Prospective Evaluation of T-cell Immune Status in Patients With Newly Diagnosed High Grade Gliomas

Numbers of T-cell subtypes at six time points in patients with newly diagnosed HGGs
undergoing standard RT/TMZ and adjuvant TMZ:

1. Baseline within 2 weeks before initiation of RT/TMZ

2. At the end of RT/TMZ approximately week 6

3. Before adjuvant TMZ approximately week 10

4. After 2 cycle of TMZ approximately week 18

5. After 4 cycle of TMZ approximately week 26

6. Three month after last cycle of TMZ

Secondary Endpoints

1. Changes in serial T cell subtypes and cytokines levels

2. Incidence of lymphopenia related infections

3. Changes in T-cell numbers and subtypes with TMZ administration

4. Overall survival

Inclusion Criteria:

1. Patients must be at least 18 years of age.

2. Patients must have histologically confirmed new diagnosed high grade glioma by
pathology (WHO grade III and IV).

3. Patients proposed post-operative treatment plan must include standard radiation and
temozolomide.

4. Patients must have a Karnofsky performance status ≥ 60% (i.e. the patient must be able
to care for himself/herself with occasional help from others).

5. Patients must be able to provide written informed consent.

6. Steroid use is allowed.

Exclusion Criteria:

1. Patients with HIV are excluded.