
Parallel groups
Model description
FUTURE-GB is a 2-Stage trial: Stage 1 is a non-randomised multicentre learning and evaluation Stage (IDEAL IIB study), and Stage 2 a prospective, multicentre definitive randomised controlled trial.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
357 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05399524
Sponsor's protocol ID
14763
Acronym
FUTURE-GB
Status last verified
Apr 2022
First submitted
24 Nov 2021
Last updated
1 Jun 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Additional pre- and intra-operative imaging in people with Glioma Glioblastoma Multiforme, run by University of Oxford at 24 sites in United Kingdom.

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 7 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: status not confirmed, as of the sponsor's last update on 1 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United Kingdom. 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?

Results are not available in the source record.

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

Contact Amy Taylor (44 7917 101 649, futuregb@nds.ox.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Stage 1 Primary Outcome: to demonstrate the feasibility of using DTI and iUS in addition to standard of care for neurosurgery using a combination of qualitative and quantitative data to prove workflow capability at each site. (time frame: Measured 6 weeks post-surgery). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Jun 2022.

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