Steroid Avoidance, Dexamethasone, and RAGE Inhibition for Perioperative Cerebral Edema Management in High-Grade Gliomas
NCT07694089 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2026-07-09
Summary
The purpose of this study is to learn whether two alternatives to standard steroid treatment can safely control swelling around a brain tumor after surgery. The study will compare three approaches by placing participants in one of three study groups: standard dexamethasone (a steroid), no routine steroid treatment, and azeliragon, a study drug that may reduce brain swelling through a different pathway. Researchers want to determine whether these alternatives can control swelling while reducing some of the side effects associated with steroid use.
Participants in this study will be randomly assigned to one of three study groups. Participants will undergo their planned brain tumor surgery and receive the treatment assigned to their group. Study procedures are the same as their routine care and include physical and neurological examinations, blood tests, MRI scans, review of medical records, and collection of tumor tissue removed during surgery (optional). Most study visits will occur during routine medical care. Participants will be followed for approximately 24 months after surgery.
Conditions
- High-grade Gliomas (HGG)
Interventions
- DRUG
-
Potent FDA-approved corticosteroid
- DRUG
-
Azeliragon
orally bioavailable inhibitor of the receptor for advanced glycation endproducts (RAGE)
Sponsors & Collaborators
-
Cantex Pharmaceuticals Inc.
collaborator UNKNOWN -
James Graham Brown Cancer Center
collaborator OTHER -
Akshitkumar MIstry
lead OTHER
Principal Investigators
-
Akshitkumar M Mistry, MD · UofL Health - Brown Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-01
- Primary Completion
- 2029-08-01
- Completion
- 2029-08-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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