Fluorine F 18 Fluorodopa-Labeled PET Scan in Planning Surgery and Radiation Therapy in Treating Patients With Newly Diagnosed High- or Low-Grade Malignant Glioma

NCT ID: NCT01165632

Last Updated: 2025-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-26

Study Completion Date

2019-07-26

Brief Summary

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RATIONALE: New imaging procedures, such as fluorine F 18 fluorodopa-labeled PET scan, may help in guiding surgery and radiation therapy and allow doctors to plan better treatment.

PURPOSE: This clinical trial studies fluorine F 18 fluorodopa-labeled PET scan in planning surgery and radiation therapy in treating patients with newly diagnosed high- or low-grade malignant glioma

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine correlation between 18F-FDOPA PET activity, MRI contrast enhancement, and high- or low-grade glioma biopsies.

II. To compare radiotherapy target volume delineation with and without 18F- FDOPA-PET metabolic imaging information to determine role of metabolic imaging in radiotherapy treatment planning.

SECONDARY OBJECTIVES:

I. To determine correlation between concordance of 18F-FDOPA PET activity, MRI contrast enhancement, and high- or low-grade glioma biopsies and patient outcomes including overall survival and progression free survival.

OUTLINE:

Beginning at no more than 1 week before biopsy and resection, patients undergo fluorine F 18 fluorodopa-labeled PET/CT scan and pre-operative MRI. Patients then undergo stereotactic craniotomy. Some patients may also undergo radiation therapy.

After completion of study treatment, patients are followed up every year for 5 years.

Conditions

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Adult Anaplastic Astrocytoma Adult Anaplastic Ependymoma Adult Anaplastic Oligodendroglioma Adult Brain Stem Glioma Adult Diffuse Astrocytoma Adult Ependymoma Adult Giant Cell Glioblastoma Adult Glioblastoma Adult Gliosarcoma Adult Mixed Glioma Adult Myxopapillary Ependymoma Adult Oligodendroglioma Adult Pilocytic Astrocytoma Adult Pineal Gland Astrocytoma Adult Subependymal Giant Cell Astrocytoma Adult Subependymoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Arm I

Beginning at no more than 1 week before biopsy or resection, patients undergo fluorine F 18 fluorodopa-labeled PET/CT scan and pre-operative MRI. Patients then undergo stereotactic craniotomy. Some patients may also undergo radiation therapy.

Group Type EXPERIMENTAL

biopsy

Intervention Type PROCEDURE

Correlative studies

computed tomography

Intervention Type PROCEDURE

Undergo computed tomography

therapeutic conventional surgery

Intervention Type PROCEDURE

Undergo stereotactic craniotomy

radiation therapy treatment planning/simulation

Intervention Type RADIATION

Undergo radiation therapy treatment planning/simulation

radiation therapy

Intervention Type RADIATION

Undergo radiation therapy

magnetic resonance imaging

Intervention Type PROCEDURE

Undergo magnetic resonance imaging

positron emission tomography

Intervention Type PROCEDURE

Undergo positron emission tomography

fluorine F 18 fluorodopa

Intervention Type DRUG

Given IV

Interventions

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biopsy

Correlative studies

Intervention Type PROCEDURE

computed tomography

Undergo computed tomography

Intervention Type PROCEDURE

therapeutic conventional surgery

Undergo stereotactic craniotomy

Intervention Type PROCEDURE

radiation therapy treatment planning/simulation

Undergo radiation therapy treatment planning/simulation

Intervention Type RADIATION

radiation therapy

Undergo radiation therapy

Intervention Type RADIATION

magnetic resonance imaging

Undergo magnetic resonance imaging

Intervention Type PROCEDURE

positron emission tomography

Undergo positron emission tomography

Intervention Type PROCEDURE

fluorine F 18 fluorodopa

Given IV

Intervention Type DRUG

Other Intervention Names

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biopsies tomography, computed irradiation radiotherapy therapy, radiation MRI NMR imaging NMRI nuclear magnetic resonance imaging FDG-PET PET PET scan tomography, emission computed (18)F-FDOPA 18F-6- L-fluorodopa 18F-DOPA 18F-FDOPA

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years.
* MRI findings compatible with newly diagnosed high- or low-grade malignant glioma
* Planned craniotomy and resection or biopsy
* Willing to sign release of information for any radiation and/or follow-up records
* Negative pregnancy test done =\< 48 hours of injection of study drug, for women of childbearing potential only
* Provide informed written consent
* Patients with eGFR \< 60 mg/min/1.72m2 are eligible for the study; PLEASE NOTE: the patient is not eligible to receive the contrast for the pMRI at the study dose.

Exclusion Criteria

* Unable to undergo MRI scans with contrast (e.g. cardiac pacemaker, defibrillator, kidney failure)
* Unable to undergo an 18F-FDOPA PET scan (e.g. Parkinson's Disease, taking anti-dopaminergic, or dopamine agonist medication or less than 6 half-lives from discontinuance of dopamine agonists)
* Pregnant women; nursing women; men or women of childbearing potential who are unwilling to employ adequate contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nadia N. Laack, M.D.

Role: STUDY_CHAIR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2010-01607

Identifier Type: REGISTRY

Identifier Source: secondary_id

10-001904

Identifier Type: OTHER

Identifier Source: secondary_id

MC1078

Identifier Type: OTHER

Identifier Source: secondary_id

MC1078

Identifier Type: -

Identifier Source: org_study_id

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