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RecruitingNCT06830356SPIDER-MENUpdated Feb 17, 2025

Somatostatin Receptor PET Imaging to Guide Radiotherapy Dose Escalation in High Risk Meningiomas.

An interventional study of Dose escalation of radiation therapy, based on somatostatin receptor PET imaging in Meningioma, sponsored by Centro di Riferimento Oncologico - Aviano. Recruiting at 1 site in Italy. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2025-02-17.

Sponsored by Centro di Riferimento Oncologico - Aviano · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Not applicable
Ages
16 Years and older
Sex
All
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Study summary

High-risk meningiomas always require postsurgical radiation treatment. Recent evidence has shown that increased radiation therapy dose may be associated with increased intracranial control of disease. In order to better define the volume of radiation treatment, the addition of PET imaging with somatostatin receptor tracers adds additional information compared to encephalon MRI with MoC alone.The present study aims to investigate whether radiation treatment with higher doses than the standard and defined using PET imaging can be safe and at the same time effective in order to increase progression-free survival in high-risk meningiomas.

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Conditions studied

  • Meningioma

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03

In context

Meningioma

233 studies on the registry are indexed under Meningioma; 90 are open to participants now.

This study's planned enrollment of 53 is above the median of 40 across 167 interventional studies indexed under Meningioma.

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Lead sponsor

Centro di Riferimento Oncologico - Aviano is the lead sponsor of 50 studies on the registry; 35 are open to participants now.

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

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Who can participate

Ages eligible
16 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

  • Age ≥ 16 years;
  • Ability to express appropriate informed consent to treatment;
  • Diagnosis of grade III meningioma (regardless of presence of residual) or diagnosis of recurrence of grade II meningioma (regardless of presence of residual) or first diagnosis of grade II meningioma with presence of residual;
  • In case of recurrence, confirmation can be either histological or radiological;
  • Not previous brain-level radiotherapy;
  • Performance status: ECOG=0-2.

Exclusion criteria

Exclusion Criteria:

  • Refusal to radiation treatment (i.e., absence of signed informed consent);
  • Other concomitant oncologic therapies
  • Current pregnancy;
  • Grade I meningiomas or Grade II meningiomas if operated on at first diagnosis with radical resection;
  • Inability to perform MRI with MoC or PET.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (estimated)

Study arms

  • Experimental
    Dose escalation of radiation therapy, based on somatostatin receptor PET imaging

    Radiation treatment with higher doses than the standard and defined using PET imaging

    Radiation: Dose escalation of radiation therapy, based on somatostatin receptor PET imaging

Interventions

  • RadiationDose escalation of radiation therapy, based on somatostatin receptor PET imaging

    Radiation treatment with higher doses than the standard and defined using PET imaging

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What researchers measure

Primary outcomes

  1. Incidence of brain radionecrosis

    Incidence of symptomatic brain radionecrosis (grade \>=2 defined according to CTCAE scale v5.0).

    Time frame: up to 13 years

  2. Assess progression free survival (progression free survival = PFS) at 3 years

    Percentage of patients alive and free of disease progression at 3 years after the start of radiotherapy (PFS rate). Progression will be defined as increase in size of treated lesions or appearance of new lesions (according to RANO meningioma criteria)

    Time frame: up to 13 years

Secondary outcomes

  1. Overall survival (Overall survival = OS)

    Overall survival (OS) will be defined as time between enrollment and death

    Time frame: up to 13 years

  2. Incidence of other toxicities

    Incidence of other neurological toxicities graded using the CTCAE scale v. 5.0

    Time frame: up to 13 years

  3. Concordance between GTV-RM and GTV-PET

    Concordance will be measured according to Dice Similarity coefficient

    Time frame: up to 13 years

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Study locations

1 of 1 sites recruiting
  • Centro di Riferimento Oncologico di Aviano (CRO)
    Aviano, Pordenone 33081, Italy
    • Lorenzo Vinante, MD · Contact
    • Maurizio Mascarin, MD · Principal investigator
    Recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2025, 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
NCT06830356
Lead sponsor
Centro di Riferimento Oncologico - Aviano
Responsible party
Sponsor
First posted
Feb 17, 2025
Start date
Dec 23, 2024
Primary completion
Dec 23, 2037 (estimated)
Completion
Dec 23, 2037 (estimated)
Last update
Feb 17, 2025

Study contacts

Lorenzo Vinante
Contact
lorenzo.vinante@cro.it
0434 659855
Maurizio Mascarin
Contact
mascarin@cro.it
Lorenzo Vinante
principal investigator · Centro di Riferimento Oncologico di Aviano (CRO)

Oversight

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

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