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RecruitingNCT05439278Updated May 21, 2025

Conventional Versus Hypofractionated Radiotherapy With Temozolomide in Elderly Glioblastoma

A Phase 3 interventional study of Hypofractionated radiotherapy and Conventional radiotherapy in Glioblastoma, sponsored by Severance Hospital. Recruiting at 1 site in Korea, Republic of. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2025-05-21.

Sponsored by Severance Hospital · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 9 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
178
Allocation
Randomized
Ages
70 Years and older
Sex
All
01

Study summary

In newly diagnosed glioblastoma patients aged 70 years or older who are suitable for concurrent temozolomide, the optimal dose of radiation therapy is controversial . The purpose of this study is to compare conventional radiotherapy of 60 Gy (6 weeks) versus hypofractionated radiotherapy of 40 Gy (3 weeks) in terms of overall survival as the primary endpoint along with progression-free survival, toxicity, quality of life, and prognostic biomarkers.

02

Conditions studied

  • Glioblastoma

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03

In context

Glioblastoma

2,132 studies on the registry are indexed under Glioblastoma; 464 are open to participants now.

This study's planned enrollment of 178 is above the median of 36 across 1,753 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Severance Hospital is the lead sponsor of 51 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • newly diagnosed glioblastoma according to the 2021 World Health Organization classification
  • interval of ≤4 weeks between pathological diagnosis and randomization
  • aged 70 years or older
  • gadolinium-enhanced MRI within 72 hours of surgery
  • known o6-methylguanine-DNA-methyltransferase promoter methylation status
  • performance score ≥60
  • stable or decreasing dose of (if necessary)
  • no history of brain radiotherapy
  • no history of any systemic chemotherapy
  • adequate hematological, renal and hepatic functions for temozolomide
  • able to start radiotherapy within 3 weeks from randomization

Exclusion criteria

Exclusion Criteria:

  • patients with spinal
  • history of cancer other than the followings:
  • carcinoma in situ of the cervix
  • completely excised non-melanoma skin cancer
  • cancers without any evidence of residual disease for 5 years or longer
  • patients with serious active infection or other serious underlying medical conditions
  • patients with psychological issues that cannot comply to the protocol
  • patients with known to temozolomide or compounds with similar chemical composition to temozolomide
  • patients who are currently participating in other clinical trials
Terms in these criteria, in plain language(4)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
178 participants (estimated)

Study arms

  • Experimental
    Hypofractionated radiochemotherapy

    Radiotherapy: 40.05 Gy in 15 fractions (daily treatment, 5 per week) Temozolomide: concurrent (75 mg/m2/day qd) and adjuvant (6 cycles)

    Radiation: Hypofractionated radiotherapy · Drug: Temozolomide

  • Experimental
    Conventional radiochemotherapy

    Radiotherapy: 60 Gy in 30 fractions (daily treatment, 5 per week) Temozolomide: concurrent (75 mg/m2/day qd) and adjuvant (6 cycles)

    Radiation: Conventional radiotherapy · Drug: Temozolomide

Interventions

  • RadiationHypofractionated radiotherapy

    40.05 Gy in 15 fractions (daily treatment, 5 per week)

  • RadiationConventional radiotherapy

    60 Gy in 30 fractions (daily treatment, 5 per week)

  • concurrent (75 mg/m2/day qd) and adjuvant (6 cycles)

06

What researchers measure

Primary outcomes

  1. Overall survival

    from randomization

    Time frame: follow-up until 2 years

Secondary outcomes

  1. progression-free survival

    from randomization

    Time frame: follow-up until 2 years

  2. treatment-related toxicity

    any treatment-related toxicity

    Time frame: follow-up until 2 years

  3. patient-reported quality of life

    European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30 version 3.0): range, 0-100 (a high score for a functional scale represents a high / healthy level of functioning; a high score for the global health status / QoL represents a high QoL; a high score for a symptom scale / item represents a high level of symptomatology / problems) Quality of Life Questionnaire-Brain Neoplasm (EORTC QLQ-BN20): range, 20-80; lower score means better outcome

    Time frame: follow-up until 2 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — There is no plan to make individual participant data available.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2025 (actual). Primary completion is estimated for Dec 2028, 46 months after the start.

Of 43 phase 3 interventional studies under Glioblastoma, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 44 and three quarters within 87. This study's planned 46 months is close to that.

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

Registered
Jun 21, 2022
First posted
Jun 30, 2022
StartActual
Feb 1, 2025
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2030
Last update
May 21, 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 May 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05439278
Lead sponsor
Severance Hospital
Responsible party
Chan Woo Wee, M.D., Ph.D (M.D, PhD, Severance Hospital) — Principal investigator
First posted
Jun 30, 2022
Start date
Feb 1, 2025
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
May 21, 2025

Study contacts

Chan Woo Wee, MD, PhD
Contact
wcw0108@yuhs.ac
+82-2-2228-8121
Chan Woo Wee, MD, PhD
study chair · Severance Hospital
In Ah Kim, MD, PhD
study chair · Seoul National University Bundang Hospital

Oversight

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

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