Clinical trial Recruiting at 2 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorUniversita degli Studi di Genova
Academic / other
Drugs / interventionschemotherapy
Locations2 sites (Torino, Turin and 1 other locations)
StatusRecruiting
StartedApril 1, 2022
Main results expectedDecember 31, 2027
Study endsDecember 31, 2029
Registry record updatedMay 5, 2026
Trial IDNCT07567196 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

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.