- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05128903
Quantitative Assessment of Radiation-induced Neuroinflammation - A Proof of Principle Study
QARIN 1 is a study of [18F]DPA-714 Translocation Protein (TSPO) Positron Emission Tomography (PET) for longitudinal, quantitative assessment of brain neuroinflammation following whole brain radiation therapy. This TSPO PET, uses a radioactive tracer. An optional MRI (magnetic resonance imaging) will also be performed to monitor brain microstructure damages induced by neuroinflammation.
Primary Objectives
- Assessment of temporal and regional variability of uptake of translocator protein (TSPO) positron emission tomography (PET) tracer.
- Regional variability will be assessed in medial temporal lobe, frontal lobe, and in white matter
- Temporal variability will be assessed by scanning each subject four-times: at baseline (before or within 2 weeks of start of radiation therapy), before start of chemotherapy, at 1 year from the initiation of the radiation therapy, and at 1.5-2 years from the initiation of the radiation therapy
- Correlation of radiation dose in specific brain regions with radiation induced neuroinflammation as measured by uptake of TSPO PET tracer.
Exploratory Objectives
- Assessment of radiation-induced brain microstructure injuries (RIBMI) in specific brain regions (medial temporal lobe, frontal lobe, and in white matter) using advanced magnetic resonance imaging (MRI) techniques.
- Association of radiation dose with MRI measures of RIBMI in these specific brain regions.
- Association of PET measures of RIN with MRI measures of RIBMI.
- Association of PET measure of RIN and MRI measures of RIBMI in specific regions of interest (ROI) with specific domain of neuro-cognition. For example, to investigate whether PET measure of RIN and MRI measures of RIBMI in hippocampal ROI have strongest association with episodic memory; whether frontal lobe cortical ROI are associated with attention and executive function.
- Association of a novel MRI based technique for assessment of RIN with TSPO PET.
- Association of the PET and MRI measure of neuroinflammation within 2- years of completion of radiation with delayed cognitive outcome that will be measured at 3, 4 and 5 years from the completion of radiation
Study Overview
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Asim Bag, MD
- Phone Number: 866-278-5833
- Email: referralinfo@stjude.org
Study Locations
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-
Tennessee
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Memphis, Tennessee, United States, 38105
- Recruiting
- St.Jude Children's Research Hospital
-
Contact:
- Asim Bag, MD
- Phone Number: 866-278-5833
- Email: referralinfo@stjude.org
-
Principal Investigator:
- Asim Bag, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Participant is at least 8 years of age
- Participants with histologically confirmed medulloblastoma and are scheduled to receive 36 Gy craniospinal irradiation
- Participant and/or guardian can understand and is willing to sign a written informed consent document according to institutional guidelines
- Subjects have either have high-affinity or mixed-affinity TSPO binding sites as determined by the single-nucleotide polymorphism (SNP) rs6971 in the TSPO gene.
Exclusion Criteria:
- Participants with a large pseudomeningocele (>4 cm in size) at the surgical site, complications from ventricular access (evidenced by hemorrhage and/or enhancement along the catheter), large subdural effusion in the supra-tentorial compartment (>1 cm in the maximum transverse dimension). All of these are expected to induce inflammation.
- Female participants of childbearing age must not be lactating due to theoretical potential harm to the infant from exposure to radiation.
- Subjects with low-affinity TSPO binding sites as determined by the single-nucleotide polymorphism (SNP) rs6971 in the TSPO gene.
- Pregnant subjects.
- Patients needing sedation for the PET scans.
Study Plan
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 |
---|---|
Experimental: Participants
Participants who meet the eligibility criteria in the study will receive Translocation Protein (TSPO) Positron Emission Tomography (PET) for longitudinal, quantitative assessment of brain neuroinflammation following whole brain radiation therapy.
|
Intravenous injection
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
SUVr
Time Frame: follow up 1: up to 13 weeks after radiation therapy
|
SUVr values for dorsolateral prefrontal cortex comparing baseline vs. follow up 1
|
follow up 1: up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 1 : up to 13 weeks after radiation therapy
|
SUVr values for medial prefrontal cortex comparing baseline vs. follow up 1
|
follow up 1 : up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 1 : up to 13 weeks after radiation therapy
|
SUVr values for hippocampus comparing baseline vs. follow up 1.
|
follow up 1 : up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 1 : up to 13 weeks after radiation therapy
|
SUVr values for Corpus callosum comparing baseline vs. follow up 1.
|
follow up 1 : up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 1 : up to 13 weeks after radiation therapy
|
SUVr values for corticospinal tract comparing baseline vs. follow up 1.
|
follow up 1 : up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 1 : up to 13 weeks after radiation therapy
|
SUVr values for superior longitudinal fasciculus comparing baseline vs. follow up 1
|
follow up 1 : up to 13 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for dorsolateral prefrontal cortex comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for medial prefrontal cortex comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for hippocampus comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for Corpus callosum comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for corticospinal tract comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 2: up to 53 weeks after radiation therapy
|
SUVr values for superior longitudinal fasciculus comparing baseline vs. follow up 2.
|
follow up 2: up to 53 weeks after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for dorsolateral prefrontal cortex comparing baseline vs. follow up 3.
|
follow up 3: up to 2 years after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for medial prefrontal cortex comparing baseline vs. follow up 3.
|
follow up 3: up to 2 years after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for hippocampus comparing baseline vs. follow up 3.
|
follow up 3: up to 2 years after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for Corpus callosum comparing baseline vs. follow up 3
|
follow up 3: up to 2 years after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for corticospinal tract comparing baseline vs. follow up 3.
|
follow up 3: up to 2 years after radiation therapy
|
SUVr
Time Frame: follow up 3: up to 2 years after radiation therapy
|
SUVr values for superior longitudinal fasciculus comparing baseline vs. follow up 3.
|
follow up 3: up to 2 years after radiation therapy
|
Collaborators and Investigators
Investigators
- Principal Investigator: Asim Bag, MD, St. Jude Children's Research Hospital
Publications and helpful links
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
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms, Glandular and Epithelial
- Inflammation
- Glioma
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroectodermal Tumors, Primitive
- Medulloblastoma
- Neuroinflammatory Diseases
Other Study ID Numbers
- QARIN1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
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.
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