Brain surgery safety: live signal monitoring may shield speech, movement, and sight
NCT ID NCT07789938
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
Researchers at Odense University Hospital are testing whether monitoring brain signals during tumor surgery can help preserve functions like movement, speech, and vision. The project includes a randomized trial comparing surgery with and without motor signal monitoring, plus observational studies on language and visual signal changes. About 166 adults with brain tumors will take part. The goal is to find warning signs that let surgeons remove more tumor while avoiding permanent damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intraoperative neurophysiological monitoring (IOM), including motor evoked potentials (MEP), cortico-cortical evoked potentials (CCEP), and visual evoked potentials (VEP)
- What this could lead to
- If it works, this could make brain tumor surgery safer by helping surgeons avoid damaging areas that control movement, speech, and vision, potentially improving survival and quality of life.
- What could go wrong
- The trial is early and includes observational parts, so results may not be conclusive. Signal changes can vary between patients, and not all patients are eligible for every part.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 166 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part 1 is a litterature review. Part 2 - Inclusion Criteria: 1. Patient age ≥ 18 years and ability to provide informed consent; 2. Planned resection of ≥ 1 contrast-enhancing brain tumors (tentative diagnosis high-grade glioma or metastasis) on magnetic resonance imaging (MRI) in either general anesthesia or asleep-awake-asleep setting; 3. Intended gross total or complete tumor resection; 4. Tumor located \< 10 mm from the language areas (Broca's or Wernicke's) or subcortical language tracts (AF or SLF); 5. Tumor located in a language-dominant hemisphere; 6. Written informed consent. Part 2 - Exclusion Criteria: 1. Tumors directly involving Broca's or Wernicke's area; 2. Pregnancy; 3. Emergency surgery; 4. Tumors involving both hemispheres. Part 3 - Inclusion Criteria: 1. Patient age ≥ 18 years and ability to provide informed consent; 2. Planned resection of ≥ 1 contrast enhancing brain tumors (tentative diagnosis high-grade glioma or metastasis) on MRI in general anesthesia setting; 3. Intended gross total or complete tumor resection; 4. Tumor located \< 20 mm from the precentral gyrus or CST; 5. Written informed consent. Part 3 - Exclusion Criteria: 1. Tumors directly involving the precentral gyrus or CST; 2. Pregnancy; 3. Emergency surgery; 4. Recurrent brain tumor surgery; 5. Tumors involving both hemispheres. Part 4 - Inclusion Criteria: 1. Patient age ≥ 18 years and ability to provide informed consent; 2. Planned resection of ≥ 1 contrast enhancing pituitary tumors (tentative diagnosis adenoma), contrast enhancing brain tumors (tentative diagnosis high-grade glioma, metastasis or meningioma), or non-enhancing brain tumors (tentative diagnosis low-grade glioma) on MRI in general anesthesia setting; 3. Intended gross total or complete tumor resection; 4. Tumor located \< 10 mm from, or involving, the anterior or posterior visual pathways; 5. Written informed consent. Part 4 - Exclusion Criteria: 1. Pregnancy; 2. Emergency surgery; 3. Severe visual impairment precluding reliable VEP monitoring (typically best-corrected visual acuity ≤ 0.2-0.4 on the Snellen scale).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Neurosurgery, Odense University Hospital
Odense, Fyn, 5000, Denmark
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