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To assess the effect of IMRT using VMAT rapidarc approach, followed by adjuvant temozolomide on survival and quality of life in elderly, poor performance status patients with newly diagnosed HGG.
Investigators designed this study with the aim to assess the effect of IMRT using VMAT rapidarc approach, followed by adjuvant temozolomide on survival and quality of life in elderly, poor performance status patients with newly diagnosed HGG. The potential advantage of this approach is deliver a more selective irradiation to tumor's target with reducing the dose to normal brain and to allow the delivery of a higher dose, optimizing the therapeutic window.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiation | Experimental | To evaluate safety and feasibility of hypofractionated Intensity Modulated Radiotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiation | Radiation | hypofractionated IMRT |
|
| Measure | Description | Time Frame |
|---|---|---|
| PFS | Progression free survival | one year |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall Survival | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Toxicity | Incidence of hematologic and non hematologic severe toxicities (grade III/ IV) will evaluate using NCI-CTCA scale. Late toxicity will evaluate using CTCA 4.2 | one year |
| QoL | Quality of Life |
Inclusion Criteria:
Patients aged ≥ 70 years
Karnosky performance status (KPS) ≤60
Histologically confirmed HGG after tumor biopsy
Estimated survival ≥ 3 months.
Normal liver, Kidney and bone marrow function
Written informed consent
Exclusion criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Piera Navarria, MD | Humanitas Cancer Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ICH Humanitas Cancer Center | Milan | Lombardy | 20090 | Italy |
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| ID | Term |
|---|---|
| D005910 | Glioma |
| ID | Term |
|---|---|
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D011827 | Radiation |
| ID | Term |
|---|---|
| D055585 | Physical Phenomena |
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| one year |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |