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3T MRI Biomarkers of Glioma Treatment Response
Early Detection of Glioma Treatment Response Using MRI-Based Biomarkers
3 other identifiers
interventional
7
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for early_phase_1
Started May 2012
Longer than P75 for early_phase_1
1 active site
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
CompletedFirst Submitted
Initial submission to the registry
November 15, 2013
CompletedFirst Posted
Study publicly available on registry
November 27, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 23, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedApril 17, 2017
April 1, 2017
3.6 years
November 15, 2013
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
EXPERIMENTALPatients 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.
Interventions
3-Tesla MRI is a multiparametric imaging exam that includes MR pulse sequences for CEST-MRI, DW-MRI, DCE-MRI, and DSC-MRI
Undergo CEST-MRI
Undergo DCE-MRI
Undergo DSC-MRI
Gadolinium-containing paramagnetic contrast agent (Magnevist®; Berlex Lab, Wayne, New Jersey) in delivered via intravenous (IV) infusion to achieve DCE and DSC contrast
Eligibility Criteria
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
- Vanderbilt-Ingram Cancer Centerlead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chad Quarles
Vanderbilt-Ingram Cancer Center
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