Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 and up

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

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment9 (estimated)
SponsorNational Medical Research Radiological Centre of the Ministry of Health of Russia
Academic / other
Drugs / interventionschemotherapy, radiation
Locations1 site (Obninsk, Kaluga Oblast)
StatusRecruiting
StartedJuly 1, 2026
Main results expectedDecember 31, 2028
Study endsDecember 31, 2029
Registry record updatedJuly 17, 2026
Trial IDNCT07710040 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

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.