Clinical trial Recruiting at 2 sites Observational Ages 18 and up

GLOW400-assisted neurosurgery for high-grade gliomas

Official title: Fluorescence Visualization and Image Quality Evaluation of Digital Visualization of Suspected Grade III and/or IV Gliomas During Neurosurgery (Leica GLOW400)

Run by Leica Microsystems (Schweiz) AG · NCT07366892 · Data updated 2026-11-12

This PMCF study tests whether the GLOW400 digital fluorescence accessory used with the ARveo8x microscope helps surgeons see tumor tissue during elective surgery for suspected high-grade gliomas.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment37 (estimated)
SponsorLeica Microsystems (Schweiz) AG
Industry-sponsored
Locations2 sites (Porto and 1 other locations)
StatusRecruiting
StartedApril 28, 2026
Main results expectedFebruary 28, 2027
Study endsAugust 31, 2027
Registry record updatedNovember 3, 2026
Trial IDNCT07366892 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with suspected intracranial high-grade glioma (WHO grade III–IV) requiring surgical intervention and planned use of 5-ALA fluorescence.

Probably not a fit

Patients whose tumors are not clearly improved by fluorescence visualization or who do not undergo extent-of-resection analysis may not experience a measurable benefit.

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

What this trial studies

This prospective, non-interventional study collects real-world data across European sites to confirm the safety and performance of the GLOW400 accessory in fluorescence visualization during neurosurgical procedures for suspected grade III-IV gliomas. It compares GLOW400 visualization quality against the standard FL400 filter and tracks image quality, user experience, and safety, with an exploratory look at extent of resection using MRI. Data come from structured questionnaires, histopathology, optional resection forms, and intraoperative video, enrolling 37 patients and requiring at least 29 complete datasets over approximately 5–6 months. Participation relies on standard care procedures, ethics approval, and informed consent, with no additional interventions beyond routine surgery.

Why it matters

Potential benefit: If successful, GLOW400 could improve intraoperative visualization, potentially aiding more precise tumor delineation during surgery.

How similar studies have gone: Prior work with digital fluorescence enhancements has shown promise, but this PMCF is designed to confirm real-world performance for GLOW400 in Europe.

Who can join: the full rules

Show full inclusion / exclusion criteria
Candidates for the for the IMED-GLOW400 Study must be appropriate patients for surgical interventions with suspected intracranial high-grade glioma evidenced by preoperative imaging modalities and have to fulfil all of the following inclusion criteria to be eligible for the recruitment of the study.

Inclusion Criteria

1. Participants must be 18 years of age or older at the time of signing the informed consent.
2. Participants must have suspected high-grade glioma (WHO grade III-IV) as evidenced by preoperative imaging modalities, which require surgical intervention.
3. The active substance 5-aminolevulinic acid (5-ALA) fluorescence dye is administered according to the 5-ALA instructions for use.
4. The participant or their legal representative must understand the study and have voluntarily signed and dated the Informed Consent Form, which has been approved by the Sponsor and the Ethics Committee for this study.

Note for Switzerland only:

Enrollment via legal representative is not permitted. Therefore, only patients who are capable of providing informed consent themselves will be eligible for inclusion in Switzerland.

Exclusion Criteria

1. Known allergy to 5-ALA hydrochloride or protoporphyrin.
2. Patients with porphyria (a condition characterized by the inability to break down protoporphyrin).
3. Any uncontrolled systemic condition that may adversely affect the surgical outcome.
4. Patients holding United States citizenship.

Where it's running

  • Unidade Local de Saúde de São João
    Porto, Portugal
    Recruiting
  • University Hospital Basel
    Basel, Switzerland
    Recruiting

Study contacts

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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.