A Study Using Brain Stimulation and Behavioral Therapy to Increase Extent of Resection in Low-Grade Gliomas
NCT04745156 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3
Last updated 2026-01-12
Summary
This study uses a cranial implant to deliver cortical stimulation that, when paired with physiotherapy, will remap the brain so that critical brain functions can be protected during brain tumor surgery. This pilot study will provide initial evidence for the safety and feasibility of such a protocol which will lead to future pivotal trials that could radically change eloquent area brain surgery. For patients with otherwise incompletely resectable brain tumors, this could mean a longer life expectancy and a better quality of life.
Conditions
- Glioma
- Glioma Intracranial
- Gliomas Benign
- Brain Tumor
- Brain Cancer
- Motor Cortex; Lesion
Interventions
- DEVICE
-
RNS System Implantation
Following resection consistent with SoC, if there is evidence of residual tumor which cannot be resected due to invasion of hand-M1 but which is small enough to be covered by two four-electrode strips, these strips will be placed on the functional cortex of interest and secured to the dura. The location of the leads will be registered into the navigation software (either Medtronic Stealth or Brainlab). The dura will then be closed as watertight as possible, and the RNS System will be incorporated into the craniotomy on closure Prior to closure, four bone screws will be placed and registered to the intraoperative navigation system as internal fiducials to be retrieved for future procedures.
Sponsors & Collaborators
-
Medical College of Wisconsin
lead OTHER
Principal Investigators
-
Max Krucoff, MD · Medical College of Wisconsin
Study Design
- Allocation
- NA
- Purpose
- DEVICE_FEASIBILITY
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-01
- Primary Completion
- 2027-08-31
- Completion
- 2027-09-30
- FDA Device
- Yes
More Related Trials
-
Navigated Transcranial Magnetic Stimulation in Tumor Surgery
NCT01018290 ·Status: TERMINATED
-
Use of Navigated Transcranial Magnetic Stimulation (nTMS) in Generated Motor and Language Mapping to Evaluate Brain Recovery Following Surgery
NCT02165995 ·Status: WITHDRAWN ·Phase: NA
-
nTMS in Planning Stereotactic Radiosurgery in Patients With Brain Metastases in the Motor Cortex
NCT04062305 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Natural History of Brain Function, Quality of Life, and Seizure Control in Patients With Brain Tumor Who Have Undergone Surgery
NCT01417507 ·Status: COMPLETED
-
Strategic Intervention on Preserving Motor Function During Awake Craniotomy
NCT05143788 ·Status: UNKNOWN ·Phase: NA
-
Pre-operative Stereotactic Radiosurgery Followed by Resection for Brain Metastases
NCT02514915 ·Status: COMPLETED ·Phase: NA
-
Electrocorticography in Mapping Functional Brain Areas During Surgery in Patients With Brain Tumors
NCT02754544 ·Status: RECRUITING ·Phase: NA
-
Magnetic Resonance Imaging and Magnetic Resonance Spectroscopic Imaging in Evaluating Patients Who Are Undergoing Treatment for Gliomas
NCT00274755 ·Status: COMPLETED ·Phase: PHASE2
-
Neurosurgical Neuronavigation Using Resting State MRI and Machine Learning
NCT05864976 ·Status: RECRUITING
-
Improving Understanding of Brain Tumors Through Preservation of Biologically Active Brain Tissue
NCT04545177 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Efficacy of a Mixed Distancial Neuropsychological Rehabilitation Program in Patients With Grade 2 or 3 Diffuse Glioma
NCT06468176 ·Status: RECRUITING ·Phase: NA
-
Handheld Dynamometer During Awake Craniotomy Pilot
NCT04742231 ·Status: COMPLETED ·Phase: NA
-
MEP and Neuromuscular Blocker
NCT04768400 ·Status: COMPLETED ·Phase: NA
-
Coping With High Grade Glioma
NCT00815152 ·Status: TERMINATED ·Phase: NA
-
Phase II Randomized Study of Stereotactic Radiosurgery Plus Fractionated Whole-Brain Radiotherapy Vs Fractionated Whole-Brain Radiotherapy Alone for Multiple Primary or Metastatic Brain Tumors
NCT00004659 ·Status: UNKNOWN ·Phase: PHASE2
-
MRI and Diffusion Imaging of Eloquent Brain Areas to Optimize Brain Tumor Resection Planning
NCT01534104 ·Status: COMPLETED ·Phase: NA
-
Mapping of Tumor Stem Cells in the Resection Marigin During Extirpation of Highly Malignant Gliomas Using GlioStem
NCT05556486 ·Status: UNKNOWN
-
Magnetic Resonance (MR) Imaging to Determine High Risk Areas in Patients With Malignant Gliomas and to Design Potential Radiation Plans and to Examine Metabolite Changes in Gliomas and Other Solid Tumors
NCT00870129 ·Status: RECRUITING ·Phase: NA
-
PH Sensitive MRI Based Resections of Glioblastoma
NCT06176066 ·Status: RECRUITING ·Phase: PHASE1
-
Comparative Study of Intraoperative MRI-guided vs. Conventional Glioma Surgery
NCT01394692 ·Status: COMPLETED ·Phase: NA
-
Mind-Body Intervention in Glioma Couples
NCT03244995 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Improving Surgical Outcomes in Patients With Low Grade Gliomas Using Advanced Pre- and Intra-operative MRI
NCT02884947 ·Status: COMPLETED
-
Cerebral Bases Bodily Representations
NCT02876016 ·Status: UNKNOWN ·Phase: NA
-
Surgical Resection of Latent Brain Tumors Prior to Recurrence
NCT04810871 ·Status: SUSPENDED ·Phase: NA
-
Prognostic IntraOperative Biomarkers ideNtification in Tumor rElatEd suRgery
NCT06617208 ·Status: NOT_YET_RECRUITING ·Phase: NA