- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03542409
Safety and Feasibility of Preoperative and Intraoperative Image-Guided Resection of Gliomas
Assessment of Safety and Feasibility of Preoperative and Intraoperative Image-Guided Resection of Gliomas and Tumor Region-Specific Biomarker Correlation
This study evaluates the use of specialized magnetic resonance imaging (MRI) techniques including magnetic resonance (MR) perfusion and 2-hydroxyglutarate (2HG) spectroscopy in the surgical treatment of gliomas.
Cohort 1 participants will undergo an MR perfusion scan or 2-HG spectroscopy prior to surgery and intra-operatively.
Cohort 2 participants will only undergo standard of care imaging and tumor acquisition. Participant participation will end at the completion of surgery and will be transitioned to standard of care follow-up.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Elaine Hamel
- Phone Number: 801-587-4720
- Email: elaine.hamel@hci.utah.edu
Study Locations
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Recruiting
- Huntsman Cancer Institute
-
Contact:
- Elaine Hamel
- Phone Number: 801-587-4720
- Email: elaine.hamel@hci.utah.edu
-
Principal Investigator:
- Randy Jensen, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years
- Suspected glioma (grade II, III, or IV)
- Preoperative MR perfusion (enhancing tumors)
- Preoperative MR 2-HG spectroscopy (nonenhancing tumors)Patient indicated for surgical resection, standard radiation, and standard chemotherapy as a standard of care
- Karnofsky performance status ≥ 60
- Life expectancy > 12 weeks
- Cohort 1: Ability to comply with study and follow-up procedures
- Cohort 2: Ability to comply with study procedures
Exclusion Criteria:
- Prior diagnosis of intracranial glioma
- Other malignancy with expected need for systemic therapy within 3 years
- Inability to have 6000 grays of radiation to the brain
- Need for urgent palliative intervention for primary disease (e.g., impending herniation)
- Evidence of bleeding diathesis or coagulopathy
- History of intracerebral abscess within 6 months prior to Day 0
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study
- Pregnant females
- Subjects unable to undergo an MRI with contrast
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cohort 1, Group A (contrast enhancing tumor)
Group A patients will undergo standard tumor preoperative imaging and MR perfusion scan prior to surgical resection.
Group A patients will undergo standard intraoperative imaging along with MR perfusion scan during surgical resection.
|
MR perfusion scan before and during surgery.
|
Experimental: Cohort 1, Group B (non-enhancing tumor)
Group B patients will undergo standard tumor preoperative imaging and 2HG spectroscopy scan prior to surgical resection.
Group A patients will undergo standard intraoperative imaging along with 2HG spectroscopy scan during surgical resection.
|
2HG spectroscopy scan before and during surgery.
|
Experimental: Cohort 2
During the analysis for cohort 1, we found significant differences in the pre MRI samples and the post intraoperative MRI samples. Cohort 2, which will include 10 additional patients, has be created to confirm these differences. Unlike cohort 1, advanced imaging (2-HG spectroscopy and MR perfusion) is not needed to make this comparison. The standard of care intraoperative MRI sequences used routinely will be sufficient for these 10 new samples. The specific aim of Cohort 2 is: 1. Compare areas from initial surgery with that of extended resection after intraoperative SOC MRI in 10 additional subjects (Cohort 2). |
The standard of care intraoperative MRI sequences used routinely will be sufficient for these 10 new samples.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intraoperative Imaging Completion
Time Frame: 1 day
|
This is a feasibility study to see whether advanced imaging modalities can be used intraoperatively so the primary outcome is a yes/no regarding completion of imaging.
|
1 day
|
Incidence of Patient Complications Following Tumor Resection
Time Frame: 1 year
|
Any surgical complications at post-op, hospital discharge, 1-month, 3-months, 6-months, and 1 year following surgery using the Common Terminology Criteria for Adverse Events (CTCAE)
|
1 year
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- HCI77238
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Brain Tumor Adult
-
Technical University of MunichRecruiting
-
Ohio State University Comprehensive Cancer CenterCompletedAdult Brain TumorUnited States
-
Mahidol UniversityUnknown
-
Ohio State University Comprehensive Cancer CenterActive, not recruitingLung Cancer | Radiation Toxicity | Adult Brain TumorUnited States
-
National Cancer Institute (NCI)CompletedAdult Giant Cell Glioblastoma | Adult Glioblastoma | Adult Gliosarcoma | Recurrent Adult Brain Tumor | Adult Brain TumorUnited States
-
Center Eugene MarquisCompleted
-
GT Medical Technologies, Inc.RecruitingBrain Tumor | Brain Tumor, Recurrent | Brain Tumor, Primary | Brain Tumor - Metastatic | Brain Tumor, Adult: Glioblastoma | Brain Tumor, Adult MeningiomaUnited States
-
Wake Forest University Health SciencesNational Cancer Institute (NCI)TerminatedAdult Anaplastic Astrocytoma | Adult Anaplastic Ependymoma | Adult Anaplastic Oligodendroglioma | Adult Diffuse Astrocytoma | Adult Ependymoma | Adult Giant Cell Glioblastoma | Adult Glioblastoma | Adult Gliosarcoma | Adult Mixed Glioma | Adult Oligodendroglioma | Adult Pineal Gland Astrocytoma | Recurrent Adult... and other conditionsUnited States
-
Abramson Cancer Center of the University of PennsylvaniaCompletedAdult Diffuse Astrocytoma | Adult Ependymoma | Adult Mixed Glioma | Adult Oligodendroglioma | Adult Pineal Gland Astrocytoma | Recurrent Adult Brain Tumor | Adult Brain Stem Glioma | Adult Grade II Meningioma | Adult Meningeal Hemangiopericytoma | Adult Pineocytoma | Adult Brain Tumor | Adult Melanocytic LesionUnited States
-
National Cancer Institute (NCI)TerminatedAdult Anaplastic Oligodendroglioma | Adult Giant Cell Glioblastoma | Adult Glioblastoma | Adult Gliosarcoma | Adult Mixed Glioma | Recurrent Adult Brain Tumor | Adult Brain Stem GliomaCanada
Clinical Trials on MR Perfusion Scan
-
Ottawa Hospital Research InstituteCompleted
-
UNC Lineberger Comprehensive Cancer CenterTerminatedThoracic | Pulmonary Injury | Heart InjuriesUnited States
-
M.D. Anderson Cancer CenterActive, not recruiting
-
HyperfusionUniversity Hospital, GhentUnknownMetastatic Lung Cancer | Cancer, Lung | Metastatic Liver Cancer | Cancer Liver | Perfusion Computed Tomography Target LesionBelgium
-
Central Hospital, Nancy, FranceUniversity Hospital, LilleUnknownOsteonecrosis | Compartment Syndrome | PseudarthrosisFrance
-
UNC Lineberger Comprehensive Cancer CenterCompleted
-
Washington University School of MedicineCompleted
-
Zealand University HospitalWithdrawnAcute AbdomenDenmark
-
Cedars-Sinai Medical CenterCompletedAlzheimer's DiseaseUnited States
-
University of SouthamptonCompletedPatient Specific Computational ModelingUnited Kingdom