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The RECSUR-study: Resection Versus Best Oncological Treatment for Recurrent Glioblastoma (ENCRAM 2302)
Sponsor: Jasper Gerritsen
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
Conditions
Interventions
Re-resection
Resection of the recurrent tumor
Temozolomide
Re-challenge Temozolomide chemotherapy
Lomustine
Second line chemotherapy with Lomustine
Re-irradiation
Re-irradiation with single dose, fractionated, or hypofractionated radiation of the recurrent tumor
Experimental therapy
Experimental phase I therapy with oncolytic virotherapy or immunotherapy (this list is not exhaustive)
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