NCT03179449

Brief Summary

This pilot early phase I trial studies how well ferumoxytol-enhanced magnetic resonance imaging (MRI) correlates with inflammatory (macrophage) responses in pediatric patients with malignant brain tumors. If there is good correlation, ferumoxytol-enhanced MRI can serve as a noninvasive imaging biomarker of inflammation.

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Jul 2017

Longer than P75 for early_phase_1

Status
withdrawn

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 5, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 7, 2017

Completed
24 days until next milestone

Study Start

First participant enrolled

July 1, 2017

Completed
7.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

April 14, 2023

Status Verified

April 1, 2023

Enrollment Period

7.9 years

First QC Date

June 5, 2017

Last Update Submit

April 12, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Iron concentration measurements

    Obtain susceptibility measurements and relaxation times (R2, R2\*, R2') in patients receiving ferumoxytol.

    Day 1

Secondary Outcomes (1)

  • Macrophages on histopathology

    Days 2-4

Study Arms (1)

Diagnostic (ferumoxytol-enhanced MRI)

EXPERIMENTAL

All subjects in the experimental arm will have a single intravenous dose of ferumoxytol (5 mg Fe/kg), to be administered 24 hours before the subject undergoes ferumoxytol-enhanced magnetic resonance imaging (MRI). These subjects will subsequently undergo surgery, and tissue analysis of surgically resected samples (specifically the number of iron-containing and non-iron-containing macrophages) will be correlated with imaging features on ferumoxytol-enhanced MRI.

Diagnostic Test: Diagnostic (ferumoxytol-enhanced MRI)Procedure: SurgeryDrug: FerumoxytolOther: Tissue Analysis

Interventions

Undergo ferumoxytol-enhanced MRI

Also known as: CONTRAST ENHANCED MRI, Contrast-enhanced MRI
Diagnostic (ferumoxytol-enhanced MRI)
SurgeryPROCEDURE

Undergo surgical resection

Diagnostic (ferumoxytol-enhanced MRI)

Given IV

Also known as: Feraheme, FERUMOXYTOL NON-STOICHIOMETRIC MAGNETITE
Diagnostic (ferumoxytol-enhanced MRI)

Correlative analysis for macrophage detection and quantification. This applies for all patients in the experimental arm who undergo ferumoxytol infusion.

Diagnostic (ferumoxytol-enhanced MRI)

Eligibility Criteria

Age2 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Any patient with suspected malignant brain tumor on diagnostic MR imaging who will undergo a resection

You may not qualify if:

  • Informed consent cannot be obtained either from the patient or legal representative
  • Severe coexisting or terminal systemic disease that may interfere with the conduct of the study
  • Contraindication to MRI (metal implants)
  • Hemosiderosis/hemochromatosis
  • Iron overload from any cause (not just hemosiderosis or hemochromatosis), even if secondary to frequent blood transfusions, severe chronic hemolysis, excess dietary or parenteral iron, or any other etiology
  • Known hypersensitivity to ferumoxytol or any of its components
  • Pregnant patients

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

DiagnosisDynamic Contrast Enhanced Magnetic Resonance ImagingSurgical Procedures, OperativeFerrosoferric OxideTissue Array Analysis

Intervention Hierarchy (Ancestors)

Magnetic Resonance ImagingTomographyDiagnostic ImagingDiagnostic Techniques and ProceduresFerric CompoundsIron CompoundsInorganic ChemicalsFerrous CompoundsMineralsMicroarray AnalysisMicrochip Analytical ProceduresInvestigative Techniques

Study Officials

  • Michael Iv

    Stanford University

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Clinical Assistant Professor

Study Record Dates

First Submitted

June 5, 2017

First Posted

June 7, 2017

Study Start

July 1, 2017

Primary Completion

June 1, 2025

Study Completion

June 1, 2025

Last Updated

April 14, 2023

Record last verified: 2023-04

Data Sharing

IPD Sharing
Will not share