- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05504681
Integration of Neurocognitive Biomarkers Into a Neuro-Oncology Clinic
May 21, 2024 updated by: Baptist Health South Florida
This is prospective observational registry study that will assess 1) if the neurocognitive function app (Brainlab Cognition) can be used in a widespread neuro-oncology clinic setting and 2) if patient reported quality of life parameters can be obtained electronically and integrated into clinic.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
200
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: Rupesh R Kotecha
- Phone Number: 17865962000
- Email: rupeshk@baptisthealth.net
Study Contact Backup
- Name: Jessica Injiac
- Phone Number: 17865962000
- Email: jessica.injiac@baptisthealth.net
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33176
- Recruiting
- Miami Cancer Institute
-
Contact:
- Rupesh Kotecha
- Phone Number: 786-596-2000
- Email: rupeshk@baptisthealth.net
-
-
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
Sampling Method
Non-Probability Sample
Study Population
All adult (18+) patients with CNS tumors, both primary brain malignancies and brain metastases, treated with radiotherapy (partial brain, stereotactic radiosurgery, stereotactic fractionated radiotherapy, or whole-brain radiotherapy), surgery, and/or antineoplastic therapy and followed thereafter at Miami Cancer Institute (MCI).
Description
Inclusion Criteria:
- All adult (18+) patients with central nervous system (CNS) tumors, both primary brain malignancies and brain metastases, treated with radiotherapy (partial brain, stereotactic radiosurgery, stereotactic fractionated radiotherapy, or whole-brain radiotherapy), surgery, and/or antineoplastic therapy and followed thereafter at Miami Cancer Institute (MCI)
- Life expectancy ≥ 6 months
- Willingness to participate in ongoing registration study
Exclusion Criteria:
- Patients receiving radiotherapy to the brain for functional disease (arteriovenous malformations, trigeminal neuralgia, essential tremors, etc.)
- Pediatric patients (<18 years old), pregnant women, and prisoners.
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Learning and memory (Neurocognitive Decline)
Time Frame: Baseline, 2, 4, 6, 12, 18, 24 months
|
Learning and memory will be assessed by the number of correct responses (the total number of words correctly recalled).
The "Verbal Recall" test will be used to measure the number of correct responses over 3 trials, the "Verbal Revision" will be used to measure the number of total correct responses, and the "Verbal Recognition" test will be used to measure number of correct responses minus the incorrect responses.
Change is calculated as baseline score subtracted from post-baseline score over time.
|
Baseline, 2, 4, 6, 12, 18, 24 months
|
Change in Attention and Speed of Processing (Neurocognitive Decline)
Time Frame: Baseline, 2, 4, 6, 12, 18, 24 months
|
This will be measured by the "Symbols Matching" test.
Subjects will be asked to match symbols and corresponding numbers during 90 seconds.
The score will be calculated by totaling the number of correct answers during the allotted time.
A higher score indicates better functioning.
|
Baseline, 2, 4, 6, 12, 18, 24 months
|
Change in Verbal Fluency (Neurocognitive Decline)
Time Frame: Baseline, 2, 4, 6, 12, 18, 24 months
|
This will be measured by the "Words That Start With" test.
The total number of words correctly generated (no numbers, no proper names) by the subject will be recorded to generate their score.
A higher score indicates better functioning.
|
Baseline, 2, 4, 6, 12, 18, 24 months
|
Change in Fine motor and speed (Neurocognitive Decline)
Time Frame: Baseline, 2, 4, 6, 12, 18, 24 months
|
This will be measured by the "Numbers Ordering" test.
This test assesses visual scanning and motor tracking requiring focused attention.
Subjects are required to sequentially connect numbered dots in ascending order that are randomly scattered on the screen in consecutive order.
The total time in seconds to complete the array will be recorded as the score result.
A lower score indicates better functioning.
|
Baseline, 2, 4, 6, 12, 18, 24 months
|
Change in Executive functions (Neurocognitive Decline).
Time Frame: Baseline, 2, 4, 6, 12, 18, 24 months
|
This will be measured by "Numbers and Letters Ordering" test.
This test includes a divided attention component requiring mental flexibility (i.e., executive function).
On this subtest, dots with numbers and letters are randomly scattered.
Subjects are required to alternate between connecting numbers and letters in an ascending sequential order.
Subjects will order numbers and letters from 1 to 13 and from A to M by tapping them as fast as possible in consecutive and alternating order.
The total time in whole seconds to complete the array will be recorded.
A lower score indicates better functioning.
|
Baseline, 2, 4, 6, 12, 18, 24 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Rupesh R Kotecha, MD, Miami Cancer Institute
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gilbert MR, Dignam JJ, Armstrong TS, Wefel JS, Blumenthal DT, Vogelbaum MA, Colman H, Chakravarti A, Pugh S, Won M, Jeraj R, Brown PD, Jaeckle KA, Schiff D, Stieber VW, Brachman DG, Werner-Wasik M, Tremont-Lukats IW, Sulman EP, Aldape KD, Curran WJ Jr, Mehta MP. A randomized trial of bevacizumab for newly diagnosed glioblastoma. N Engl J Med. 2014 Feb 20;370(8):699-708. doi: 10.1056/NEJMoa1308573.
- Gondi V, Pugh SL, Tome WA, Caine C, Corn B, Kanner A, Rowley H, Kundapur V, DeNittis A, Greenspoon JN, Konski AA, Bauman GS, Shah S, Shi W, Wendland M, Kachnic L, Mehta MP. Preservation of memory with conformal avoidance of the hippocampal neural stem-cell compartment during whole-brain radiotherapy for brain metastases (RTOG 0933): a phase II multi-institutional trial. J Clin Oncol. 2014 Dec 1;32(34):3810-6. doi: 10.1200/JCO.2014.57.2909. Epub 2014 Oct 27.
- Wefel JS, Vardy J, Ahles T, Schagen SB. International Cognition and Cancer Task Force recommendations to harmonise studies of cognitive function in patients with cancer. Lancet Oncol. 2011 Jul;12(7):703-8. doi: 10.1016/S1470-2045(10)70294-1. Epub 2011 Feb 25.
- Horowitz TS, Suls J, Trevino M. A Call for a Neuroscience Approach to Cancer-Related Cognitive Impairment. Trends Neurosci. 2018 Aug;41(8):493-496. doi: 10.1016/j.tins.2018.05.001. Epub 2018 Jun 12.
- Armstrong TS, Wefel JS, Wang M, Gilbert MR, Won M, Bottomley A, Mendoza TR, Coens C, Werner-Wasik M, Brachman DG, Choucair AK, Mehta M. Net clinical benefit analysis of radiation therapy oncology group 0525: a phase III trial comparing conventional adjuvant temozolomide with dose-intensive temozolomide in patients with newly diagnosed glioblastoma. J Clin Oncol. 2013 Nov 10;31(32):4076-84. doi: 10.1200/JCO.2013.49.6067. Epub 2013 Oct 7.
- Lange M, Joly F, Vardy J, Ahles T, Dubois M, Tron L, Winocur G, De Ruiter MB, Castel H. Cancer-related cognitive impairment: an update on state of the art, detection, and management strategies in cancer survivors. Ann Oncol. 2019 Dec 1;30(12):1925-1940. doi: 10.1093/annonc/mdz410.
- Noll KR, Bradshaw ME, Rexer J, Wefel JS. Neuropsychological Practice in the Oncology Setting. Arch Clin Neuropsychol. 2018 May 1;33(3):344-353. doi: 10.1093/arclin/acx131.
- Brown PD, Pugh S, Laack NN, Wefel JS, Khuntia D, Meyers C, Choucair A, Fox S, Suh JH, Roberge D, Kavadi V, Bentzen SM, Mehta MP, Watkins-Bruner D; Radiation Therapy Oncology Group (RTOG). Memantine for the prevention of cognitive dysfunction in patients receiving whole-brain radiotherapy: a randomized, double-blind, placebo-controlled trial. Neuro Oncol. 2013 Oct;15(10):1429-37. doi: 10.1093/neuonc/not114. Epub 2013 Aug 16.
- Casey DL, Pitter KL, Kushner BH, Cheung NV, Modak S, LaQuaglia MP, Wolden SL. Radiation Therapy to Sites of Metastatic Disease as Part of Consolidation in High-Risk Neuroblastoma: Can Long-term Control Be Achieved? Int J Radiat Oncol Biol Phys. 2018 Apr 1;100(5):1204-1209. doi: 10.1016/j.ijrobp.2018.01.008. Epub 2018 Jan 9.
- De Ruysscher D, Niedermann G, Burnet NG, Siva S, Lee AWM, Hegi-Johnson F. Radiotherapy toxicity. Nat Rev Dis Primers. 2019 Feb 21;5(1):13. doi: 10.1038/s41572-019-0064-5. Erratum In: Nat Rev Dis Primers. 2019 Mar 4;5(1):15.
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)
November 30, 2021
Primary Completion (Estimated)
November 1, 2025
Study Completion (Estimated)
November 1, 2027
Study Registration Dates
First Submitted
April 8, 2022
First Submitted That Met QC Criteria
August 15, 2022
First Posted (Actual)
August 17, 2022
Study Record Updates
Last Update Posted (Actual)
May 22, 2024
Last Update Submitted That Met QC Criteria
May 21, 2024
Last Verified
May 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2020-KOT-004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
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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