Preoperative Proton Therapy for High-Grade Brain Tumors
Official title: Proton PREoperative STereotactic Irradiaiton for High-grade Gliomas (PPrestige): a Single-center Prospective Interventional Pahse 1 Trial
Run by National Medical Research Radiological Centre of the Ministry of Health of Russia · NCT07710040 · Data updated 2026-11-12
This trial tests whether giving proton therapy before surgery is tolerable for people with high-grade brain gliomas.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 9 (estimated) |
| Sponsor | National Medical Research Radiological Centre of the Ministry of Health of Russia Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 1 site (Obninsk, Kaluga Oblast) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2029 |
| Registry record updated | July 17, 2026 |
| Trial ID | NCT07710040 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with radiologically confirmed high-grade gliomas, single lesion, ECOG 0-2, and a tumor location amenable to gross total resection.
✕Probably not a fit
Patients with multifocal disease, poor performance status (ECOG 3-4), or tumors not eligible for gross total resection may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 1 study investigates the safety and tolerability of a short course of preoperative proton stereotactic radiotherapy directed at the tumor. Patients receive escalating doses (4 Gy(RBE)×5, then 5 Gy(RBE)×5, then 6 Gy(RBE)×5) with proton therapy prior to surgical resection. The study monitors surgical outcomes, short-term safety, and treatment-related effects to determine the maximal tolerable dose. Enrollment requires a radiologically confirmed high-grade glioma eligible for gross total resection, with preserved performance status. The trial is conducted at a single proton therapy center in Obninsk, Russia, sponsored by the National Medical Research Radiological Centre.
Why it matters
Potential benefit: If successful, preoperative proton therapy could be feasible and potentially improve surgical and treatment outcomes for patients with high-grade gliomas.
How similar studies have gone: Preoperative radiotherapy has shown promise in other intracranial settings; this is a novel exploration specifically for preoperative proton therapy in high-grade gliomas.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * radiologically confirmed (MRI and/or PET with amino-acids) diagnosis of high-grade glioma * single foci * ECOG 0-2 status * tumor location and volume, eligible for gross total resection (GTR) * signed informed consent Exclusion Criteria: * multifocal disease * ECOG 3-4 * inability to achieve GTR
Where it's running
-
Proton Therapy Department, A. Tsyb Medical Radiological Research Center - branch of the National Medical Radiological Research Center
Obninsk, Kaluga Oblast, Russia Recruiting
Study contacts
- Principal investigator: Igor Gulidov — A. Tsyb MRRC
- Study coordinator: Konstantin Gordon, PhD
- Email: gordonkb@nmicr.ru
- Phone: 0079105184148
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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.