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Proton Therapy for Craniopharyngioma

Phase 2
Waitlist Available
Led By Thomas E Merchant, DO, PhD
Research Sponsored by St. Jude Children's Research Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Craniopharyngioma diagnosed by histology, cytology, or neuroimaging
Patients ages 0-21 years at the time of diagnosis
Must not have
Prior treatment with intracystic P-32, intracystic bleomycin, or radiosurgery
Prior history of fractionated radiation therapy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 5 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is designed to test whether proton therapy is a safe and feasible treatment for patients with a brain tumor known as craniopharyngioma.

Who is the study for?
This trial is for individuals aged 0-21 years diagnosed with craniopharyngioma, confirmed through tissue samples or imaging. It's not open to pregnant females due to radiation risks, nor those who've had prior fractionated radiation therapy, intracystic P-32 treatment, bleomycin or radiosurgery.
What is being tested?
The study tests limited surgery followed by proton therapy on patients with craniopharyngioma who haven't undergone radical surgery. Proton therapy involves 30 sessions over six weeks with weekly imaging to monitor the brain tumor's response.
What are the potential side effects?
Proton therapy may cause fatigue, headaches, hair loss at the treatment site, skin irritation similar to sunburns around the treated area and potential short-term memory issues.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been diagnosed with craniopharyngioma.
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I was diagnosed with my condition before turning 22.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had treatment with P-32, bleomycin, or radiosurgery for a cyst.
Select...
I have had radiation therapy in parts before.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Estimate the progression-free and overall survival distributions for children and young adults with craniopharyngioma treated with limited surgery and proton therapy
Secondary study objectives
Estimate the cumulative incidence of cystic intervention and the event-free survival distribution for children and young adults with craniopharyngioma treated with limited surgery and proton therapy
Estimate the distributions of progression-free survival and overall survival for children and young adults with craniopharyngioma treated only with primary surgical resection

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Craniopharyngioma PatientsExperimental Treatment4 Interventions
Craniopharyngioma patients will have limited surgery and a 5mm clinical target volume margin in combination with proton therapy. Proton therapy will be indicated for patients with diagnosed craniopharyngioma who are not treated with radical surgery (gross-total resection). Patients who have had radical surgery or limited surgery prior to enrollment on this study and have no evidence of tumor will be observed for 5 years. Participants receive \^1\^8F-fluorodeoxyglucose and \^1\^1C-methionine will be given to aid in tumor visualization.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Proton Therapy
2013
Completed Phase 2
~320

Find a Location

Who is running the clinical trial?

St. Jude Children's Research HospitalLead Sponsor
443 Previous Clinical Trials
5,305,369 Total Patients Enrolled
4 Trials studying Craniopharyngioma
865 Patients Enrolled for Craniopharyngioma
Thomas E Merchant, DO, PhDPrincipal InvestigatorSt. Jude Children's Research Hospital
~12 spots leftby Jul 2026