Description
Inclusion Criteria:
- * Histologic diagnosis of primary glioblastoma or gliosarcoma of the brain, or secondary glioblastoma of the brain due to transformation from a lower grade to a grade 4 tumor.
- * Age \>= 18.
- * KPS \>= 70%.
- * Previous tumor irradiation to curative-intent doses.
- * Radiation dose constraints must be achievable based on assessment with treatment planning CT.
- * Participants must have adequate organ and marrow function as defined below:
- * Absolute neutrophil count (ANC) \>= 1,000/microL
- * Platelets \>= 100,000/microL
- * Coagulation: Prothrombin time (PT) / Partial thromboplastin time (PTT) within institutional normal range.
- * Total and direct bilirubin \< 2 x institutional upper limit of normal (ULN)
- * Aspartate aminotransferase (AST) \< 2 x institutional ULN
- * Alanine transaminase (ALT) \< 2 x institutional ULN
- * Serum creatinine \< 1.5 mg/dL
- * Serum albumin \>= 0.75 x institutional normal range
- * Women of child-bearing potential (WOCBP) and men must agree to use effective contraception (barrier, hormonal, intrauterine device, surgical sterilization, abstinence) from study entry and through 6 months after the last study treatment (restricted period). Men must not freeze or donate sperm within the same period.
- * Breastfeeding participants must be willing to discontinue breastfeeding from study treatment initiation through 6 months after the last study treatment.
- * The ability of a participant to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
- * Recent systemic therapy prior to the initiation of the study therapy as follows:
- * Bevacizumab used for reasons other than tumor progression or symptomatic management within 2 weeks.
- * Temozolomide within 2 weeks.
- * Cytotoxic chemotherapy within 3 weeks.
- * Any investigational agents within 2 weeks.
- * Participants who are unable to undergo MRI evaluation or receive gadolinium contrast for any reason.
- * Any prior therapy after surgical re-resection or biopsy within 2 weeks prior to the initiation of the study therapy.
- * History of prior therapy with Novacure TTF, Gliadel wafers, or GammaTile therapy.
- * Positive beta-human chorionic gonadotropin (HCG) pregnancy test performed in females of childbearing potential at screening.
- * Participants with known or suspected radiation sensitivity syndromes.
- * Uncontrolled intercurrent illness evaluated by medical history and physical exam that are not stable and would potentially increase the risk to the participant.
Ages Eligible for Study:
18 Years to 120 Years (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No