ClinicalTrials.gg
RecruitingNCT05259605Updated Dec 17, 2025

Observational Study for Assessing Treatment and Outcome of Patients With Primary Brain Tumours Using cIMPACT-NOW and 2021 WHO Classification

An observational study in Glioma, Glioneuronal Tumor and Choroid Plexus Tumor, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Recruiting at 42 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-17.

Primary conditionEpendymomaRegistry: GliomaReclassifiedWhy we changed it
Registry
Glioma — the first condition term the registry derived for this study.
ClinicalTrials.gg
Ependymoma
Why
  1. The study's listed conditions name Ependymoma, a narrower term within Glioma.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Observational

From the registry’s dates

  • Started Mar 2023; still recruiting 3 years 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
1,650
Ages
18 Years and older
Sex
All
01

Study summary

Every new classification depends on its prognostic power and on the type of treatment given. With the rapid evolution of diagnostic methods and the advance in new treatments, there is much less reliable information available on how patients with newly defined brain tumour entities should be treated and what to expect from the current treatments.

The goal is to determine whether the new 2021 WHO classification, based on cIMPACT-NOW recommendations, results in more homogeneous patient groups than the old 2016 classification. Furthermore, it will help derive provisional guidelines on how patients with these newly defined tumour entities are best treated. These recommendations will be based on the experience of EORTC investigators with chosen treatments and their experience as reported in this data collection report.

02

Conditions studied

  • Glioma
  • Glioneuronal Tumor
  • Choroid Plexus Tumor
  • Pineal Tumors
  • Germ Cell Tumor
  • Tumor of the Sellar Region
  • Diffuse Midline Glioma, H3 K27M-Mutant
  • Ependymoma
  • Embryonal Tumor
  • Pineal Tumor
  • Hemangiopericytoma
  • Hemangioblastoma
  • Melanocytic Tumor of CNS

Keywords

  • Rare primary brain tumor
  • 2021 WHO Classification
  • molecular diagnosis
  • Gliomas
  • Choroid plexus tumors
  • Embryonal tumors
  • Pineal tumors
03

In context

Ependymoma Reclassified

224 studies on the registry are indexed under Ependymoma; 35 are open to participants now.

This study's planned enrollment of 1,650 is above the median of 100 across 25 observational studies indexed under Ependymoma.

Browse Ependymoma studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 352 studies on the registry; 23 are open to participants now.

Compared within Ependymoma, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Glioma. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with newly diagnosed or recurrent primary brain tumours, notably those considered to be very rare brain tumours or rare subtypes of common brain tumours will be included. Patients diagnosed between 2011 and 2025.

Eligibility criteria

  • Age ≥ legal age of consent
  • Newly diagnosed or recurrent primary brain tumours within one of the 17 cohorts of interest
  • from primary tumour available at the site. Representative tissue from first surgery is preferred, but tissue from surgery for recurrence is allowed. Exception: only tissue from first surgery is allowed for Cohort 16.
  • Available MRI/CT scans from primary brain tumour at initial diagnosis
  • Patient's consent

Deceased patient:

The clinical data and/or biological material and/or CT/MRI/PET images can be accessed and used if at least one of the following three conditions is met:

  • The patient agreed beforehand in his/her lifetime to a further use of his/her data and/or biological material and/or CT/MRI/PET images, or,
  • There is consent of a relative to use data and/or biological material and/or CT/MRI/PET images of the deceased patient, or,
  • There is a reference to a corresponding legal declaration covering the exemption in case of the impossibility or disproportion of getting access to an (e.g., causing strain on relatives of deceased patients).

Additionally, in all cases the following three points need to be fulfilled:

  • No documentation of previous objection of the patient to the (re-)use of their data, biological material, CT/MR/PET images for research purposes
  • A notification to an ethics committee for the re-use of these data, biological material and CT/MRI/PET images
  • Any other national requirements are fulfilled, if applicable
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
1,650 participants (estimated)
Target follow-up
10 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • "Molecular" Gliobastomas, IDH-wildtype

    No intervention

    Other: Observational

  • Paediatric-type diffuse low-grade gliomas

    No intervention;

  • Paediatric-type diffuse high-grade gliomas

    No intervention; * diffuse midline glioma, H3 K27-altered * diffuse hemispheric glioma, H3 G34-mutant * diffuse paediatric-type high-grade glioma, H3-wildtype and IDH-wildtype * infant-type hemispheric glioma

  • Circumscribed astrocytic gliomas

    No intervention

  • Glioneuronal and neuronal tumours

    No intervention

  • Ependymal tumours

    No intervention

  • Choroid plexus tumours

    No intervention

  • Embryonal tumours

    No intervention; * medulloblastoma * other

  • Pineal tumours

    No intervention

  • Meningiomas with specific driver mutations and/or grade 3

    No intervention

  • Mesenchymal, non-meningothelial tumours

    No intervention; solitary fibrous tumour hemangioblastomaall all others

  • Germ cell tumours

    No intervention

  • Primary brain tumour with BRAF mutation

    No intervention

  • Primary brain tumour with NTRK fusion

    No intervention

  • Primary brain tumour with known germline mutation or family history of a primary brain tumour

    No intervention

  • Astrocytoma, IDH-mutant, CNS WHO grade 4.

    No intervention

  • Previously poorly or undefined tumour entities.

    No intervention

Interventions

  • OtherObservational

    The goal is to determine whether the new 2021 WHO classification, based on cIMPACT-NOW recommendations, results in more homogeneous patient groups than the old 2016 classification. Furthermore, it will help derive provisional guidelines on how patients with these newly defined tumour entities are best treated. These recommendations will be based on the experience of EORTC investigators with chosen treatments and their experience as reported in this data collection report.

06

What researchers measure

Primary outcomes

  1. Best overall and objective response

    Recorded from the date start of an anti-tumor therapy until disease progression or start of a new anti-tumor therapy.

    Time frame: Followed up for 10 years

  2. Progression free survival

    From the date of start of the anti-tumor therapy until the date of first objective progression as determined by the local investigator or the date of patient's death whichever occurs first. Patients will be followed up for 5 years after enrolment.

    Time frame: Followed up for 10 years

  3. Overall Survival

    Calculated from the date of first pathological diagnosis of the brain tumour; Until the date of death from any cause

    Time frame: Followed up for 10 years

  4. Patient and Disease Characteristics

    Eligibility, demographics, comorbidities, molecular data

    Time frame: At enrolment and updated every 6 months during follow-up, up to 10 years

Secondary outcomes

  1. Comparison of patient and disease characteristics between 2016 vs 2021 WHO classifications

    Time frame: At enrolment and during follow-up, up to 10 years

  2. Comparison of treatments and outcomes between classifications

    Time frame: From enrolment through follow-up, up to 10 years

  3. Neuroimaging features at diagnosis and progression

    Time frame: At initial diagnosis and at each documented progression, up to 10 years

  4. Generation of reference datasets for future trials

    Time frame: Throughout study duration, up to 10 years

Other outcomes

  1. Molecular profiling of tumour entities

    Time frame: At diagnosis and/or progression, up to 10 years (depending on tissue availability)

  2. Characterization of rare/undefined tumours (Cohort 17)

    Time frame: At diagnosis and during follow-up, up to 10 years

  3. Next Intervention-Free Survival (NIFS) - Cohort 16 only

    Time frame: From start of anti-tumour therapy until next intervention or death, up to 10 years

07

Study locations

42 of 42 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2023 (actual). Primary completion is estimated for Dec 2027, 57 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 22, 2021
First posted
Feb 28, 2022
StartActual
Mar 21, 2023
Primary completionEst.
Dec 30, 2027
CompletionEst.
Jul 29, 2038
Last update
Dec 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05259605
Responsible party
Sponsor
First posted
Feb 28, 2022
Start date
Mar 21, 2023
Primary completion
Dec 30, 2027 (estimated)
Completion
Jul 29, 2038 (estimated)
Last update
Dec 17, 2025

Study contacts

EORTC HQ
Contact
eortc@eortc.org
+32 2 774 1611
Michael Weller
principal investigator · EORTC Study Coordinator

Oversight

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

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