Clinical trial Recruiting at 6 sites Observational Ages 18 to 90

Comparing palliative care and surgery for high-grade glioma patients

Official title: The PALSUR-study: Palliative Care Versus Surgery in High-grade Glioma Patients (ENCRAM 2203)

Run by Erasmus Medical Center · NCT06146738 · Data updated 2026-11-12

This study is testing whether palliative care or surgery helps people with high-grade glioma live longer and feel better.

More Glioblastoma trials

Quick facts

Study typeObservational
Ages18 Years to 90 Years
SexAll
Enrollment1015 (estimated)
SponsorErasmus Medical Center
Academic / other
Locations8 sites (San Francisco, California and 7 other locations)
StatusRecruiting
StartedJanuary 1, 2023
Main results expectedJanuary 1, 2028
Study endsJanuary 1, 2029
Registry record updatedNovember 27, 2023
Trial IDNCT06146738 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 90 years diagnosed with high-grade glioma and able to provide informed consent.

Probably not a fit

Patients with tumors located in the cerebellum, brainstem, or midline, or those with secondary high-grade gliomas or recent second primary malignancies may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the impact of palliative care versus biopsy and resection on survival and quality of life in patients with high-grade glioma. It is an international, multicenter, prospective observational study that treats patients in a 1:3:3 ratio across three arms. The primary objectives include measuring overall survival and quality of life at multiple time points using standardized questionnaires. The study aims to identify which subset of patients may benefit most from surgical intervention versus palliative care.

Why it matters

Potential benefit: If successful, this study could provide insights into the most effective treatment options for high-grade glioma patients, potentially improving their survival and quality of life.

How similar studies have gone: Other studies have explored similar treatment comparisons in glioma patients, but this specific approach is novel in its focus on quality of life alongside survival outcomes.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age ≥18 years and ≤90 years
2. Tumor diagnosed as HGG (WHO grade III/IV) on MRI as assessed by the neurosurgeon
3. Written informed consent

Exclusion Criteria:

1. Tumors of the cerebellum, brainstem or midline
2. Inability to give written informed consent
3. Secondary high-grade glioma due to malignant transformation from low-grade glioma
4. Second primary malignancy within the past 5 years with the exception of adequately treated in situ carcinoma of any organ or basal cell carcinoma of the skin

Where it's running

  • University of California, San Francisco
    San Francisco, California, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • University Hospital Leuven
    Leuven, Belgium
    Recruiting
  • University Hospital Heidelberg
    Heidelberg, Germany
    Recruiting
  • Erasmus Medical Center
    Rotterdam, South Holland, Netherlands
    Recruiting
  • Haaglanden Medical Centre
    The Hague, South Holland, Netherlands
    Recruiting
Show 2 more locations
  • Technical University Munich
    Munich, Bavaria, Germany
    Not yet recruiting
  • Inselspital Universitätsspital Bern
    Bern, Switzerland
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.