This is a phase 1 study to examine the safety and tolerability of biology-guided dose intensified hypofractionated radiation therapy (RT) using MR-Linac for patients with high grade glioma (HGG). Investigators will enroll 20 patients with Grade 3 or 4, IDH wild-type (IDHwt), HGG. Intraoperative assessment of residual tumor burden will be performed at 6 surgical margins (anterior, posterior, superior, inferior, medial, lateral) using FastGlioma. Each margin will be graded on a scale of 0 to 3, with 0 being no tumor, 1 atypical cell, 2 sparse tumor infiltration, and 3 dense tumor infiltration.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Elekta Unity is an MR-Linac with continuous, anatomy-specific MR imaging and comprehensive motion management for precision radiation therapy.
Radiation therapy will be delivered twice a week on non-consecutive days for three weeks.
Temozolomide (75 mg/m2) is administered daily throughout the 3 weeks of treatments and stopped on the final day of radiation therapy.
NYU Langone Health
New York, New York, United States
Overall Occurrence of Dose-Limiting Toxicities
Measure of safety and tolerability.
Time frame: Up to 1 Year Post Radiation Treatment Initiation (Up to Month 14)
Progression-Free Survival (PFS)
PFS defined as time from start of radiation treatment to first documented disease progression or death due to any cause.
Time frame: Up to 1 Year Post Radiation Treatment Initiation (Up to Month 14)
Overall Survival (OS)
OS is defined as time from the start of treatment until death from any cause.
Time frame: Up to 1 Year Post Radiation Treatment Initiation (Up to Month 14)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.