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Trial Title: Glioblastoma Evaluation for Heterogeneity In RadioseNsitivity

NCT ID: NCT05556382

Condition: Glioblastoma

Conditions: Official terms:
Glioblastoma

Study type: Observational

Overall status: Unknown status

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Radiation
Intervention name: radiation of brain tissue specimen and dna damage analysis
Description: increasing doses of radiation on brain tissue specimen and analysis of related dna damage.

Summary: This is an observational study on GBM surgical samples to investigate if increasing doses of radiation therapy could improve the radiation response; and in particular the investigators will assess if there is a correlation between the number of the phosphorylated H2AX nuclear foci and the different dose level of radiation therapy.

Detailed description: Standard of care for newly diagnosed glioblastoma (GBM) patients consists of surgical resection followed by radiotherapy with concurrent and adjuvant Temozolomide chemotherapy. Despite these treatments, the prognosis remains poor. Nevertheless, preliminary data on GBM patients show variable outcomes related to a different treatment response, that could be related to the GBM intrinsic heterogeneity, but also to a different patient sensitivity to radiation therapy. The assessment of this individual radio-sensitivity may provide valuable data to define more tailored treatment schedules, that could potentially be more effective. Published studies on small cohort of patients show that a possible system to investigate the tumor radiation sensitivity, is to monitor the cellular DNA damage after tissue irradiation, that correlates with the survival fraction of in vitro tumor cells; the DNA damage could be identified through the quantification of Phosphorylated histone H2AX nuclear foci that correlate with the unrepaired DNA double strand breaks (DSBs). Based on this background, The investigators designed an observational study on GBM surgical samples to investigate if increasing doses of radiation therapy could improve the radiation response; and in particular they will assess if there is a correlation between the number of the phosphorylated H2AX nuclear foci and the different dose level of radiation therapy.

Criteria for eligibility:

Study pop:
Glioblastoma Patients eligible for surgical procedure.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Patients aged >18 years - Patients eligible for diagnostic or therapeutic surgical procedure - Written informed consent - Histopathologically confirmed newly diagnosed glioblastoma according to WHO 2021 - Availability of fresh tissue samples Exclusion Criteria: - Other extra-cranial cancer - Non GBM glioma - Previous brain radiation therapy

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Humanitas Clinical Institute

Address:
City: Rozzano
Zip: 20089
Country: Italy

Status: Recruiting

Contact:
Last name: Luisa Bellu, MD

Phone: +39 0282248536
Email: luisa.bellu@humanitas.it

Start date: June 28, 2022

Completion date: December 2023

Lead sponsor:
Agency: Istituto Clinico Humanitas
Agency class: Other

Source: Istituto Clinico Humanitas

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05556382

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