Diffuse Intrinsic Pontine Glioma (DIPG) Reirradiation (ReRT)

This study is currently recruiting participants. (see Contacts and Locations)
Verified April 2016 by M.D. Anderson Cancer Center
Information provided by (Responsible Party):
M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier:
First received: November 4, 2011
Last updated: April 1, 2016
Last verified: April 2016

The goal of this clinical research study is to find a safe dose of radiation that can be given to patients with brainstem glioma who have already received radiation therapy.

You will receive photon radiation therapy. This type of radiation is similar to the radiation you have already had. Conformal radiotherapy or intensity modulated radiotherapy (IMRT) will be used to try to treat the tumor while affecting as little of the surrounding normal tissue as possible.

Condition Intervention Phase
Brain Cancer
Radiation: Radiation Therapy
Phase 1
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase I/II Study of Reirradiation of Recurrent or Progressive Brainstem Glioma

Resource links provided by NLM:

Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Optimal Dose Level Among Three Radiation Therapy (RT) Dose Levels [ Time Frame: 1 month after radiation therapy ] [ Designated as safety issue: Yes ]
    Optimal dose level among three RT dose levels, defined in terms of the biologically equivalent dose (BED). The BED is given by the formula BED = (Total Dose)*(1 + d/3), denoting d = dose/fraction, with the constant 3 corresponding to brain tissue.

Estimated Enrollment: 30
Study Start Date: December 2011
Estimated Primary Completion Date: December 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Radiation Therapy
Starting dose of 24 Gray (Gy) in 2 Gy fractions.
Radiation: Radiation Therapy
Starting Dose 24 Gy in 2 Gy fractions.
Other Names:
  • XRT
  • Reirradiation

  Show Detailed Description


Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Diagnosis of DIPG by MRI imaging defined as tumor that has a pontine epicenter and is diffuse (tumor that involves the majority (>50%) of the brainstem) on T2 or FLAIR imaging rather than focal. Histologic confirmation is not required
  2. Radiation therapy to brain for DIPG that was completed at least 10 months prior to planned reirradiation
  3. Clinical progression of symptoms with any radiographic progression on MRI within 21 days prior to registration (any progression in size or enhancement on MRI along with worsening symptoms, will be defined as progression prior to enrollment). Radiographic progression is defined as any increase in tumor size (in axial or sagittal images) or progressive contrast enhancement and abnormal T2/FLAIR signal by MRI.
  4. Signed informed consent by patient and/or parents or legal guardian
  5. Lansky/Karnofsky Performance Status score of 40-100
  6. Central nervous system function defined as not severely somnolent or comatose (central cortical neurotoxicity scale <Grade 3)
  7. Life expectancy of >/= 8 weeks

Exclusion Criteria:

  1. Prior radiation of greater than 60 Gy to >20% of brainstem.
  2. Patients with Neurofibromatosis 1 because the biologic behavior of their tumors may be more benign
  3. Asymptomatic patients because the primary goal of treatment is palliation of symptoms
  4. Pregnancy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01469247

Contact: Mara Castaneda, RN 713-745-5129
Contact: Larae Eng, RN 713-563-5919

United States, Florida
Orlando Health Recruiting
Orlando, Florida, United States, 32806
United States, Texas
University of Texas MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Sponsors and Collaborators
M.D. Anderson Cancer Center
Principal Investigator: Anita Mahajan, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
Responsible Party: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT01469247     History of Changes
Other Study ID Numbers: 2011-0804  NCI-2011-03725 
Study First Received: November 4, 2011
Last Updated: April 1, 2016
Health Authority: United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Brain cancer
Recurrent or progressive brainstem glioma
Diffuse Intrinsic Pontine Glioma
Photon radiation therapy

Additional relevant MeSH terms:
Brain Neoplasms
Brain Diseases
Central Nervous System Diseases
Central Nervous System Neoplasms
Neoplasms by Site
Nervous System Diseases
Nervous System Neoplasms

ClinicalTrials.gov processed this record on May 30, 2016