Could waiting on radiation save your brain? new trial investigates
NCT ID NCT04702581
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is for people with a specific type of slow-growing brain tumor (oligodendroglioma) that needs treatment beyond surgery. The goal is to see if waiting to start radiation until the tumor grows back can help protect memory and thinking skills, without shortening how long people live. About 280 adults will be randomly assigned to get radiation right away or only when the tumor progresses.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 280 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2021
- Expected to finish
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Dec 2030
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.
Inclusion Criteria: * Tumor is co-deleted for 1p and 19q based and IDH-mutant (IDH1 or IDH2) according to local diagnosis * Histological confirmation of low-grade oligodendroglioma by central pathological review according to WHO 2016 classification * Age ≥ 18 years * Patients with one or several prior surgical procedure for a low-grade oligodendroglioma and who undergo a resurgery are eligible if they have not received prior radiotheray or chemotherapy and if the last histological diagnosis is a low-grade oligodendroglioma prior use of specific HDI prohibitions is permitted * Patients who undergo an initial follow-up after surgery or re-surgery are eligible if there is no evidence of anaplastic transformation on MRI (no new contrast enhancement, no obvious modification of the growth rate) * Patients requiring an oncological treatment other than surgery because of one or more of the following characteristics: * Progressive disease defined as documented growth prior to inclusion * Symptomatic disease defined as the presence of neurological or cognitive symptoms or refractory seizures defined as having both persistent seizures interfering with everyday life activities other than driving a car and three lines of anti-epileptic drug regimen had not worked, including at least one combination regimen. * Age ≥ 40 and any surgical therapy * Age \< 40 with prior and subtotal resection or biopsy (i.e., anything less than gross total resection) * Willing and able to complete neurocognitive examination and the QOL * Karnofsky performance status ≥ 60 * Laboratory values obtained between 21 days before inclusion andrandomization, respecting the following criteria: * Absolute neutrophil count (ANC) ≥1500 /mm3 * Platelet count ≥100,000 / mm3 * Hemoglobin \> 9.0 g/dL * Total bilirubin ≤ 1.5 x upper limit of normal (ULN) * SGOT (AST) ≤ 3 x ULN * Negative serum or urine pregnancy test done ≤ 7 days prior to registration, for women of childbearing potential only. * Provide informed written consent Exclusion Criteria: * Pregnant and nursing women * Men or women of childbearing potential who are unwilling to employ adequate contraception for up to 6 months following the completion of PCV. * Received any prior radiation therapy or chemotherapy for any CNS neoplasm. * Co-morbid systemic illnesses or other severe concurrent disease which would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens. * Concomitant serious immunocompromised status (other than that related to concomitant steroids). * Uncontrolled intercurrent illness or psychiatric illness/social situations that would limit compliance with study requirements. * Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm (except specific inhibitors of IDH) * Other active malignancy within 5 years of registration. Exceptions: Non-melanotic skin cancer or carcinoma-in-situ of the cervix. * Contra-indication to CCNU: hypersensitivity to CCNU, wheat allergy, association to yellow fever vaccin * Contra-indication to Procarbazine: severe renal failure, severe hepatic failure, hypersensitivity to procarbazine, association to yellow fever vaccin * Contra-indication to Vincristine: hypersensitivity to vincristine, neuromuscular disorder (for example demyelinating Charcot-Mary Tooth neuropathy), severe renal failure, severe hepatic failure. * Not depending from the french system of health assurance
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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
26 sites. 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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CH Annecy Genevois site Annecy
NOT_YET_RECRUITINGPringy, 74374, France
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CHRU de Tours
NOT_YET_RECRUITINGTours, 37044, France
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CHU Saint-Etienne
NOT_YET_RECRUITINGSaint-Etienne, 42055, France
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CHU d'Amiens-Picardie Site Sud
RECRUITINGAmiens, 80054, France
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CHU de Bordeaux Hôpital Saint André
RECRUITINGBordeaux, 33075, France
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CHU de Caen
NOT_YET_RECRUITINGCaen, 14033, France
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CHU de Limoges
NOT_YET_RECRUITINGLimoges, 87042, France
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CHU de Nice Hôpital Pasteur
NOT_YET_RECRUITINGNice, 06000, France
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Centre Eugène Marquis
RECRUITINGRennes, 35042, France
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Centre Georges Francois Leclerc
NOT_YET_RECRUITINGDijon, 21000, France
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Centre Henri Becquerel
RECRUITINGRouen, 76038, France
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Centre Léon Bérard
NOT_YET_RECRUITINGLyon, 69008, France
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Centre de Lutte Contre le Cancer PAUL STRAUSS
RECRUITINGStrasbourg, 67200, France
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GH Pitié Salpêtrière
RECRUITINGParis, 75651, France
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Gustave Roussy
NOT_YET_RECRUITINGVillejuif, 94805, France
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Hospices Civils de Lyon
RECRUITINGBron, 69500, France
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Hôpital Foch
NOT_YET_RECRUITINGSuresnes, 92150, France
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Hôpital Pasteur - Hôpitaux civils de Colmar
NOT_YET_RECRUITINGColmar, 68024, France
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Hôpital Roger Salengro CHU de Lille
RECRUITINGLille, 59037, France
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Hôpital Saint-Louis, AP-HP
RECRUITINGParis, 75010, France
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Hôpital Timone
RECRUITINGMarseille, 13005, France
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Hôpital d'Instruction des Armées PERCY
NOT_YET_RECRUITINGClamart, 92141, France
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Institut Universitaire du Cancer Toulouse Oncopole
NOT_YET_RECRUITINGToulouse, 31059, France
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Institut de Cancerologie de l'Ouest
RECRUITINGAngers, 49055, France
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Institut de Cancerologie de l'Ouest
RECRUITINGSaint-Herblain, 44805, France
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Institut de Cancérologie et Hematologie (ICH) - CHRU Brest, Hopital Morvan
RECRUITINGBrest, 29200, France
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Other studies related to the condition(s) this trial covers.
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