Comparison of Standard Neuronavigation With Intraoperative Magnetic Resonance Imaging (MRI) for the Neurosurgical Treatment of Malignant Brain Tumors (RACING)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00943007
Recruitment Status : Completed
First Posted : July 21, 2009
Last Update Posted : April 10, 2015
Information provided by (Responsible Party):
Maastricht University Medical Center

Brief Summary:

The treatment of a specific subtype of highly malignant brain tumor (called "glioblastoma" or "glioblastoma multiforme") consists of neurosurgical resection, followed by radiotherapy and mostly chemotherapy as well. Increased extent of tumor resection is associated with prolonged survival. The standard treatment uses conventional neuronavigation systems to increase extent of tumor resection. However, the quality of this form of neuronavigation decreases throughout surgery because of "brain shift". This is caused by edema, loss of cerebrospinal fluid and tumor resection. A new form of neuronavigation uses intraoperative MRI to compensate for brain shift, and to check for the presence of residual tumor that can be removed.

This study aims to compare the extent of glioblastoma resection between the standard treatment and intraoperative MRI.

Condition or disease Intervention/treatment Phase
Glioblastoma Multiforme Device: Stealth Station Device: PoleStar N20 Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 14 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Randomized Assessment of Conventional Neuronavigation Versus Intraoperative MRI for the Neurosurgical Treatment of Glioblastomas
Study Start Date : February 2010
Actual Primary Completion Date : June 2013
Actual Study Completion Date : December 2013

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: Conventional Neuronavigation
Standard form of neuronavigation: based on preoperative MRI without intraoperative correction for brain shift
Device: Stealth Station
Neuronavigation based on preoperative MRI
Other Name: cNN

Experimental: Intraoperative MRI
Standard neuronavigation plus intraoperative MRI to correct for brain shift
Device: PoleStar N20
Intraoperative MRI guided surgery
Other Name: iMRI

Primary Outcome Measures :
  1. Difference in Residual tumor volume [ Time Frame: <72h after surgery ]

Secondary Outcome Measures :
  1. Complications, Clinical Performance, and Quality of Life [ Time Frame: 3 months after surgery ]
  2. Survival [ Time Frame: 2 years after surgery ]

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • supratentorial brain tumor, on contrast enhanced dMRI suspected to be GBM
  • indication for gross total resection (GTR) of the tumor
  • age ≥18 years
  • WHO Performance Scale ≤ 2
  • ASA class ≤ 3
  • adequate knowledge of the Dutch or French language
  • informed consent

Exclusion Criteria:

  • recurrent brain tumor
  • multiple brain tumor localizations
  • earlier skull radiotherapy
  • earlier chemotherapy for GBM
  • Chronic Kidney Disease or other renal function disorder
  • known MR-contrast allergy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00943007

Centre Hospitalier Universitaire de Liege
Liege, Belgium
Maastricht University Medical Center
Maastricht, Netherlands
Sponsors and Collaborators
Maastricht University Medical Center
Principal Investigator: Henk van Santbrink, MD, PhD Maastricht University Medical Center
Principal Investigator: Didier Martin, MD, PhD Centre Hospitalier Universitaire de Liege
Study Chair: Koo van Overbeeke, MD, PhD Maastricht University Medical Center

Responsible Party: Maastricht University Medical Center Identifier: NCT00943007     History of Changes
Other Study ID Numbers: MEC 08-2-055
First Posted: July 21, 2009    Key Record Dates
Last Update Posted: April 10, 2015
Last Verified: April 2015

Additional relevant MeSH terms:
Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue