Laser Therapy for Brain Tumor
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a treatment called Laser Interstitial Thermal Therapy (LITT) to evaluate its effectiveness for children, teens, and young adults with recurring or worsening low-grade gliomas, a type of brain tumor. The goal is to determine if LITT can effectively treat these tumors when previous treatments have failed. Individuals with recurrent brain tumors that LITT can safely access, and who have already tried at least one other treatment, might be suitable candidates. Participants will undergo close monitoring and must provide health information during and after the treatment. As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could lead to new treatment options.
Do I need to stop my current medications for the trial?
The trial protocol does not specify if you need to stop taking your current medications. However, you must have recovered from any recent chemotherapy or targeted therapy, and there are specific waiting periods after certain treatments before you can join the study.
What prior data suggests that Laser Interstitial Thermal Therapy (LITT) is safe for treating brain tumors?
Research has shown that Laser Interstitial Thermal Therapy (LITT) is generally safe for treating brain tumors. A review of 45 studies found that about 30% of patients experienced side effects, with swelling, weakness, and seizures being the most common, though usually temporary. The data also indicate that LITT effectively targets tumors, achieving success rates as high as 94.8% in removing tumor tissue. While complications can occur, patients often tolerate LITT well. It is important to consult a doctor to understand how these findings apply to individual cases.12345
Why are researchers excited about this trial?
Laser Interstitial Thermal Therapy (LITT) is unique because it uses precise laser technology to target and destroy brain tumor tissues while sparing surrounding healthy brain tissue. Unlike traditional surgery, which can be more invasive, LITT is a minimally invasive procedure, potentially leading to faster recovery times and fewer complications. Researchers are excited about LITT because it offers a more targeted approach, which could improve outcomes and quality of life for patients with brain tumors.
What evidence suggests that Laser Interstitial Thermal Therapy (LITT) might be an effective treatment for low-grade gliomas?
Studies have shown that Laser Interstitial Thermal Therapy (LITT), which participants in this trial will receive, can effectively treat brain tumors. Research indicates that LITT can extend survival for patients with hard-to-reach brain tumors, outperforming mere tumor sampling. One study found that LITT increased the average survival time by more than six months. Another study reported that LITT successfully removed 94.8% of tumors in certain types of brain cancer. These results suggest that LITT can be a strong option for managing recurrent or persistent brain tumors.14678
Who Is on the Research Team?
Sabine Mueller, MD, PhD
Principal Investigator
University of California, San Francisco
Margaret Shatara
Principal Investigator
Children's Minnesota
Are You a Good Fit for This Trial?
This trial is for children, teens, and young adults (ages 2–25) with low-grade brain tumors that have come back or are growing after at least one prior treatment. Tumors must be in a location safe for laser therapy. Patients need to be healthy enough for surgery and recovered from previous treatments.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive Laser Interstitial Thermal Therapy (LITT) and are monitored for immediate complications and recovery progress
Follow-up
Participants are monitored for safety and effectiveness after treatment, with imaging and questionnaires at 3 months, 1 year, and 2 years post-treatment
Long-term follow-up
Participants are transitioned to the PNOC COMP protocol and followed until death or withdrawal from the study
What Are the Treatments Tested in This Trial?
Interventions
- Laser Interstitial Thermal Therapy (LITT)
Trial Overview
The study is testing Laser Interstitial Thermal Therapy (LITT), a minimally invasive procedure using heat to destroy tumor tissue, in young people with recurring or progressing low-grade gliomas. MRI scans and questionnaires will also be used to monitor outcomes.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Participants will receive LITT and imaging and complete a set of questionnaires pre- and again at 3 months, 1 year, and 2 years post-treatment post- procedure. Participants will be closely monitored for any immediate complications and recovery progress, with a safety follow-up visit scheduled at 14 and 28 days after the LITT procedure. Imaging data from the medical record will also be obtained for up to 24 months and participants will also be co-enrolled in the PNOC COMP protocol, with follow-up procedures documented under this protocol until death or withdrawal from the study.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Francisco
Lead Sponsor
Pacific Pediatric Neuro-Oncology Consortium
Collaborator
Citations
Outcomes in Patients Treated with Laser Interstitial Thermal ...
LITT provides a novel therapeutic opportunity for addressing both radiation necrosis and local tumor progression. Following focal high‐dose radiation, radiation ...
An analysis of functional outcomes following laser interstitial ...
Studies have shown that LITT is effective and confers a survival benefit compared with biopsy alone in deep-seated lesions and comparable survival to the ...
Synergistic effects of laser interstitial thermal therapy (LITT) ...
LITT and immunotherapy show promise as a synergistic approach for recurrent brain tumors. · Combined therapy resulted in a median survival of 12.8 months for ...
4.
insideprecisionmedicine.com
insideprecisionmedicine.com/topics/oncology/advanced-brain-cancer-survival-rates-double-with-litt/Advanced Brain Cancer Survival Rates Double with LITT
Results showed that LITT improved median survival by 6.6 months, more than doubling it. While none of the patients who received conventional ...
Efficacy of laser interstitial thermal therapy (LITT) for newly ...
The efficacy of LITT for the management of primary and metastatic brain tumors has not been evaluated in randomized clinical trials because of challenges with ...
Safety and Efficacy of Laser Interstitial Thermal Therapy as ...
The pooled data suggest LITT may be a safe primary management option with tumor ablation rates of 94.8% and 84.6% in IDH-wildtype glioblastoma ...
7.
medtronic.com
medtronic.com/content/dam/medtronic-wide/public/united-states/products/surgical-energy/ablation/visualase-brain-tumor-compendium-us.pdfLaser Interstitial Thermal Therapy Brain Tumor Evidence ...
2 The summaries on the following pages address outcomes such as length of hospital stay, extent of tumor ablation, adverse events, and other procedural details ...
8.
journals.lww.com
journals.lww.com/dshmj/fulltext/2024/06040/laser_interstitial_thermal_therapy__litt__in_brain.2.aspxLaser Interstitial Thermal Therapy (LITT) in Brain Tumors
In addition, LITT is generally safe. A recent meta-analysis of 45 studies found that the overall incidence of LITT-related adverse events is 30%; however, most ...
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