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OncoMatch/Clinical Trials/NCT07179328

Focused Ultrasound Blood-Brain Barrier Disruption for the Treatment of High-Grade Glioma in Patients Undergoing Standard Chemotherapy

Is NCT07179328 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Focused Ultrasound Next Generation Dome Helmet and Definity® Vial for (Perflutren Lipid Microsphere) Injectable Suspension for gbm.

Phase 1RecruitingSunnybrook Health Sciences CentreNCT07179328Data as of May 2026

Treatment: Focused Ultrasound Next Generation Dome Helmet · Definity® Vial for (Perflutren Lipid Microsphere) Injectable SuspensionThe goal of this clinical trial is to evaluate the safety and feasibility of focused ultrasound (FUS)-mediated blood-brain barrier (BBB) disruption using the Next Generation Dome Helmet (NGDH) in adults with glioblastoma (GBM) undergoing the maintenance phase of the standard "Stupp protocol". Participants will: * Undergo repeated FUS BBB disruption treatments during the maintenance phase of temozolomide (TMZ) chemotherapy. * Receive intravenous ultrasound contrast (DEFINITY®) prior to each FUS session to facilitate targeted BBB disruption. * Undergo serial MRI scans and clinical assessments to evaluate safety and the extent of BBB opening. * Provide blood samples (and tumor tissue if available) for biomarker analysis related to BBB permeability, tumor presence, and treatment response. * Be followed for progression-free survival (PFS) and overall survival (OS) during routine neuro-oncology visits until end of life.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Performance status

KARNOFSKY 70–100

Prior therapy

Must have received: surgical resection

Previously undergone a maximal safe surgical resection

Must have received: radiation therapy — concurrent, standard-of-care

completed concurrent, standard-of-care RT

Must have received: temozolomide (temozolomide) — concurrent, standard-of-care

completed concurrent, standard-of-care ... TMZ

Cannot have received: chemotherapy

Exception: standard concurrent TMZ allowed

Previous full course of chemotherapy for GBM (at the discretion of investigator)

Cannot have received: radiation therapy

Exception: standard concurrent RT allowed

Previous radiotherapy

Cannot have received: bevacizumab (bevacizumab)

Patient receiving bevacizumab (Avastin) therapy

Cannot have received: chemotherapy wafer

Patients undergoing other concurrent therapies such as chemotherapy wafers

Cannot have received: immunotoxin

immunotoxins delivered by convection-enhanced delivery

Cannot have received: gene therapy

regionally administered gene and viral therapies

Cannot have received: immunotherapy

immunotherapies

Cannot have received: brachytherapy

focal irradiation with brachytherapy

Cannot have received: stereotactic radiosurgery

stereotactic radiosurgery

Cannot have received: laser interstitial thermotherapy

laser interstitial thermotherapy

Lab requirements

Blood counts

Abnormal level of platelets (< 100,000) or INR > 1.3 [excluded]

Kidney function

Severely impaired renal function with estimated glomerular filtration rate <30 mL/min/1.73m2 and/or on dialysis [excluded]

Cardiac function

Cardiac disease or unstable hemodynamics including: documented myocardial infarction within six months, unstable angina, congestive heart failure, LVEF <50%, history of hemodynamically unstable arrhythmia, cardiac pacemaker

Cardiac disease or unstable hemodynamics including: documented myocardial infarction within six months of enrollment. Unstable angina on medication. Congestive heart failure. Left ventricular ejection fraction <50%. History of a hemodynamically unstable cardiac arrhythmia. Cardiac pacemaker. Abnormal level of platelets (< 100,000) or INR > 1.3. Severely impaired renal function with estimated glomerular filtration rate <30 mL/min/1.73m2 and/or on dialysis.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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