LITT: Patients undergoing MR-guided Laser Interstitial Thermal Therapy (LITT) between pre-RT MRI and RT.
Study summary
Glioblastoma (GBM) remains aggressive despite standard therapy (surgery (CRET) + RT/CT). Over 40% of patients develop recurrence between surgery and pre-RT MRI, with median overall survival (OS) of 13.3m and 24.4m for patients with and without recurrence in pre-RT MRI, respectively. Reoperation is avoided as it delays adjuvant therapy.
LITT offers a minimally invasive alternative that may:
* Treat recurrence without delaying RT/CT
* Potentially sensitize tumors to subsequent therapy This study tests if LITT can be practically integrated within the critical 1-week window between pre-RT MRI and radiotherapy initiation, maintaining the adjuvant schedule.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Histologically confirmed glioblastoma, IDH-wildtype, regardless of MGMT status
* ≥18 years of age
* CRET
* Karnofsky Performance Status (KPS) ≥70
* No contra-indication for radio-chemotherapy
* Scheduled for adjuvant radio-chemotherapy at University Hospital of Bern
* Able to provide informed consent
* No contra-indication for LITT
* No pregnancy or active breast-feeding
* No known coagulopathy independent of medication
* No dissemination or multifocal disease
* Patients lacking capacity to consent or considered vulnerable (e.g., minors, those under legal protection) are not included.
Exclusion Criteria:
Primary outcome measure(s)
Rate of patients who successfully complete the planned treatment — from enrollment to the end of radiotherapy, an average of 8 weeks Proportion of CRET patients who successfully complete the planned treatment protocol without protocol violation, until the end of radiation therapy. A protocol violation is defined as any of the following: a delay of more than 7 days in the scheduled pre-RT MRI, LITT procedure, or RT initiation, or an interruption of RT due to a LITT-related event. The study teams aims to describe logistical and organizational difficulties (coordination of intraoperative MRI-availability, engineering support).
Trial sites (1)
Facility
City
Region
Status
Dep. of Neurosurgery, Bern University Hospital
Bern
Switzerland
Recruiting
More Insel Gruppe AG, University Hospital Bern trials in Switzerland
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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