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CompletedNCT01872221STEMRIUpdated Apr 14, 2026

Study of the Capacity of the MRI Spectroscopy to Define the Tumor Area Enriched in Glioblastoma Stem Cells. Proof of Concept Study

An interventional study of Surgery (based on preoperative multimodal MRI) followed by the standard radio-chemotherapy stupp protocol in Glioblastoma, sponsored by Institut Claudius Regaud. Completed at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-14.

Sponsored by Institut Claudius Regaud · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This is a prospective biomedical study of interventional type which includes 16 patients on 52 months (24 months of inclusion and 28 months of follow up).

This pilot study, combining a metabolic imaging approach (Proton Magnetic Resonance Spectroscopy = 1HMRSI) and a biological one, will be performed in patients harbouring a Glioblastoma (GBM)to determine whether MRI markers of aggressiveness (CNI2) are associated with specific biological patterns as regards to GBMSC (GBM contains tumor stem cell).

In the first part of the study, patients with radiological criteria of GBM amenable to surgical resection will be included ; pre-operative multimodal MRI scans will be done and all data acquired (including H1MRS and DTI data) will be integrated in the image-guided surgical device (ie neuronavigation system) to be used intraoperatively. During tumor resection, tissue samples will be individualized, based on their multimodal imaging characteristics and sent to the radiobiology laboratory INSERM for biological analysis.

After surgery, patient will be treated by the standard radio-chemotherapy stupp protocol and will be followed according to standard practices; multimodal MRI will be performed every 2 months during the first year and then every 3 months until progression.

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Conditions studied

  • Glioblastoma

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Keywords

  • Glioblastoma
  • Spectroscopy
  • MRI
  • Glioma stem cells
  • Surgery
  • Radioresistance
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In context

Glioblastoma

1,920 studies on the registry are indexed under Glioblastoma; 450 are open to participants now.

This study's enrollment of 21 is below the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Institut Claudius Regaud is the lead sponsor of 117 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

First part of the study (Surgery and Imagery):

  1. Surgical indication for patients who present radiological criteria of glioblastoma.
  2. Patient who are ≥18 years old
  3. Patient must have performance status between 0 and 2 on the ECOG Performance Scale
  4. Life expectancy ≥ 3 months
  5. Patient affiliated to social security regimen
  6. Patient has voluntarily agreed to participate by giving written informed consent for the first part of the study.

Second part of the study (Treatment and Biology):

  1. Histologically confirmed glioblastoma
  2. Patient must have performance status between 0 and 2 on the ECOG Performance Scale or 3 only is due to motor deficit.
  3. Life expectancy ≥ 3 months
  4. Patient affiliated to social security regimen
  5. Patient has voluntarily agreed to participate by giving written informed consent for the second part of the study.

Exclusion criteria

Exclusion Criteria:

First part of the study (Surgery and Imagery):

  1. Patients who are not allowed to perform an MRI
  2. Spectroscopic exam whose results are not contributive
  3. Pregnant or nursing patient,
  4. Patients under law protection
  5. Patient who presents conditions that would interfere with cooperation with the requirements of the trial.
  6. Patient who presents medical, severe or chronic biological or psychiatric conditions not allowing his enrolment in the study, according to the investigator's opinion

Second part of the study (Treatment and Biology):

1.Biological material received in the lab more than 48 hours after surgery.

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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Surgery and radio-chemotherapy

    Surgery (on the basis of all preoperative multimodal MRI) followed by standard radio-chemotherapy stupp protocol

    Procedure: Surgery (based on preoperative multimodal MRI) followed by the standard radio-chemotherapy stupp protocol

Interventions

  • ProcedureSurgery (based on preoperative multimodal MRI) followed by the standard radio-chemotherapy stupp protocol
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What researchers measure

Primary outcomes

  1. Biologic analysis of the GBM resected samples for the capacity to form neurospheres in vitro

    comparison CNI2 versus nCNI areas on the capacity to form neurospheres (yes or no) in vitro in stem cells medium up to 5 passages.

    Time frame: 4,5 years

  2. Biologic analysis of the GBM resected samples on the RNA expression of 5 stem cells markers

    comparison CNI2 versus nCNI areas on the following criteria : scoring from 0 to 5 according to the RNA expression of 5 stem cells markers (CD133, Nestine, Sox2, Olig2 and Musashi)

    Time frame: 4,5 years

  3. Biologic analysis of the GBM resected samples for their capacity to form invasive brain tumor after orthotopic implantation of the cells in nude mice

    Time frame: 4,5 years

Secondary outcomes

  1. Time to progression

    The time to progression is defined as the time from surgery until progression

    Time frame: 4,5 years

  2. Overall survival

    The overall survival is defined as the time from surgery until death from any cause or last of follow-up news (censored data)

    Time frame: 4,5 years

Other outcomes

  1. Ancillary study of neurocognitive function

    The neurocognitive function will be evaluated using the following tests: * trail making test * stroop color test * line-bissection task * Subtests of the WAISIII * MT 86 (Joanette 1992) * HDAE (BDAE) (Goodglass 1972) * MEC (Joanette 2004) * ECOSSE (Lecocq 1996) Quality of life will be evaluated using EORTC questionnaire QLQ C-30 and QLQ BN20.

    Time frame: 4,5 years

  2. Ancillary study of quality of life

    Quality of life will be evaluated using EORTC questionnaire QLQ C-30 and QLQ BN20

    Time frame: 4,5 years

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Study locations

2 sites
  • CHU Rangueil
    Toulouse, 31000, France
  • Institut Claudius REGAUD
    Toulouse, 31052, France
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References and documents

Publications

  • Lemarie A, Lubrano V, Delmas C, Lusque A, Cerapio JP, Perrier M, Siegfried A, Arnauduc F, Nicaise Y, Dahan P, Filleron T, Mounier M, Toulas C, Cohen-Jonathan Moyal E. The STEMRI trial: Magnetic resonance spectroscopy imaging can define tumor areas enriched in glioblastoma stem-like cells. Sci Adv. 2023 Nov 3;9(44):eadi0114. doi: 10.1126/sciadv.adi0114. Epub 2023 Nov 3. PubMed 37922359 ↗
  • Pinto G, Saenz-de-Santa-Maria I, Chastagner P, Perthame E, Delmas C, Toulas C, Moyal-Jonathan-Cohen E, Brou C, Zurzolo C. Patient-derived glioblastoma stem cells transfer mitochondria through tunneling nanotubes in tumor organoids. Biochem J. 2021 Jan 15;478(1):21-39. doi: 10.1042/BCJ20200710. PubMed 33245115 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01872221
Lead sponsor
Institut Claudius Regaud
Responsible party
Sponsor
First posted
Jun 7, 2013
Start date
May 2013
Primary completion
Apr 2018
Completion
Apr 2018
Last update
Apr 14, 2026

Study contacts

Elisabeth MOYAL, professor
principal investigator · Institut Claudius Regaud

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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