Wissen schafft Zukunft.

  Klinik und Poliklinik
  für RadioOnkologie
  und Strahlentherapie

  Univ.-Prof. Dr. med.
  Stephanie E. Combs

  Klinikum rechts der Isar
  Technische Universität München
  Ismaninger Str. 22
  D - 81675 München


GLIAA Studie

Amino-acid PET versus MRI guided re-irradiation in patients with recurrent glioblastoma multiforme - a randomised phase II trial

This study is designed to test if a radiotherapy target volume delineation based on Amino-acid PET (AA-PET) leads to an improvement in progression free survival in patients with recurrent GBM treated with re-irradiation, compared to target volume delineation based on Gadolinium contrast enhanced T1 weighted Magnetic Resonance Imaging (T1Gd-MRI).


Inclusion criteria

  • Local recurrence of GBM (WHO grade IV) and either not eligible for tumor resection or with macroscopic residual tumor after resection of recurrent GBM
  • Histological confirmation of GBM at initial or secondary diagnosis
  • Previous radiation therapy of the primary with a maximal total dose 59-60 Gy
  • At least 6 months since the end of pre-irradiation
  • Recurrent tumor visible on AA-PET and T1Gd-MRI with the diameter measuring 1cm to 6cm by either technique
  • Target volume definition possible according to both study arms
  • Start of re-irradiation possible within 2 weeks from FET-PET and MRI
  • Patient's written IC obtained on the day of FET-PET acquisition or latest the day after FET-PET acquisition
  • Legal capacity
  • Karnofsky Performance Score (KPS) > 60%
  • Age ≥18 years (no upper limit of age)
  • Registration

Exclusion criteria

  • No histological confirmation of GBM
  • Recent (≤4 weeks before IC) histological result showing no tumor recurrence
  • No prior radiation treatment to the primary tumor
  • More than 2 previous chemotherapy regimes or previous treatment with Avastin or other molecular targeted therapies
  • Technical impossibility to use MRI or FET-PET for Radiation Therapy (RT)-planning
  • Less than 2 weeks between application of chemotherapy and planned start of re-irradiation
  • Less than 3 weeks between resection of recurrent GBM and planned start of re-irradiation
  • Chemotherapy or molecular targeted therapies planned during re-irradiation
  • Additional chemotherapy or molecular targeted therapy or further surgery planned before diagnosis of further tumor progression after study intervention
  • Female patients of childbearing potential who are pregnant or breast feeding
  • Fertile patients refusing to use safe contraceptive methods during the study
  • Known allergy against the MRI contrast agent Gadolinium or the PET tracer 18F FET or against any of the components


08.02.2018: Neuer Artikel in "Der Onkologe" erschienen! "Update − Palliative Strahlentherapie von Knochenmetastasen. Empfehlungen der S3-Leitlinie Supportive Therapie bei onkologischen Patienten". Mehr dazu: Nachlesen

05.02.2018: Werden Sie Teil unseres Teams! Wir suchen: Eine/n Oberarzt/-ärztin & Facharzt/-ärztin, MTRA für unsere neue Tomotherapie, MTRA auf Minijob-Basis, studentische Hilfskraft. Mehr dazu: Stellenausschreibungen

02.02.2018: Für das DFG-geförderte Graduiertenkolleg "Advanced Medical Physics for Image-Guided Therapy“ suchen wir zwei Physik-Doktoranden. Mehr dazu: Stellenausschreibungen

01.02.2018: Für die Leitung unseres MTRA-Teams suchen wir eine/n leitende/n MTRA. Mehr dazu: Stellenausschreibungen