PROPHETIC GBM - Predicting response patterns to treatment in Glioblastoma (GBM) oncology patients based on host response evaluation during anti-cancer treatments
The goal of this research study is identify new host response proteins, pathways and mechanisms that are associated with responsiveness to GBM treatment modalities. This will serve as a tool for physicians when making treatment decisions. The investigators also aim to identify the metabolic pathways that could lead to better therapeutic options. The patients will be given their treatment according to the institute's standard of care. The patients will provide up to 5 blood samples and clinical data will be collected from their medical records. The data obtained from the blood samples and the medical records of the patients will be used to search for potential mechanisms that are involved in response to treatment, and to identify potential targets to increase the response, and hence, increase treatment effectiveness or suggest potential new treatments.
Study Type
OBSERVATIONAL
Enrollment
1,000
Rambam medical center
Haifa, Israel
Rabin medical center
Petah Tikva, Israel
Sourasky medical center
Tel Aviv, Israel
Sheba medical center
Tel Litwinsky, Israel
Response to treatment
complete remission (CR); partial remission (PR), stable disease (SD), progressive disease (PD), suspected pseudo-progression, as defined by RANO
Time frame: One month after completion of TMZ + RT
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 3 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 6 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 9 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 12 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 18 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 24 months after treatment completion in the first year
Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 30 months after treatment completion in the first year
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Response to treatment
CR, PR, SD, PD, suspected pseudo-progression, as defined by RANO
Time frame: 36 months after treatment completion in the first year
Blood levels of proteins
Blood levels of proteins representing the Host response at baseline
Time frame: Pre-chemoradiation therapy - 7 days or less before the first administration
Blood levels of proteins
Changes in Blood levels of proteins representing the Host response compared to baseline
Time frame: After the first chemoradiation administration - at least 24 h after the first temozolomide (TMZ) dose, and between 24-48 h after the first radiation therapy (RT) dose
Blood levels of proteins
Changes in Blood levels of proteins representing the Host response compared to baseline
Time frame: 21+/-2 days after the first TMZ dose
Blood levels of proteins
Changes in Blood levels of proteins representing the Host response compared to baseline
Time frame: At first detection of progressive disease (PD) based on MRI evaluation during follow-up assessed up to 36 months
Blood levels of proteins
Changes in Blood levels of proteins representing the Host response compared to baseline
Time frame: If the previous detection of progression turned out to be pseudo-progression, then an additional blood sample should be drawn at time of progression, assessed up to 36 months
OS
Overall survival
Time frame: Until death or 3 years
PFS
Progression free survival
Time frame: up to 3 years