Timing of Temozolomide for Glioblastoma Treatment

A Randomized, Multicentre Pilot Trial Evaluating the Feasibility and Efficacy of Dose Timing (Morning vs Evening) of Temozolomide in the Treatment of Glioblastoma

NA · Ottawa Hospital Research Institute · NCT06850766

This study is testing whether taking the cancer drug temozolomide in the morning or evening helps people with glioblastoma feel better and have fewer side effects.

Quick facts

PhaseNA
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years and up
SexAll
SponsorOttawa Hospital Research Institute (other)
Drugs / interventionschemotherapy, radiation
Locations2 sites (London, Ontario and 1 other locations)
Trial IDNCT06850766 on ClinicalTrials.gov

What this trial studies

This study evaluates the feasibility and efficacy of administering temozolomide (TMZ) at different times of the day (morning vs evening) for patients with IDH-wildtype glioblastoma. Participants will be randomly assigned to one of the two groups and will take their medication according to their assigned schedule while recording the timing of their doses. The goal is to determine if the timing of TMZ administration can enhance its effectiveness and reduce side effects, based on the body's circadian rhythms. This pilot trial aims to inform future larger studies on the optimal timing for TMZ treatment.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with newly diagnosed IDH-wildtype glioblastoma who have completed brain tumor resection and postoperative radiation therapy.

Not a fit: Patients with metastatic or incurable cancers other than IDH-wildtype glioblastoma may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could improve treatment outcomes for glioblastoma patients by optimizing the timing of chemotherapy.

How similar studies have performed: Previous studies have shown success with chronotherapy in other cancer types, suggesting potential for this approach in glioblastoma treatment.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years of age or older
* Newly diagnosed IDH-wildtype glioblastoma
* Completed maximal safe brain tumor resection
* Completed post-operative brain RT
* Plan to proceed with up to 6 cycles of adjuvant TMZ within 8 weeks of completing post-operative RT
* Able and willing to provide oral informed consent

Exclusion Criteria:

* Unable or unwilling to complete study questionnaires
* Metastatic or incurable cancer other than IDH-wild type glioblastoma

Where this trial is running

London, Ontario and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: IDH-Wildtype Glioblastoma, Glioblastoma, temozolomide, chronotherapy, dose timing, cancer, oncology, glioblastoma

Last reviewed 2026-05-15 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.