Aggressive chemo schedule put to the test in brain cancer trial
NCT ID NCT03663725
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether giving the chemotherapy drug temozolomide earlier and for a longer time can help adults with glioblastoma live longer. About 486 participants will receive either the standard treatment or an intensified version that starts chemo within two weeks of surgery and continues until the cancer progresses or side effects become too severe. The study aims to see if this more aggressive approach improves overall survival compared to the usual six-cycle regimen.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- temozolomide (chemotherapy)
- What this could lead to
- If successful, this could show that starting chemotherapy earlier and continuing it longer helps people with glioblastoma live longer.
- What could go wrong
- This is a phase 3 trial, but glioblastoma is very aggressive and hard to treat. The intensified regimen may cause more side effects without improving survival.
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
-
About 486 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2019
- Expected to finish
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Jun 2027
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: * Patient ≥18 years old * Histological diagnosis of de novo GBM (extemporaneous diagnosis or standard pathological examination). In case of extemporaneous diagnosis, the patient can be included. If the diagnosis is not confirmed, the patient will be withdrawn from study. * Time between initial surgery/biopsy and planned start of treatment (if allocated to the experimental arm) ≤ 15 days (ideally in the first 7 days) * Karnofsky performance status (KPS) ≥ 60%, or KPS \<60% only related to glioma-related motor paresis. * Adequate biological functions * Common toxicity criteria (CTC) non hematological adverse events ≤ Grade 1 (except for alopecia, nausea, vomiting and neurological symptoms) * Females of child bearing potential must have a negative serum or urine pregnancy test within 7 days prior to initiation of treatment. Sexually active patients must agree to use adequate and appropriate contraception while on study drug and for 6 months after stopping the study drug. * Standard radiation therapy deemed feasible (60 Gy, 30 fractions) * Time interval of less than 43 days between initial surgery/biopsy and planned start of radiation therapy * Written informed consent Exclusion Criteria: * Secondary or recurrent glioblastoma (GBM) * Planned use of tumor-treating electric fields * Planned use of Carmustine implants * Prior malignancy in the last 5 years before inclusion or concomitant * Severe myelosuppression * Known hypersensitivity to any of the study drugs, study drug classes, excipients in the formulation or to dacarbazine (DTIC) * Current or recent treatment with another experimental drug or patients included in a clinical therapeutic trial (in the 30 days prior to inclusion). * Known current viral hepatitis, HIV infection or current active infectious disease * Inability to swallow oral medications or any mal-absorption condition * Pregnant or breastfeeding patients. * Inability to comply with medical follow-up of the trial (geographical, social or psychic reasons) * Person under guardianship or curatorship
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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.
Contacts and locations
Locations
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APHP La Pitié Salpêtrière
Paris, 75013, France
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CH René Dubos
Pontoise, 95300, France
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CHRU Nancy
Nancy, 54000, France
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CHRU Tours
Tours, 37044, France
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CHU Grenoble Alpes
Grenoble, 38043, France
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CHU La Timone
Marseille, 13385, France
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CHU de Limoges
Limoges, 87042, France
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CHU de Nice - Hôpital de Cimiez
Nice, 06000, France
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Centre François Baclesse
Caen, 14076, France
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Centre Georges François Leclerc
Dijon, 21079, France
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Centre Hospitalier d'Amiens
Amiens, 80054, France
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Centre Jean Perrin
Clermont-Ferrand, 63011, France
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Centre Léon Bérard
Lyon, 69673, France
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Centre Paul Strauss
Strasbourg, 67065, France
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Hôpitaux Civils de Colmar
Colmar, 68024, France
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ICM Val d'Aurelle
Montpellier, 34298, France
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Institut Cancérologie Loire
Saint-Priest-en-Jarez, 42270, France
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