The evolution of RTOG and NRG Oncology CNS tumors clinical trials - Takeaways - MDSpire
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The Development of Clinical Trials for CNS Tumors by RTOG and NRG Oncology

  • By

  • Kavita Sehrawat

  • Mei-Yin C. Polley

  • Michael A. Vogelbaum

  • Mark Gilbert

  • Arnab Chakravarti

  • Daniel P. Cahill

  • Andrew B. Lassman

  • David R. Raleigh

  • Erik P. Sulman

  • Mitch Machtay

  • Quynh Thu Le

  • Walter Curran

  • Vinai Gondi

  • Minesh P. Mehta

  • September 15, 2026

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  • 1

    RTOG/NRG trials have significantly influenced evidence-based care for CNS tumors, addressing unique challenges like biological heterogeneity and infiltrative growth.

  • 2

    The RTOG Brain Tumor Committee was established in the 1970s to assess innovative approaches for CNS tumors, focusing on radiotherapy and chemotherapy.

  • 3

    Long-term follow-up from RTOG 94-02 demonstrated that molecular stratification can inform treatment benefits in neuro-oncology, impacting trial eligibility.

  • 4

    NRG Oncology collaborates with other National Clinical Trials Network groups to enhance trial development and patient enrollment, accelerating evidence generation.

  • 5

    Trials have evolved to integrate advanced imaging and cognitive-function preservation strategies, reflecting the maturation of cooperative group science.

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