NCT01996527

Brief Summary

This pilot clinical trial studies advanced magnetic resonance imaging (MRI) techniques in measuring treatment response in patients with high-grade glioma. New diagnostic procedures, such as advanced MRI techniques at 3 Tesla, may be more effective than standard MRI in measuring treatment response in patients receiving treatment for high-grade gliomas.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7

participants targeted

Target at below P25 for early_phase_1

Timeline
Completed

Started May 2012

Longer than P75 for early_phase_1

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2012

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

November 15, 2013

Completed
12 days until next milestone

First Posted

Study publicly available on registry

November 27, 2013

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 23, 2015

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2016

Completed
Last Updated

April 17, 2017

Status Verified

April 1, 2017

Enrollment Period

3.6 years

First QC Date

November 15, 2013

Last Update Submit

April 13, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Best Response

    Number of patients in each response category, per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, summarized as follows for target lesion criteria: complete response (CR),disappearance of target lesions; partial response (PR), \>=30% decrease in sum of longest diameter (LD) of target lesions; progressive disease (PD), \>=20% increase in sum of LD of target lesions or appearance of new lesions; stable disease (SD), insufficient change in target lesions or new lesions to qualify as either PD or SD. Patients are categorized according to the best response achieved prior to occurrence of progressive disease, where best response hierarchy is CR\>PR\>SD\>PD.

    On-treatment date to date of disease progression (up to 12 weeks)

Secondary Outcomes (1)

  • Progression Free Survival (PFS)

    On-study date to lesser of date of progression or date of death from any cause (assessed at 6 months)

Other Outcomes (6)

  • Changes in quantitative MRI-based biomarkers sensitive to tumor protein content

    Baseline to within 4 weeks after on-treatment date

  • Changes in quantitative MRI-based biomarkers sensitive to tumor cellularity and vascularity

    Baseline to within 4 weeks after on-treatment date

  • Changes in quantitative MRI-based biomarkers sensitive to tumor perfusion and hemodynamics

    Baseline to within 4 weeks after on-treatment date

  • +3 more other outcomes

Study Arms (1)

3-Tesla magnetic resonance imaging

EXPERIMENTAL

Patients undergo 3-Tesla magnetic resonance imaging to measure tumor protein content (using CEST-MRI), cellularity (using DW-MRI), and blood flow (using DCE-MRI and DSC-MRI with IV administration of gadolinium-containing contrast agent) no more than 2 weeks before, and 2 and 4 weeks after, the initiation of treatment.

Device: 3-Tesla magnetic resonance imagingDevice: CEST-MRIDevice: DW-MRIDevice: DCE-MRIDevice: DSC-MRIDrug: IV administration of gadolinium-containing contrast agent

Interventions

3-Tesla MRI is a multiparametric imaging exam that includes MR pulse sequences for CEST-MRI, DW-MRI, DCE-MRI, and DSC-MRI

Also known as: 3-Tesla MRI, 3T MRI
3-Tesla magnetic resonance imaging
CEST-MRIDEVICE

Undergo CEST-MRI

Also known as: chemical exchange saturation transfer MRI
3-Tesla magnetic resonance imaging
DW-MRIDEVICE

Undergo DWI-MRI

Also known as: diffusion-weighted MRI
3-Tesla magnetic resonance imaging
DCE-MRIDEVICE

Undergo DCE-MRI

Also known as: dynamic contrast-enhanced MRI
3-Tesla magnetic resonance imaging
DSC-MRIDEVICE

Undergo DSC-MRI

Also known as: dynamic susceptibility contrast MRI
3-Tesla magnetic resonance imaging

Gadolinium-containing paramagnetic contrast agent (Magnevist®; Berlex Lab, Wayne, New Jersey) in delivered via intravenous (IV) infusion to achieve DCE and DSC contrast

Also known as: Magnevist®, gadopentetate dimeglumine
3-Tesla magnetic resonance imaging

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must sign an institutional review board (IRB)-approved informed consent document
  • Patients must have been diagnosed with high-grade glioma:
  • World Health Organization (WHO) grade III: anaplastic astrocytoma, oligodendroglioma, ependymoma, or oligoastrocytoma; OR
  • WHO grade IV: glioblastoma multiforme; or neuroepithelial tumors of uncertain origin (polar spongioblastoma, astroblastoma, or gliomatosis cerebri)
  • As measured by conventional high spatial resolution MRI, the minimum diameter of the primary lesion (short axis) should be at least 5 mm
  • Patients must be scheduled to receive: 1) standard chemotherapy with/without radiation therapy; OR 2) single-agent bevacizumab (Avastin)

You may not qualify if:

  • Patients with low-grade (WHO grade I or II) glioma
  • Patients with metastatic disease
  • Patients who have any type of bioimplant activated by mechanical, electronic, or magnetic means (e.g., cochlear implants, pacemakers, neurostimulators, biostimulators, electronic infusion pumps, etc), because such devices may be displaced or malfunction
  • Patients who have any type of ferromagnetic bioimplant that could potentially be displaced
  • Patients who have cerebral aneurysm clips
  • Patients who may have shrapnel imbedded in their bodies (such as from war wounds), metal workers and machinists (potential for metallic fragments in or near the eyes)
  • Patients with inadequate renal function (creatinine \>= 1.5 times upper limit of normal) or acute or chronic renal insufficiency (glomerular filtration rate \< 20 ml/min)
  • Patients who are pregnant or breast feeding; urine pregnancy test will be performed on women of child bearing potential
  • Patients who exhibit noticeable anxiety and/or claustrophobia or who exhibit severe vertigo when they are moved into the magnet bore
  • Patients incapable of giving informed written consent, for the following reasons:
  • Inability to adhere to the experimental protocols for any reason
  • Inability to communicate with the research team
  • Limited ability to give informed consent due to mental disability, altered mental status, confusion, cognitive impairment, or psychiatric disorders
  • Patients scoring 14.5 or lower on the University of California at San Diego (UCSD) Brief Assessment of Consent Capacity (UBACC) Capacity to Consent Questionnaire will be excluded
  • Prisoners or other individuals deemed to be susceptible to coercion
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, 37232, United States

Location

Related Links

MeSH Terms

Conditions

AstrocytomaEpendymomaOligodendrogliomaGlioblastomaGliosarcomaBrain Neoplasms

Interventions

Diffusion Magnetic Resonance ImagingDynamic Contrast Enhanced Magnetic Resonance ImagingPerfusion Magnetic Resonance ImagingGadolinium DTPA

Condition Hierarchy (Ancestors)

GliomaNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Glandular and EpithelialNeoplasms, Nerve TissueCentral Nervous System NeoplasmsNervous System NeoplasmsNeoplasms by SiteBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

Magnetic Resonance ImagingTomographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisPentetic AcidPolyaminesAminesOrganic ChemicalsAcetatesAcids, AcyclicCarboxylic AcidsCoordination Complexes

Study Officials

  • Chad Quarles

    Vanderbilt-Ingram Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Radiology and Radiological Sciences, Director of Cancer Imaging Research

Study Record Dates

First Submitted

November 15, 2013

First Posted

November 27, 2013

Study Start

May 1, 2012

Primary Completion

November 23, 2015

Study Completion

January 1, 2016

Last Updated

April 17, 2017

Record last verified: 2017-04

Locations