ClinicalTrials.gg
RecruitingNCT07195591BRIDGESUpdated Nov 9, 2026

Beginning Radiation Immediately With GammaTile at GBM Excision Versus Standard of Care

A Phase 3 interventional study of GammaTile® and External Beam Radiation Therapy in Glioblastoma, sponsored by GT Medical Technologies, Inc.. Recruiting at 22 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by GT Medical Technologies, Inc. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Updated Nov 9, 202613 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
766
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 3 prospective, randomized, superiority, open-label, multi-site study. The overview of this study is as follows:

  • A Screening/Baseline Period of 21 days. During this time, patients will be randomized into a 1:2 allocation of Arm A:Arm B.
  • A Perioperative/Operative Phase where patients will undergo tumor resection (Arm A) or tumor resection plus GammaTile implantation (Arm B).
  • An EBRT Prior to Start Period. This occurs within 10 business days prior to EBRT and Concurrent TMZ Phase.
  • An EBRT and Concurrent TMZ Phase, which will begin 30 ±10 days post-surgery. EBRT (30 fractions) and TMZ will be administered up to 5 days a week for 6 weeks in Arm A, and EBRT (20 fractions) and TMZ will be administered for up to 5 days a week for 4 weeks in Arm B. TMZ will be administered at a dose of 75 mg/m2/day orally for each Arm.
  • An Adjuvant TMZ Phase, which begins 28 ±7 days following the EBRT and Concurrent TMZ Phase, and is comprised of six 28-day cycles. TMZ (150-200 mg/m2/day orally) will be administered for the first 5 days of each 28-day cycle for each Arm. Tumor treating fields are allowed but are not mandated during this phase. Up to 6 additional cycles (for a total of 12) can be completed at the discretion of the Investigator.
  • An Early Discontinuation/Follow-Up Phase will occur 28 ±7 days after completion of Cycle 6 of the Adjuvant TMZ Phase, regardless of the total number of cycles completed or any delays in cycle start. If fewer than six cycles are completed, the first follow-up assessment will occur 28 ±7 days after the last administered dose of adjuvant TMZ. If patient has a qualifying event requiring entrance to Early Discontinuation Phase, the first follow-up assessment will occur as soon as feasible, but within 28 days.

For any unscheduled visits, data collected should be documented in the case report form (CRF) and must include, but are not limited to, safety evaluations, survival status, and disease status.

02

Conditions studied

  • Glioblastoma

Keywords

  • Glioblastoma
  • Newly Diagnosed
  • GammaTile
  • External Beam Radiation Therapy
  • Temozolomide
  • Brain
  • Tumor
  • Brachytherapy
  • Radiation Therapy
  • Surgery
  • Resection
  • GBM
  • BRIDGES
  • EBRT
  • TMZ
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 766 is above the median of 36 across 1,753 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

GT Medical Technologies, Inc. is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 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.

Major Criteria Includes the Following:

Inclusion criteria

Inclusion Criteria

  • Patients must be ≥18 years of age.
  • Have radiographic suspicion of newly diagnosed glioblastoma (GBM).

    o If final pathology reports IDH mutant glioma, then the patients found to have an IDH mutation will be followed for safety and QoL measures but will not be included in the primary and secondary comparative survival and efficacy analyses.

  • Are medically and surgically appropriate for resection.
  • Have an estimated Performance Scale (KPS) score of ≥70.
  • Are able to receive standard of care treatment.

Exclusion criteria

Exclusion Criteria

  • A previous diagnosis other than IDH wild-type GBM.
  • Have to TMZ, magnetic resonance imaging, gadolinium, or non-contrast computed tomography.
  • Have multi-focal enhancing tumors that cannot be encompassed in one operative field.
Terms in these criteria, in plain language(3)

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Active comparator
    Maximal safe resection followed by EBRT with concurrent TMZ followed by adjuvant TMZ (Arm A)

    All patients will undergo tumor resection. Start TMZ (75 mg/m2/day orally) on the first day of EBRT and will be administered concurrently with EBRT, up to 5 days per week, for the 30-fraction course of EBRT for 6 weeks within 30±10 days post-surgery. After EBRT and concurrent TMZ phase, the first cycle begins 28 ±7 days following the last day of the EBRT and Concurrent TMZ Phase. Adjuvant TMZ includes 5 days of TMZ treatment at the start of each 28-day cycle. Additional cycles (up to a maximum of 12), which may be given at the discretion of the Investigator, will be documented, and performed in the same manner as done in the first 6 cycles.

    Radiation: External Beam Radiation Therapy · Drug: Temozolomide

  • Experimental
    Maximal safe resection + GammaTile followed by EBRT with concurrent TMZ then adjuvant TMZ (Arm B)

    All patients will undergo tumor resection + GammaTile implantation. Start TMZ (75 mg/m2/day orally) on the first day of EBRT and will be administered concurrently with EBRT, up to 5 days per week, for the 20-fraction course of EBRT for 4 weeks within 30±10 days post-surgery. After EBRT and concurrent TMZ phase, the first cycle begins 28 ±7 days following the last day of the EBRT and Concurrent TMZ Phase. Adjuvant TMZ includes 5 days of TMZ treatment at the start of each 28-day cycle. Additional cycles (up to a maximum of 12), which may be given at the discretion of the Investigator, will be documented, and performed in the same manner as done in the first 6 cycles.

    Device: GammaTile® · Radiation: External Beam Radiation Therapy · Drug: Temozolomide

Interventions

  • DeviceGammaTile®

    GammaTiles are a U.S. FDA-cleared, surgically targeted radiation therapy for patients with certain brain tumors. GammaTile consists of bioresorbable collagen tiles embedded with Cesium-131 (Cs-131) radioactive seeds

  • RadiationExternal Beam Radiation Therapy

    External beam radiation therapy (EBRT) is a type of radiation therapy that is standard of care. EBRT uses a machine outside the body to deliver high-energy beams of radiation to cancerous areas within the body

    Also known as: EBRT

  • TMZ (Chemotherapy) is used as a first-line treatment, often in combination with radiation therapy after surgical resection of the tumor

    Also known as: TMZ

06

What researchers measure

Primary outcomes

  1. Overall Survival

    The primary endpoint of the study is OS, defined as the day from surgery to death. Patients who are still alive (or lost to follow-up) at the time of data analysis will be censored at the last time point they were known to be alive.

    Time frame: Days from surgery to death.

Secondary outcomes

  1. Progression Free Survival

    To compare PFS, defined as days from surgery to death or disease progression, between the 2 study arms based on the most current RANO Resect Group criteria;

    Time frame: Days from surgery to death or disease progression.

  2. Time to next unplanned treatment

    To compare the time to next unplanned treatment per study arm

    Time frame: Time to next unplanned treatment.

  3. Performance Status

    To assess the performance status up to 24 months

    Time frame: 24 months.

  4. Safety Assessment

    To assess the nature, severity, and frequency of AEs between the 2 study arms based on the most current CTCAE criteria

    Time frame: Study duration.

  5. Quality of Life Assessments

    Financial toxicity scale (Comprehensive Score for Financial Toxicity \[COST\]-score) and functional assessment of cancer therapy - brain (FACT-Br) up to 12 months after randomization.

    Time frame: COST-Score duration of study; FACT-Br up to 12 months after randomization.

07

Study locations

22 of 22 sites recruiting
08

Updates

4 registry updates since Sep 25, 2026
Sites
13 sites added
Show 13 added (13 United States)
  • Advent Health · Orlando, United States
  • The Ohio State University · Columbus, United States
  • Inova Schar Cancer Institute · Fairfax, United States
  • Keck Medicine of USC · Los Angeles, United States
  • Sutter Health · San Francisco, United States
  • Advent Health - Colorado · Littleton, United States
  • Rush University Medical Center · Chicago, United States
  • Norton Cancer Institute - Brownsboro · Louisville, United States
  • University of Missouri · Columbia, United States
  • Medical University of South Carolina · Charleston, United States
  • Houston Methodist · Houston, United States
  • Cedars Sinai Medical Center · Los Angeles, United States
  • University of California San Fransico · San Francisco, United States
across 4 updates, Sep 25, 2026 – Nov 9, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Medical University of South Carolina · Charleston, United StatesContact none listed→h•••@musc.edu · •••9321
Nov 9, 2026
Show all 4 updates
  1. Nov 9, 2026
    2 sites added
    Show 2 added (2 United States)
    • Cedars Sinai Medical Center · Los Angeles, United States
    • University of California San Fransico · San Francisco, United States
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Medical University of South Carolina · Charleston, United StatesContact none listed→h•••@musc.edu · •••9321
  2. Nov 6, 2026
    7 sites added
    Show 7 added (7 United States)
    • Sutter Health · San Francisco, United States
    • Advent Health - Colorado · Littleton, United States
    • Rush University Medical Center · Chicago, United States
    • Norton Cancer Institute - Brownsboro · Louisville, United States
    • University of Missouri · Columbia, United States
    • Medical University of South Carolina · Charleston, United States
    • Houston Methodist · Houston, United States
    + 1 other change: verification date
  3. Oct 5, 2026
    1 site added
    Show site
    • Keck Medicine of USC · Los Angeles, United States
    + 1 other change: verification date
  4. Sep 25, 2026
    3 sites added
    Show 3 added (3 United States)
    • Advent Health · Orlando, United States
    • The Ohio State University · Columbus, United States
    • Inova Schar Cancer Institute · Fairfax, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07195591
Lead sponsor
GT Medical Technologies, Inc.
Responsible party
Sponsor
First posted
Sep 26, 2025
Start date
Dec 10, 2025
Primary completion
Dec 2031 (estimated)
Completion
Dec 2031 (estimated)
Last update
Nov 9, 2026

Study contacts

Kimberly Johnson
Contact
kjohnson@gammatile.com
(833)662-0044

Oversight

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

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