PET-guided surgery for high-grade glioma
Official title: ResPGlioma: Impact of PET-Guided Resection on Survival in High-Grade Gliomas - A Multicenter Prospective Study
Run by Universita degli Studi di Genova · NCT07567196 · Data updated 2026-11-12
This project will try using 18F-DOPA PET to guide surgeons to remove tumor beyond MRI-visible areas in adults with high-grade glioma to see if it delays progression and extends survival.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Universita degli Studi di Genova Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 2 sites (Torino, Turin and 1 other locations) |
| Status | Recruiting |
| Started | April 1, 2022 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2029 |
| Registry record updated | May 5, 2026 |
| Trial ID | NCT07567196 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with newly diagnosed high-grade glioma (WHO grade III/IV) who are candidates for surgical resection and can undergo MRI and PET and provide informed consent.
✕Probably not a fit
Patients with tumors in the cerebellum, brainstem, midline, or those who are not surgical candidates or cannot undergo MRI/PET are unlikely to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter, prospective, non-randomized observational comparison of 18F-DOPA PET-guided resection versus conventional MRI-guided resection in patients with high-grade glioma. Surgeons integrate PET metabolic maps with standard MRI to define targets for supramaximal resection beyond contrast-enhancing regions and FLAIR abnormalities. Outcomes include progression-free survival and overall survival, with preoperative imaging, surgical extent-of-resection metrics, and follow-up clinical and radiographic assessments. The study enrolls adult surgical candidates at participating centers in Genoa and Turin, Italy.
Why it matters
Potential benefit: If successful, PET guidance could help surgeons remove more tumor while sparing healthy brain, potentially prolonging progression-free and overall survival.
How similar studies have gone: Prior small series and imaging-pathology studies have shown that amino-acid PET can detect tumor beyond MRI margins and correlate with infiltrative disease, but larger prospective comparative data are still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * age ≥18 years * high-grade glioma (WHO grade III/IV) diagnosed on MRI * provide written informed consent Exclusion Criteria: * tumors located in the cerebellum, brainstem, or midline. * Patients with medical conditions precluding MRI * inability to provide written informed consent * secondary high-grade gliomas resulting from malignant transformation of a low-grade glioma * other primary malignancy within the past five years
Where it's running
-
AOU Città della Salute e della Scienza
Torino, Turin, Italy Recruiting -
IRCCS Azienda Ospedaliera Metropolitana
Genova, Italy Recruiting
Study contacts
- Study coordinator: Andrea Bianconi, MD
- Email: andrea.bianconi@unige.it
- Phone: +393475805577
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.