- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04197297
Brain Imaging Biomarkers in Patients With Brain Metastasis
March 12, 2024 updated by: University Health Network, Toronto
Imaging Trial of Biomarkers to Guide Individualized Therapy in Patients With Brain Metastasis Receiving Radiotherapy
A biomarker is a measurable indicator of the severity or presence of some disease state.
In this study, brain metastases patients who will be receiving radiation treatment, will undergo CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) scans prior to and after radiation treatment to measure these biomarkers.
This is a single-center phase II study to validate the predictive abilities of biomarkers, in terms of determining how patients will respond to radiation treatment.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Advances in medical imaging can provide useful information to guide and look at the response to treatment.
Previous studies suggest early changes in the tumor after radiation treatment may be detectable using special MRI (Magnetic Resonance Imaging), and CT (Computed Tomography) scans.
A biomarker is a measureable indicator of the severity or presence of some disease state.
Previous studies suggest that the change in several imaging biomarkers can predict who will respond to radiation treatment.
In this study, patients will undergo CT and MRI scans prior to and after radiation treatment to measure these biomarkers.
The purpose of this study is to validate the predictive abilities of biomarkers in terms of determining how patients will respond to radiation treatment.
This is a single-center phase II study, which will be conducted at the Princess Margaret Cancer Center.
The study will be enrolling up to a total of 90 patients who will be receiving radiation treatment for brain metastases.
Patients will be asked to participate within this study for 2 years.
Study Type
Interventional
Enrollment (Estimated)
90
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: David Shultz, M.D., Ph. D
- Phone Number: 416-946-6899
- Email: david.shultz@rmp.uhn.on.ca
Study Contact Backup
- Name: Catherine Coolens, Ph. D
- Phone Number: 416-946-5011
- Email: catherine.coolens@rmp.uhn.ca
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, L4W4C2
- Recruiting
- University Health Network
-
Contact:
- David Shultz, MD
- Phone Number: 416 946 4501
- Email: david.shultz@rmp.uhn.ca
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Biopsy proven primary malignancy (original biopsy is adequate as long as the brain imaging is consistent with brain metastases)
- At least one index lesion with diameter > 1cm and without imaging evidence of hemorrhage
- Patients age > 18 years of age
- Patients planned for RT to brain metastases
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
- Previous Whole Brain Radiotherapy
- Previous radiosurgery to the index lesion
- Individuals unable to undergo contrasted MRI for whatever reason
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: CT and MRI Scans
Each patient will undergo a 3T MRI scan as well as a dynamic contrast-enhanced CT scan within one week prior to the start of treatment.
Patients will also undergo a research 3T MRI scan and research dynamic contrast-enhanced CT scan at the one week post radiotherapy mark.
An MRI scan during their 3 month post-treatment follow up visits will take place as per routine standard of care.
|
CT and MRI scans will occur before and after radiation therapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response Assessment in Neuro-Oncology (RANO) to validate biomarkers
Time Frame: Up to 2 years.
|
Using RANO to validate imaging predictive biomarkers of response to radiotherapy
|
Up to 2 years.
|
Response Evaluation Criteria in Solid Tumors (RECIST) criteria to validate biomarkers
Time Frame: Up to 2 years.
|
Using RECIST criteria to validate imaging predictive biomarkers of response to radiotherapy
|
Up to 2 years.
|
Progression Free Survival (PFS) to validate biomarkers
Time Frame: Up to 2 years.
|
Using PFS to validate imaging predictive biomarkers of response to radiotherapy
|
Up to 2 years.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective (Radiological) Progression
Time Frame: Up to 2 years.
|
Defined as increase in volume of contrast uptake on MRI of > 25% as measured by two perpendicular tumor diameters compared to the smallest measurement ever for the same lesion by the same technique.
|
Up to 2 years.
|
Objective (Radiological) Response
Time Frame: Up to 2 years.
|
Defined as stable or reduced volume of contrast uptake on MRI (i.e., all non-progression).
|
Up to 2 years.
|
Time to Intracranial Local Progression
Time Frame: Up to 2 years.
|
Defined as the time interval between the date of first treatment and the date of objective radiological progression of any one of the treated lesions.
|
Up to 2 years.
|
Time to Intracranial Distant Progression
Time Frame: Up to 2 years.
|
Defined as the time interval between the date of first treatment and the date of new brain metastases, with or without progression of the treated lesions.
|
Up to 2 years.
|
Brain Progression Free Survival
Time Frame: Up to 2 years.
|
Defined as the time interval between the date of first treatment and the date of disease progression in the brain or death due to disease in the brain, whichever comes first.
|
Up to 2 years.
|
Unexpected and/or Serious Toxicities (AEs)
Time Frame: Up to 2 years.
|
AEs that are deemed by the PI to be possibly, probably or definitely attributable to the research MRI and/or CT will be reported according to CTCAE version 4.3.
|
Up to 2 years.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Catherine Coolens, Ph. D, Princess Margaret Cancer Center - UHN
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 5, 2021
Primary Completion (Estimated)
June 1, 2024
Study Completion (Estimated)
June 1, 2025
Study Registration Dates
First Submitted
November 25, 2019
First Submitted That Met QC Criteria
December 10, 2019
First Posted (Actual)
December 13, 2019
Study Record Updates
Last Update Posted (Actual)
March 13, 2024
Last Update Submitted That Met QC Criteria
March 12, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18-5380
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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