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RecruitingNCT04066465ELBE-ProKidsUpdated Feb 6, 2025

Neurocognitive Function After Proton Therapy in Children and Adolescents

An observational study in Primary Brain Tumor, sponsored by Technische Universität Dresden. Recruiting at 3 sites in Germany. Open to participants aged 8 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-06.

Sponsored by Technische Universität Dresden · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Started Sep 2019; still recruiting 7 years 1 month later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
90
Ages
8 Years to 18 Years
Sex
All
01

Study summary

Brain tumors are the second most frequent malignant diseases in children and adolescents. In the study the short and medium term consequences of proton therapy on cognitive processes in particular on executive functions in pediatric patients shall be highlighted/analysed/evalutated. In a second step, these results are to be compared with

  1. a group of children and adolescents who had only /exclusively had operative therapy and
  2. with a healthy control group. Thus, the extent to which these treatment options differ in terms of their short and medium-term effect is assessed. Methods of neurocognitive/neurophysiology brain research approaches are applied that may potentially visualize even small / subtle changes in mental activities/neurocognitive function. Therefore the effects of treatment can be evaluated and the neuropsychological outcome of children and adolescents with brain tumors can be improved.
Read the detailed description

Radio(chemo)therapy with protons is conducted according to current treatment standards or, for patients participating in a clinical intervention study, according to the study protocols of the GPOH. Only patients with prescribed radiation doses > 40 Gy (RBE) will be included. Treatment planning, the target volume and radiotherapy will be performed according to the current treatment standards. For patients participating in a clinical intervention study, radiotherapy is corresponding to study protocol of the GPOH. Risk organs (e.g. brain stem, chiasma, optic nerves, gll. Lacrimals, lenses, inner ears and spine) are contoured and the radiation doses for these organs are limited according to institutional guidelines. Radiotherapy is performed according to guidelines, i.e. 5 days a week for 4-6 weeks, usually on an outpatient basis.

02

Conditions studied

  • Primary Brain Tumor

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Keywords

  • Brain Tumor
  • children and adolescents
  • neurocognitive function
  • neurocognitive or neuropsychological outcome
  • quality of life, LOQ
  • EEG
  • Neuropsychological Tests
  • Proton Therapy
  • Neurosurgical Treatment
03

In context

Brain Neoplasms

1,960 studies on the registry are indexed under Brain Neoplasms; 516 are open to participants now.

This study's planned enrollment of 90 is close to the median of 100 across 380 observational studies indexed under Brain Neoplasms.

Browse Brain Neoplasms studies →

Lead sponsor

Technische Universität Dresden is the lead sponsor of 237 studies on the registry; 45 are open to participants now.

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

04

Who can participate

Ages eligible
8 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

30 patients with infra-tentorial or supra-tentorial tumors undergoing proton therapy, 30 patients undergoing surgical treatment and a control cohort of 30 adolescents. Therefore, a total of 90 persons will be evaluated.

Indication: Patients with primary brain tumor

Inclusion criteria

Inclusion Criteria:

  • all groups: Patients in childhood and adolescence between 8-18 years of age
  • all groups: no prior radiotherapy of the brain,
  • all groups: The patient is able to perform repeated neuropsychological tests (approx. 1 hour per examination),
  • all groups: corrected visual acuity not impaired below 80% or no subjective indication of visual acuity impairment,
  • all groups: corrected hearing not impaired or no subjective evidence of hearing impairment,
  • all groups: Patient is able to perform follow-up examinations,
  • all groups: written consent of the patient/parent or guardian.
  • Brain tumour groups with/without irradiation: Primary brain tumour
  • brain tumor groups with/without radiation: curative or long-term palliative intention of therapy
  • brain tumor groups with/without irradiation: life expectancy > 3 years
  • Irradiation group only: planned proton therapy with a local radiation dose of at least 40 Gy(RBE)

Exclusion criteria

Exclusion Criteria:

  • Patients under 8 or over 18 years of age (We limit the study to children over 8 years of age due to the fact that executive functions mature very late.)
  • Brain metastases from extracerebral tumors
  • Patient receives intrathecal chemotherapy
  • pure palliative treatment concept
  • The patient is not able to perform repeated neuropsychological tests (approx. 1 hour per examination).
  • Chronic diseases that may affect the results of neurological EEG and neuropsychological examinations.
  • The patient is not in a position to perform follow-up examinations
  • no written consent of the patient / parent or legal guardian
  • Participation in an intervention study whose procedures contradict those of the present study
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
90 participants (estimated)
Patient registry
No

Groups and cohorts

  • Proton Therapy

    Patients receive proton Radio(chemo)therapy according to clinical standard. Proton Treatment is indicated BEFORE inclusion into the trial ans is not part of the trial. Neurological status and neurocognitive testing on core executive functions (inhibition, working memory, cognitive flexibility) and Quality of life measurements are performed regularely during follow-up using standardized KINDL® questionnaires for general quality of life and specific for oncologic diseases. In addition to the treatment parameters of the radio(chemo)therapy protocol, further radiation doses to brain substructures and organs at risk are documented.

  • No Radiotherapy - Surgical only group

    Patients are included AFTER surgery of their brain tumour and receive no radiotherapy due to their disease (i.e. according to clinical standard). This Treatment is not part of the trial, but stratifies the Patient in this second Group. Neurological status and neurocognitive testing on core executive functions (inhibition, working memory, cognitive flexibility) and Quality of life measurements are performed regularely during follow-up using standardized KINDL® questionnaires for general quality of life and specific for oncologic diseases.

  • Control Group

    Healthy kids are recruited as Standard Group. Neurological status and neurocognitive testing on core executive functions (inhibition, working memory, cognitive flexibility) and Quality of life measurements are performed regularely using standardized KINDL® questionnaires for general quality of life and specific for oncologic diseases.

06

What researchers measure

Primary outcomes

  1. Neurophysiological correlates of cognitive control (ERP amplitude measures, spectral power measures)

    Neurophysiological processes are examined while subjects perform the cognitive tests.

    Time frame: 2 years

  2. Quality of Life Parameters (KINDL®)

    QoL Parameters are measured and reported using KINDL® questionnaires for general quality of life and specific for oncologic diseases (also KINDL®). Scales for QoL items are 0-100 (with 100 being the Optimum, i.e. lower values indicating worse outcome). Evaluation is performed according to the standard published with the validated questionnaires (https://www.kindl.org/deutsch/fragebögen/)

    Time frame: 2 years

Secondary outcomes

  1. dose-volume parameters to normal tissues, i.e. maximum irradiation doses, mean doses and doses to subvolumes

    physical doses to substructures of the brain are collected and correlated with neurophysiological outcome measures

    Time frame: 2 years

07

Study locations

3 of 3 sites recruiting
  • University Hospital Carl GUstav Carus Dresden, Child and adolescent psychiatry and psychotherapy
    Dresden, Saxony 01307, Germany
    • Christian Beste, Prof. Dr. · Contact
    Recruiting
  • University Hospital Carl GUstav Carus Dresden, Department of Neuropaediatrics
    Dresden, Saxony 01307, Germany
    • Maja von der Hagen, Prof. Dr. · Contact
    Recruiting
  • University Hospital Carl GUstav Carus Dresden, Department of Radiation Therapy and Radiation Oncology
    Dresden, Saxony 01307, Germany
    • Mechthild Krause, Prof. Dr. · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04066465
Lead sponsor
Technische Universität Dresden
Collaborators
Gert und Susanna Mayer Stiftung
Responsible party
Sponsor
First posted
Aug 26, 2019
Start date
Sep 1, 2019
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Feb 6, 2025

Study contacts

Mechthild Krause, Prof. Dr.
Contact
mechthild.krause@uniklinikum-dresden.de
+49 351 458 2238
Mechthild Krause, Prof. Dr.
study chair · University of Technology, University Hospital Carl Gustav Carus, Department of Radiation Therapy and Radiation Oncology, German Consortium for Translational Cancer Research (DKTK)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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