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RECRUITING
NCT06283927

The RECSUR-study: Resection Versus Best Oncological Treatment for Recurrent Glioblastoma (ENCRAM 2302)

Sponsor: Jasper Gerritsen

View on ClinicalTrials.gov

Summary

Previous evidence has indicated that resection for recurrent glioblastoma might benefit the prognosis of these patients in terms of overall survival. However, the demonstrated safety profile of this approach is contradictory in the literature and the specific benefits in distinct clinical and molecular patient subgroups remains ill-defined. The aim of this study, therefore, is to compare the effects of resection and best oncological treatment for recurrent glioblastoma as a whole and in clinically important subgroups. This study is an international, multicenter, prospective observational cohort study. Recurrent glioblastoma patients will undergo tumor resection or best oncological treatment at a 1:1 ratio as decided by the tumor board. Primary endpoints are: 1) proportion of patients with NIHSS (National Institute of Health Stroke Scale) deterioration at 6 weeks after surgery and 2) overall survival. Secondary endpoints are: 1) progression-free survival (PFS), 2) NIHSS deterioration at 3 months and 6 months after surgery, 3) health-related quality of life (HRQoL) at 6 weeks, 3 months, and 6 months after surgery, and 4) frequency and severity of Serious Adverse Events (SAEs) in each arm. Estimated total duration of the study is 5 years. Patient inclusion is 4 years, follow-up is 1 year. The study has been approved by the Medical Ethics Committee (METC Zuid-West Holland/Erasmus Medical Center; MEC-2020-0812). The results will be published in peer-reviewed academic journals and disseminated to patient organisations and media.

Official title: The RECSUR-study: Resection Versus Best Oncological Treatment for Recurrent Glioblastoma: Study Protocol for An International Multicenter Prospective Cohort Study (ENCRAM 2302)

Key Details

Gender

All

Age Range

18 Years - 90 Years

Study Type

OBSERVATIONAL

Enrollment

464

Start Date

2023-01-01

Completion Date

2028-01-01

Last Updated

2024-02-28

Healthy Volunteers

Not specified

Interventions

PROCEDURE

Re-resection

Resection of the recurrent tumor

DRUG

Temozolomide

Re-challenge Temozolomide chemotherapy

DRUG

Lomustine

Second line chemotherapy with Lomustine

RADIATION

Re-irradiation

Re-irradiation with single dose, fractionated, or hypofractionated radiation of the recurrent tumor

PROCEDURE

Experimental therapy

Experimental phase I therapy with oncolytic virotherapy or immunotherapy (this list is not exhaustive)

OTHER

Best supportive care

Best supportive care, focused on alleviating symptoms

Locations (8)

University of California, San Francisco

San Francisco, California, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

University Hospital Leuven

Leuven, Belgium

University Hospital Heidelberg

Heidelberg, Germany

Technical University Munich

Munich, Germany

Erasmus MC

Rotterdam, South Holland, Netherlands

Medical Center Haaglanden

The Hague, South Holland, Netherlands

Inselspital Universitätsspital Bern

Bern, Switzerland