Image Guided Therapy in the Treatment of Gliomas

NCT ID: NCT01263821

Last Updated: 2017-08-04

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

TERMINATED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2014-04-30

Brief Summary

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RATIONALE: New imaging techniques using magnetic resonance imaging give better tumor definition, thus may lead to better tumor targeting and avoid damaging critical parts of normal brain.

PURPOSE: This phase I/II trial is studying how well image-guided therapy works in treating patients with newly diagnosed intracranial glioma.

Detailed Description

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PRIMARY OBJECTIVES:

I. To correlate the imaging findings with pathological grade following surgery in patients with newly diagnosed intra-cranial gliomas.

SECONDARY OBJECTIVES:

I. To determine the feasibility of defining the optimal target volume for radiation therapy using MR spectroscopy, diffusion, perfusion and functional imaging. II. To monitor therapeutic responses following treatment using MR spectroscopy, diffusion imaging and perfusion study.

III. To monitor changes in neurocognitive functioning following image guided therapy.

OUTLINE: Patients undergo magnetic resonance spectroscopic imaging, functional magnetic resonance imaging (MRI), diffusion-weighted MRI, and perfusion-weighted MRI. Patients then undergo maximum surgical resection followed by intensity-modulated radiation therapy (IMRT) 5 days a week for 6 weeks. After completion of study treatment, patients are followed up every 3 months for the first year then every 6 months for another year.

Conditions

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Glioma

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

Patients undergo magnetic resonance spectroscopic imaging, functional magnetic resonance imaging (MRI), diffusion-weighted MRI, and perfusion-weighted MRI. Patients then undergo maximum surgical resection followed by intensity-modulated radiation therapy (IMRT) 5 days a week for 6 weeks.

Group Type EXPERIMENTAL

Diffusion-weighted magnetic resonance imaging

Intervention Type PROCEDURE

Undergo diffusion-weighted MRI

Perfusion-weighted magnetic resonance imaging

Intervention Type PROCEDURE

Undergo perfusion-weighted magnetic resonance imaging

Functional magnetic resonance imaging

Intervention Type PROCEDURE

Undergo functional MRI

Magnetic resonance spectroscopic imaging

Intervention Type PROCEDURE

Undergo MR spectroscopic imaging

Therapeutic conventional surgery

Intervention Type PROCEDURE

Undergo maximal surgical resection

Quality-of-life assessment

Intervention Type PROCEDURE

Ancillary studies

Radiation therapy treatment planning/simulation

Intervention Type PROCEDURE

Undergo IMRT planning

Intensity-modulated radiation therapy

Intervention Type PROCEDURE

Undergo intensity-modulated radiation therapy

Questionnaire administration

Intervention Type OTHER

Ancillary studies

Interventions

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Diffusion-weighted magnetic resonance imaging

Undergo diffusion-weighted MRI

Intervention Type PROCEDURE

Perfusion-weighted magnetic resonance imaging

Undergo perfusion-weighted magnetic resonance imaging

Intervention Type PROCEDURE

Functional magnetic resonance imaging

Undergo functional MRI

Intervention Type PROCEDURE

Magnetic resonance spectroscopic imaging

Undergo MR spectroscopic imaging

Intervention Type PROCEDURE

Therapeutic conventional surgery

Undergo maximal surgical resection

Intervention Type PROCEDURE

Quality-of-life assessment

Ancillary studies

Intervention Type PROCEDURE

Radiation therapy treatment planning/simulation

Undergo IMRT planning

Intervention Type PROCEDURE

Intensity-modulated radiation therapy

Undergo intensity-modulated radiation therapy

Intervention Type PROCEDURE

Questionnaire administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Diffusion-weighted MRI Perfusion-weighted MRI fMRI, functional MRI 1H-nuclear MRSI, Proton MRSI IMRT

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed, newly diagnosed intracranial glioma
* A diagnostic contrast enhanced CT/MRI demonstrating the lesion prior to registration
* Karnofsky performance status \>= 60
* Ability to undergo MR imaging with the use of Gadolinium dye
* Patient must sign a study specific informed consent form; if the patient's mental status precludes his/her giving informed consent, written informed consent may be given by the patient's legal representative

Exclusion Criteria

* Inability to obtain histological proof of glioma
* Allergy to Gadolinium contrast
* Any condition including metallic implants or cardiac pace makers that make the candidate ineligible for MR imaging
* Any medical condition including renal or cardiac insufficiency that make the candidate a high risk for gadolinium contrast administration
* Karnofsky performance status of =\< 50
* Prior history of radiation therapy to the brain
* Pregnancy
Minimum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joshua Silverman, MD

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

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NYU Cancer Institute

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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09-0069

Identifier Type: -

Identifier Source: org_study_id

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