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RecruitingNCT07731555Updated Jul 28, 2026

Characterization of the Blood-Brain Barrier in High-Grade Glioma Through Immunohistochemical, Transcriptional, Fluorescein and Radiological Analyses

An interventional study of Multimodal Blood Brain Barrier Assessment in Glioblastoma, sponsored by Patrick Morris. Recruiting at 1 site in Ireland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Patrick Morris · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 4 years 4 months after the study started (first participant enrolled Mar 2022, registered Jul 2026).
  • Started Mar 2022; still recruiting 4 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This prospective study aims to characterize blood brain barrier (BBB) disruption in patients with newly diagnosed glioblastoma multiforme undergoing surgical resection. The study integrates advanced MRI, circulating BBB biomarkers, neurocognitive assessment, and molecular analysis of tumor tissue to investigate relationships between BBB integrity, tumor biology, and neurological function. Participants will undergo serial assessments before surgery, after surgery, and following radiotherapy. Tumor tissue collected during standard-of-care resection will undergo immunohistochemical and transcriptional

Read the detailed description

Glioblastoma is characterized by disruption of the blood-brain barrier, which may influence tumor progression, neurological dysfunction, treatment delivery, and clinical outcomes. This study seeks to comprehensively characterize BBB integrity using multimodal approaches.

Participants with newly diagnosed GBM selected for surgical resection will undergo:

  • Clinical and demographic data collection.
  • Neurocognitive assessment using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and Reading the Mind in the Eyes Test (RMET).
  • High-resolution 3-Tesla MRI with and without gadolinium contrast, including structural and functional imaging sequences.
  • Blood sampling for measurement of biomarkers associated with BBB disruption and neuronal injury, including S100β, GFAP, UCHL1, amyloid beta, phosphorylated tau, and neuron-specific enolase.
  • Collection of tumor tissue during routine surgical resection for immunohistochemical and transcriptional analyses.

Serial evaluations will be performed preoperatively, postoperatively, at 72 hours, at 4 weeks, and 4 weeks following completion of radiotherapy, according to the assessment schedule.

02

Conditions studied

  • Glioblastoma

Keywords

  • Blood Brain Barrier
  • Glioblastoma
  • High Grade Glioma
03

In context

Glioblastoma

1,919 studies on the registry are indexed under Glioblastoma; 449 are open to participants now.

This study's planned enrollment of 100 is above the median of 36 across 1,617 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

This is the only study on the registry with Patrick Morris as lead sponsor.

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

Inclusion criteria

  • Adult patients aged 18 years or older.
  • Newly diagnosed glioblastoma.
  • Selected for surgical tumor resection.
  • Able and willing to provide written informed consent.
  • Able to undergo study assessments and follow-up procedures.

Exclusion criteria

Exclusion Criteria:

  • Contraindication to magnetic resonance imaging.
  • Confusion, delirium, or altered state of consciousness that interferes with the ability to provide informed consent.
  • Any condition that, in the opinion of the investigator, would prevent completion of study procedures or compromise participant safety.
05

Study design

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

Study arms

  • Experimental
    Blood Brain Barrier Characterisation Cohort

    Participants with newly diagnosed glioblastoma will undergo a standardized Phase 2 multimodal assessment program designed to characterize blood-brain barrier integrity. Study interventions include serial advanced contrast-enhanced MRI, blood biomarker sampling, neurocognitive assessments, and molecular analysis of tumor tissue obtained during standard of care surgical resection. Assessments will be performed longitudinally at predefined time points before surgery, after surgery, at 72 hours, at 4 weeks, and following completion of radiotherapy to evaluate changes in blood-brain barrier function and their association with clinical, radiological, and molecular outcomes.

    Diagnostic Test: Multimodal Blood Brain Barrier Assessment

Interventions

  • Diagnostic testMultimodal Blood Brain Barrier Assessment

    A standardised multimodal diagnostic assessment designed to characterize blood brain barrier integrity in patients with newly diagnosed glioblastoma. The intervention includes advanced contrast enhanced MRI, serial blood sampling for measurement of blood-brain barrier and neuronal injury biomarkers (including S100β, GFAP, UCHL1, amyloid beta, phosphorylated tau, and neuron-specific enolase), neurocognitive assessments, and immunohistochemical and transcriptional analyses of tumor tissue obtained during standard-of-care surgical resection. Assessments are performed longitudinally before surgery, after surgery, at 72 hours, at 4 weeks, and following completion of radiotherapy.

06

What researchers measure

Primary outcomes

  1. Serum Biomarkers of Blood-Brain Barrier Disruption and Neuronal Injury

    Serial measurement of serum biomarkers associated with blood-brain barrier disruption and neuronal injury, including S100β, GFAP, UCHL1, amyloid beta, phosphorylated tau, and neuron-specific enolase. Biomarker concentrations will be assessed longitudinally to characterize changes in blood-brain barrier integrity in patients with newly diagnosed glioblastoma undergoing surgical resection and radiotherapy.

    Time frame: Baseline (within 7 days before surgery), intraoperative, within 24 hours after surgery, 72 hours after surgery, 4 weeks after surgery, and 4 weeks after completion of radiotherapy

Secondary outcomes

  1. MRI Based Measures of Blood-Brain Barrier Integrity

    Assessment of blood-brain barrier disruption using contrast-enhanced 3-Tesla MRI, including quantitative and qualitative radiological measures of tumour enhancement and permeability. Imaging findings will be evaluated longitudinally and correlated with circulating biomarkers and clinical outcomes.

    Time frame: 4 weeks after surgery

  2. Immunohistochemical Characterisation of Blood-Brain Barrier Disruption

    Expression of blood-brain barrier-associated proteins within resected glioblastoma tissue assessed by immunohistochemical analysis. Findings will be used to characterize blood-brain barrier integrity and correlated with circulating biomarker and imaging measures.

    Time frame: During surgical resection (single assessment)

  3. Transcriptional Characterisation of Blood-Brain Barrier Disruption

    Gene expression profiling of resected glioblastoma tissue to identify transcriptional signatures associated with blood-brain barrier disruption and tumour biology. Results will be correlated with blood biomarker and imaging findings.

    Time frame: During surgical resection (single assessment)

  4. Neurocognitive Function Assessed by RBANS

    Neurocognitive performance measured using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Changes in cognitive function will be examined in relation to blood-brain barrier integrity and treatment.

    Time frame: Baseline (within 7 days before surgery), 4 weeks after surgery, and 4 weeks after completion of radiotherapy

07

Study locations

1 of 1 sites recruiting
  • Beaumont RCSI Cancer Centre
    Beaumont, D09, Ireland
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided — De-identified individual participant data underlying the results reported in publications arising from this study may be shared with qualified researchers upon reasonable request, subject to approval by the study investigators, institutional policies, ethical approvals, and applicable data protection regulations. Data sharing will include relevant clinical, imaging, biomarker, and neurocognitive datasets necessary to support replication of study findings.

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 Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07731555
Lead sponsor
Patrick Morris
Responsible party
Patrick Morris (Clinical Director Cancer Clinical Trials Unit, Beaumont Hospital) — Sponsor-investigator
First posted
Jul 28, 2026
Start date
Mar 1, 2022
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2035 (estimated)
Last update
Jul 28, 2026

Study contacts

Professor Donncha O'Brien, MB, BCh, BAO, MCh, FRCSI (SN)
Contact
cancerdirectorate@beaumont.ie
018093000

Oversight

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

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