Brain tumor surgery at recurrence: does it help?
NCT ID NCT02394626
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether surgery can help people whose glioblastoma has come back after initial treatment. 120 participants will be randomly assigned to either have surgery followed by second-line therapy, or to have second-line therapy alone. The goal is to see if surgery improves overall survival, neurological function, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgery (craniotomy and tumor resection)
- What this could lead to
- If successful, this trial could provide the first strong evidence that surgery for recurrent glioblastoma extends survival, potentially changing standard care.
- What could go wrong
- This is a phase 2 trial with only 120 participants, so results are preliminary. Past retrospective studies have been mixed, and surgery carries risks like infection or neurological damage.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2015
- Expected to finish
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Dec 2028
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: * Written informed consent * ≥18 years of age * Prior resection of glioblastoma confirmed by histology * Glioblastoma pretreated with standard radiotherapy without or with temozolomide * First progression according to RANO criteria * First progression not within 3 months after completion of radiation therapy * Complete removal of contrast-enhancing lesion considered feasible without significant risk of permanent speech or motor function according to MRI as confirmed by study eligibility committee after screening and prior to recruitment * No encroachment of the M1 or A1 segments of the medial and anterior cerebral artery on MRI * No contrast enhancement in presumed speech and primary motor areas on MRI * No midline shift on MRI * No contrast enhancing ventricular spread, multifocal recurrence, meningeosis carcinomatosa or infiltration of the contra-lateral hemisphere on MRI * No contra-indication for surgery * Good functional status (KPS ≥ 70) Exclusion Criteria
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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
25 sites in 9 countries. 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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Assistance Publique - Hôpitaux de Marseille, Department of Neuro-Oncology
RECRUITINGMarseille, France
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Assistance Publique - Hôpitaux de Paris (AP-HP), Department of Neurosurgery
RECRUITINGParis, France
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Centre Hospitalier Régional et Universitaire de Tours (CHRU Tours), Department of Neurosurgery
RECRUITINGTours, France
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Centre Hospitalier Universitaire Dijon Bourgogne, Department of Neurosurgery
RECRUITINGDijon, France
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Centre Hospitalier Universitaire de Nice, Department of Neurosurgery
RECRUITINGNice, France
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Centre Hospitalier Universitaire de Saint-Étienne, Department of Neurosurgery
RECRUITINGSaint-Etienne, France
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Dep. of Neurosurgery, Bern University Hospital
RECRUITINGBern, 3010, Switzerland
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Dep. of Neurosurgery, Centre hospitalier universitaire vaudois
RECRUITINGLausanne, 1011, Switzerland
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Department of Neurosurgery, Amsterdam University Medical Center
RECRUITINGAmsterdam, Netherlands
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Department of Neurosurgery, Centro Hospitalar Universitário Lisboa Norte - Hospital de Santa Maria
RECRUITINGLisbon, 1649-035, Portugal
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Department of Neurosurgery, Haaglanden Medical Center, The Hague
RECRUITINGThe Hague, Netherlands
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Department of Neurosurgery, Hospital of Larissa & General Hospital of Larissa
RECRUITINGLarissa, 412 21, Greece
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Department of Neurosurgery, L'Hospitalet de Llobregat, Barcelona
RECRUITINGBarcelona, Spain
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Department of Neurosurgery, Radboud University Medical Center, Nijmegen
RECRUITINGNijmegen, Netherlands
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Helios Klinikum Erfurt
RECRUITINGErfurt, 99089, Germany
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Hospices Civils de Lyon - CHU de Lyon, Department of Neuro-Oncology
RECRUITINGLyon, France
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Institut de Cancérologie Strasbourg Europe (ICANS), Department of Oncology
RECRUITINGStrasbourg, France
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Johannes Kepler University Linz University, Clinic for Neurosurgery
RECRUITINGLinz, Austria
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Medical University of Vienna, Department of Neurosurgery
RECRUITINGVienna, Austria
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Ospedale Regionale di Lugano
RECRUITINGLugano, 6900, Switzerland
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University Hospital of Umeå, Department of Diagnostics and Intervention
NOT_YET_RECRUITINGUmeå, Sweden
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University of Gothenburg, Department of Clinical Neuroscience
NOT_YET_RECRUITINGGothenburg, Sweden
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Universitätsklinikum Innsbruck
RECRUITINGInnsbruck, Austria
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Universitätsklinikum Münster
RECRUITINGMünster, 48149, Germany
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Universitätsspital Basel
RECRUITINGBasel, 4031, Switzerland
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