E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Intracranial high grade gliomas |
Gliomi cerebrali di alto grado |
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E.1.1.1 | Medical condition in easily understood language |
Intracranial malignant glial tumors |
Tumori cerebrali maligni della serie gliale |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety of preoperative intravenous injection of sodium fluorescein during surgery for high grade gliomas and to evaluate fluorescein capability to improve intraoperative visualization of tumor’s margins thus allowing a complete tumor resection. |
Obiettivo dello studio è valutare la sicurezza dell’iniezione endovenosa pre-operatoria di fluoresceina sodica nella chirurgia dei gliomi di alto grado e di ottenere indicazioni sulla capacità di migliorare la visualizzazione dei margini tumorali ottenendo una resezione chirurgica completa della neoplasia. |
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E.2.2 | Secondary objectives of the trial |
To analyze the Progression Free Survival (PFS) at 6 and 12 months, the overall survival (OS) and the volume of residual tumor in cases of partial resection in a population of patients affected by high grade gliomas treated with image-guided surgical tumor excision plus intraoperative tumor visualization with sodium fluorescein, followed by postoperative concomitant chemotherapy and radiotherapy. Moreover, to evaluate the possible presence and seriousness of new postoperative neurological deficits. |
In pazienti affetti da glioma di alto grado trattati con resezione chirurgica guidata da immagini e visualizzazione tumorale intraoperatoria con fluoresceina sodica, seguita da chemioterapia e radioterapia concomitanti postoperatorie, analizzare l’intervallo libero da malattia (PFS) a 6 e 12 mesi dall’intervento chirurgico, la sopravvivenza globale e il volume tumorale residuo nei casi di resezione parziale. Inoltre, valutare l’eventuale presenza e gravità di nuovi deficit neurologici postoperatori. |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
PHARMACOGENETIC:
Vers:1.0
Date:2011/06/01
Title:Ancillary study for the analisys of genes and cells of the immune system in high grade gliomas.
Objectives:Analisys of genes (IDH1, MGMT ed EGFRvIII), mutations (codeletation 1p/19q), angiogenic and inflammatory molecules (VEGF e TGFbeta) and cells of the immune system (lynthocytes and NK)in enrolled patients.
OTHER SUBSTUDIES:
Accuracy of fluorescein in identification of high grade gliomas. vers 1.0 1.06.11 Objective: to evaluate fluorescein sensitivity and specificity in the identification of tumoral tissue.
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FARMACOGENETICA:
Vers:1.0
Data:2011/06/01
Titolo:Studio ancillare per l'analisi di geni e di cellule del sistema immunitario nei gliomi maligni.
Obiettivi:(Analisi di geni (IDH1, MGMT ed EGFRvIII), mutazioni (codelezione 1p/19q), molecole angiogeniche ed infiammatorie (VEGF e TGFbeta) e cellule del sistema immunitario (linfotici e NK) nei pazienti arruolati.
ALTRI SOTTOSTUDI:
Accuratezza della fluoresceina nell’identificare i gliomi maligni vers. 1.0 del 1.06.11 Obiettivi: valutare sensibilità e specificità della fluorescina nell'identificare il tessuto tumorale.
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E.3 | Principal inclusion criteria |
a)Patients, both males and females, with an age between 18 and 75 years. b)Patients affected by probable first diagnosed high grade glioma, as suggested by a brain MR with and without intravenous paramagnetic contrast administration performed within 14 days before the surgical procedure. c)Patients considered eligible for complete surgical tumor removal. d)Patients undergone preoperative volumetric brain MR with intravenous paramagnetic contrast administration for neuronavigation. e)Preoperative KPS (Karnofsky performance scale) > 60. |
a)Pazienti di entrambi i sessi con età compresa tra i 18 e 75 anni. b)Pazienti affetti da sospetto glioma di alto grado di prima diagnosi, come suggerito da una RM encefalo senza e con mdc eseguita entro 14 giorni prima dell’intervento. c)Pazienti giudicati idonei ad intervento chirurgico di exeresi potenzialmente completa della neoplasia. d)Pazienti sottoposti a RM volumetrica con mdc pre-operatoria per neuro navigazione. e)KPS (Karnofsky performance scale) > 60. |
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E.4 | Principal exclusion criteria |
a)Tumors arising from basal ganglia, infratentorial, arising in the midline, multifocal. b)Tumors with wide non-contrast enhancing area suggesting low grade gliomas with secondary malignant transformation. c)Medical reasons that make the patient unsuitable to undergo brain MR. d)Cognitive or speech impairment that make the patient unable to give his/her consent. e)Previous malignant tumors in any other localizations still under therapy or anyway considered not cured. f)Known contrast allergy or previous anaphylactic shock. g)Renal failure. h)Hepatic failure. |
a)Tumori a partenza dei gangli della base, sottotentoriali, a partenza dalla linea mediana, multicentrici. b)Tumori con estesa area non captante m.d.c. che suggeriscono gliomi di basso grado con secondaria trasformazione maligna. c)Impossibilità ad eseguire RM per ragioni mediche. d)Impossibilità a dare il consenso per deficit fasico o cognitivo. f)Pregressi tumori maligni in altre localizzazioni in corso di terapia o comunque non considerati guariti. e)Allergia nota a mezzi di contrasto e/o pregressi shock anafilattici. f)Insufficienza renale. g)Insufficienza epatica. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The percentage of patient affected by istopathologic confirmed high grade glioma without residual paramagnetic contrast enhancing at early (within 72 hours) postoperative MR (100% complete resection). |
La proporzione di pazienti affetti da glioma di alto grado confermato istologicamente senza residuo captante mezzo di contrasto alla RM postoperatoria precoce, entro 72 ore dall’intervento (resezione completa=100%). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
a)PFS (progression free survival) at 6 and 12 months. b)Volume of residual tumor at postoperative MR in cases of partial resection. c)OS (overall survival). d)Presence and seriousness of new postoperative neurological deficits. e)Toxicity. |
a)PFS (progression free survival) a 6 e 12 mesi. b)Volume residuo tumorale alla RM postoperatoria nei casi di resezione parziale. c)OS (overall survival). d)Presenza e gravità di nuovi deficit neurologici postoperatori. e)Tossicità. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 42 |
E.8.9.1 | In the Member State concerned days | 0 |