Stupp Treatment With Intrathecal Injection of Thiotepa for Glioblastoma With Advanced Spread
NCT07193654 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2025-09-26
Summary
The goal of this clinical trial is to learn if a combined treatment approach can treat glioblastoma (GBM) with ventricular invasion or meningeal metastasis in adults. The main questions it aims to answer are:
Does the combined treatment of radical radiotherapy, the Stupp regimen (oral temozolomide), and intrathecal injection of thiotepa improve progression-free survival compared to standard treatment alone?
Does the combined treatment improve overall survival compared to standard treatment alone?
Participants will:
* Undergo maximal surgical resection of the tumor;
* Receive radical radiotherapy;
* Take oral temozolomide according to the Stupp regimen;
* Receive intrathecal injections of thiotepa。
Conditions
- Glioblastoma (GBM)
Interventions
- DRUG
-
Intrathecal injection of thiotepa
Intrathecal injection of thiotepa: Administered via lumbar puncture or OMMAYA reservoir according to the study protocol.
- DRUG
-
Stupp regimen (oral temozolomide)
Stupp regimen (oral temozolomide)::75 mg/m² daily during radiotherapy; 150-200 mg/m² daily for 5 days every 28 days for 6 cycles after radiotherapy;
- RADIATION
-
Radical radiotherapy
Radical radiotherapy: Delivery of 60 Gy of radiation, typically divided into 30 fractions of 2 Gy each;
- PROCEDURE
-
Maximal surgical resection
Maximal surgical resection: Removal of as much tumor as possible while preserving neurological function;
Sponsors & Collaborators
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-01
- Primary Completion
- 2027-04-01
- Completion
- 2028-04-01
Countries
- China
Study Locations
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