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High Grade GliomaNCT05850377

5-Aminolevulinic Acid (5-ALA) Gliolan®: Usage Increase Proposal for Neurosurgical Procedures in High-Grade Gliomas

An observational study of High Grade Glioma and Glioma, run by Sociedad de Lucha Contra el Cáncer del Ecuador at 1 site in Ecuador.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The goal of this observational study is to evaluate disease-free survival (DFS) in patients with malignant gliomas undergoing neurosurgical procedures using 5-aminolevulinic acid (5-ALA)-based photodynamic therapy Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
High Grade Glioma, Glioma, Glioma, Malignant
What is being tested?
5-Aminolevulinic Acid (5-ALA) Gliolan® and Fluorescence-Guided Surgery using 5-aminolevulinic acid (5-ALA)
How many people
90 participants
Where
1 siteEcuador
Study dates
1 Jun 2023to 31 May 2026
Phase
Observational
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: High-Grade Gliomas patients according to the 2021 World Health Organization (WHO) classification at Instituto Oncológico Nacional Dr. Juan Tanca Marengo

Who may be able to join

  • Age: 18 to 75 years (in pediatric cases will be included in the Central Nervous System (CNS) tumor board to make decisions on therapeutic management)
  • Patients with radiological suspicion (contrast uptake) of high-grade glioma (Grade III-IV)
  • Patients with high-grade and residual glioma following surgery for gross total resection
  • Patients with recurrent gliomas with reoperation criteria who previously received radiotherapy and chemotherapy
  • Patients for whom at least one postoperative magnetic resonance imaging (MRI) was available (up to 28 days after surgery and strictly before the start of radiotherapy)
  • Progressing, low-grade infiltrative gliomas with one of the following criteria:
Show all 9Show fewer
  • Anaplastic foci with contrast uptake in MRI
  • Spectroscopy study in anaplastic suspected area with high malignancy criteria
  • Positive choline PET-CT (positron emission tomography / computer tomography)

Who cannot join

  • Tumors extending across midline
  • Basal ganglia tumor
  • Brainstem tumor
  • Multifocal gliomas
  • Suspected low-grade glioma without anaplastic foci
  • Neuraxial dissemination (ependymoma)
Show all 18Show fewer
  • Karnofsky grade less than 60%
  • Infants or pregnant women
  • Acute or chronic types of porphyria
  • Non-acceptance of Fluorescence-Guided Surgery
  • Renal insufficiency confirmed by nephrological assessment
  • Hepatic impairment confirmed by gastroenterological assessment
  • Severe heart disease confirmed by cardiological assessment
  • Decompensated diabetes confirmed by endocrinological assessment
  • Known allergy to any contrast agent and/or previous history of anaphylactic shock
  • Hypersensitivity to the active substance or porphyrins
  • Asthma confirmed by pulmonological assessment
  • Pacemaker use

Trial locations and contacts

1 site in 1 country.

Alberto Valarezo Chuchuca, MD contact

+593 998 686 027

valarezoalb@hotmail.com

Ecuador1 site
  • Sociedad de Lucha Contra el Cáncer

    Guayaquil, Guayas

    Alberto Valarezo Chuchuca, MD, +593 998 686 027, valarezoalb@hotmail.com

    Alberto Valarezo Chuchuca, MD

Other trials in Ecuador

About this study

The goal of this observational study is to evaluate disease-free survival (DFS) in patients with malignant gliomas undergoing neurosurgical procedures using 5-aminolevulinic acid (5-ALA)-based photodynamic therapy

Read the detailed description

The investigators are proposing a study that provides descriptive understanding of patients with High-Grade Gliomas in Ecuador. The primary objective of this pilot study is to lay the foundations for the development of a multicenter registry patients with malignant gliomas undergoing neurosurgical procedures using 5-aminolevulinic acid (5-ALA)-based photodynamic therapy, which will provide high-quality real data and serve as a basis for the application to future projects and elaboration of public policies in the medium and long term.

Being tested
5-Aminolevulinic Acid (5-ALA) Gliolan®, Fluorescence-Guided Surgery using 5-aminolevulinic acid (5-ALA)
Keywords
High Grade Glioma, 5-ALA, Aminolevulinic Acid, Malignant Glioma, Photodynamic Therapy, Fluorescence-guided Surgery, Photosensitizing Agents, Tumor Resection
Medical subject headings
Glioma, Neoplasms, Neuroepithelial, Neuroectodermal Tumors, Neoplasms, Brain Neoplasms, Central Nervous System Neoplasms, Neoplasm, Residual

What participants receive

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

  • 5-Aminolevulinic Acid (5-ALA) Gliolan®Drug

    Also called Gliolan®, Gleolan®

    Gliolan® is presented as a powder for oral solution in 60 ml colorless glass vials and is administered orally three hours (range 2-4 hours) before anaesthesia. One bottle contains 1.17 g of 5-aminolevulinic acid (5-ALA), corresponding to 1.5 g 5-aminolevulinic acid hydrochloride (5-ALA HCl). The recommended dose is 20 mg 5-ALA HCl per kilogram body weight. One ml of reconstituted solution contains 23.4 mg of 5-ALA, corresponding to 30 mg 5-ALA HCl.

  • Fluorescence-Guided Surgery using 5-aminolevulinic acid (5-ALA)Procedure or surgery

    During the surgical exploration of the glioma, the neurosurgeon will attempt to identify the mass. The location of the tumor will be assessed using the blue-light filtered microscope. A biopsy of the fluorescent region will be taken to confirm the glioma subtype. The tumor will then be maximally resected.

Study groups in NCT05850377
Study groupRoleWhat they receive
Participants with known or suspected High-Grade GliomasPatients with malignant gliomas undergoing neurosurgical procedures using 5-aminolevulinic acid (5-ALA)-based photodynamic therapy
Receives: Drug: 5-Aminolevulinic Acid (5-ALA) Gliolan®; Procedure: Fluorescence-Guided Surgery using 5-aminolevulinic acid (5-ALA)

What is being measured

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

  1. Disease-Free-Survival (PFS)

    Disease-Free-Survival calculates the time from treatment until the recurrence of disease or death after undergoing Fluorescence-Guided Surgery using 5-aminolevulinic acid (5-ALA)

    Measured: 36 months

Secondary outcomes (3)
  1. Overall survival (OS)

    Overall survival is defined as time from initiation to death of any cause

    Measured: 36 months

  2. Quality of life as measured by the Functional Assessment of Cancer Therapy - Brain (FACT-Br) questionnaire

    The questionnaire provides an additional set of disease-specific questions pertaining to brain neoplasms. It consists of 46 items that refer to general issues of quality of life and specific to tumor location. Possible scores range from 0 to 108, with higher scores indicating better quality of life.

    Measured: 36 months

  3. Average length of hospital stay (ALOS)

    The average length of stay in hospitals is often used as an indicator of efficiency. The ALOS refers to the average number of days that patients spend in hospital after surgery. It is calculated by dividing the number of bed-days by the number of discharges after procedure. Average length of stay range from 1 day to 4.5 days. Longer than average stays are usually a symptom of poor communication, quality of care, and effectiveness of treatment.

    Measured: 36 months

Timeline

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

  1. First posted9 May 2023
  2. Study start1 Jun 2023 (estimated)
  3. Primary completion31 May 2026 (estimated)
  4. Study completion31 May 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05850377
Sponsor's protocol ID
CISOLGYE20230023
Status last verified
Apr 2023
First submitted
28 Apr 2023
Last updated
9 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Widhalm G, Minchev G, Woehrer A, Preusser M, Kiesel B, Furtner J, Mert A, Di Ieva A, Tomanek B, Prayer D, Marosi C, Hainfellner JA, Knosp E, Wolfsberger S. Strong 5-aminolevulinic acid-induced fluorescence is a novel intraoperative marker for representative tissue samples in stereotactic brain tumor biopsies. Neurosurg Rev. 2012 Jul;35(3):381-91; discussion 391. doi: 10.1007/s10143-012-0374-5. Epub 2012 Mar 10.

    PubMed 22407140
  • Nitta T, Sato K. Prognostic implications of the extent of surgical resection in patients with intracranial malignant gliomas. Cancer. 1995 Jun 1;75(11):2727-31. doi: 10.1002/1097-0142(19950601)75:113.0.co;2-h.

    PubMed 7743477
  • Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001 Aug;95(2):190-8. doi: 10.3171/jns.2001.95.2.0190.

    PubMed 11780887
  • Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ; ALA-Glioma Study Group. Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol. 2006 May;7(5):392-401. doi: 10.1016/S1470-2045(06)70665-9.

    PubMed 16648043
  • Inoue T, Endo T, Nagamatsu K, Watanabe M, Tominaga T. 5-aminolevulinic acid fluorescence-guided resection of intramedullary ependymoma: report of 9 cases. Neurosurgery. 2013 Jun;72(2 Suppl Operative):ons159-68; discussion ons168. doi: 10.1227/NEU.0b013e31827bc7a3.

    PubMed 23149963
  • Eicker SO, Floeth FW, Kamp M, Steiger HJ, Hanggi D. The impact of fluorescence guidance on spinal intradural tumour surgery. Eur Spine J. 2013 Jun;22(6):1394-401. doi: 10.1007/s00586-013-2657-0. Epub 2013 Jan 10.

    PubMed 23307195
  • Beez T, Sarikaya-Seiwert S, Steiger HJ, Hanggi D. Fluorescence-guided surgery with 5-aminolevulinic acid for resection of brain tumors in children--a technical report. Acta Neurochir (Wien). 2014 Mar;156(3):597-604. doi: 10.1007/s00701-014-1997-9. Epub 2014 Jan 22.

    PubMed 24449149
  • Eicker S, Sarikaya-Seiwert S, Borkhardt A, Gierga K, Turowski B, Heiroth HJ, Steiger HJ, Stummer W. ALA-induced porphyrin accumulation in medulloblastoma and its use for fluorescence-guided surgery. Cent Eur Neurosurg. 2011 May;72(2):101-3. doi: 10.1055/s-0030-1252010. Epub 2010 Oct 7. No abstract available.

    PubMed 20931449
  • Foster N, Eljamel S. ALA-induced fluorescence image guided surgery of meningiomas: A meta-analyses. Photodiagnosis Photodyn Ther. 2016 Sep;15:73-8. doi: 10.1016/j.pdpdt.2016.05.006. Epub 2016 May 24.

    PubMed 27235278
  • Wainwright JV, Endo T, Cooper JB, Tominaga T, Schmidt MH. The role of 5-aminolevulinic acid in spinal tumor surgery: a review. J Neurooncol. 2019 Feb;141(3):575-584. doi: 10.1007/s11060-018-03080-0. Epub 2018 Dec 29.

    PubMed 30594965
  • Esteves S, Alves M, Castel-Branco M, Stummer W. A pilot cost-effectiveness analysis of treatments in newly diagnosed high-grade gliomas: the example of 5-aminolevulinic Acid compared with white-light surgery. Neurosurgery. 2015 May;76(5):552-62; discussion 562. doi: 10.1227/NEU.0000000000000673.

    PubMed 25714513
  • Lau D, Hervey-Jumper SL, Chang S, Molinaro AM, McDermott MW, Phillips JJ, Berger MS. A prospective Phase II clinical trial of 5-aminolevulinic acid to assess the correlation of intraoperative fluorescence intensity and degree of histologic cellularity during resection of high-grade gliomas. J Neurosurg. 2016 May;124(5):1300-9. doi: 10.3171/2015.5.JNS1577. Epub 2015 Nov 6.

    PubMed 26544781
  • Kaneko S, Kaneko S. Fluorescence-Guided Resection of Malignant Glioma with 5-ALA. Int J Biomed Imaging. 2016;2016:6135293. doi: 10.1155/2016/6135293. Epub 2016 Jun 27.

    PubMed 27429612
  • Cozzens JW, Lokaitis BC, Moore BE, Amin DV, Espinosa JA, MacGregor M, Michael AP, Jones BA. A Phase 1 Dose-Escalation Study of Oral 5-Aminolevulinic Acid in Adult Patients Undergoing Resection of a Newly Diagnosed or Recurrent High-Grade Glioma. Neurosurgery. 2017 Jul 1;81(1):46-55. doi: 10.1093/neuros/nyw182.

    PubMed 28498936
  • Acerbi F, Broggi M, Schebesch KM, Hohne J, Cavallo C, De Laurentis C, Eoli M, Anghileri E, Servida M, Boffano C, Pollo B, Schiariti M, Visintini S, Montomoli C, Bosio L, La Corte E, Broggi G, Brawanski A, Ferroli P. Fluorescein-Guided Surgery for Resection of High-Grade Gliomas: A Multicentric Prospective Phase II Study (FLUOGLIO). Clin Cancer Res. 2018 Jan 1;24(1):52-61. doi: 10.1158/1078-0432.CCR-17-1184. Epub 2017 Oct 10.

    PubMed 29018053

Questions about this trial

What is this clinical trial studying?

An observational study of High Grade Glioma and Glioma, run by Sociedad de Lucha Contra el Cáncer del Ecuador at 1 site in Ecuador.

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 9 inclusion and 18 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 9 May 2023. 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 Ecuador. 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 Alberto Valarezo Chuchuca, MD (+593 998 686 027, valarezoalb@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disease-Free-Survival (PFS) (time frame: 36 months). 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 NCT05850377, which also lists 25 linked publications.

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 May 2023.

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