MRI Study of Changes in Blood-Brain/Tumor-Barrier Permeability in Patients With Brain Metastases During and After Radiotherapy

NCT ID: NCT02031237

Last Updated: 2019-07-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

52 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-04-30

Study Completion Date

2014-12-31

Brief Summary

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This study aims to assess changes in vascular permeability in the brain tumor, and in the surrounding brain, due to radiation therapy, using Magnetic Resonance Imaging (MRI).

Detailed Description

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Conditions

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Brain Metastases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Stereotactic Radiosurgery (SRS)

Patients with brain metastases receiving single fraction Stereotactic Radiosurgery (SRS). This intervention is not assigned by the investigator. Treatment has been decided prior to study enrollment.

MRI scans will be performed approximately 1-2 weeks prior to SRS, and 1-2 weeks and 1 month after SRS. The MRI scan will include a routine clinical MRI series.

Single Fraction Stereotactic Radiosurgery (SRS)

Intervention Type RADIATION

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Magnetic Resonance Imaging (MRI) Assessments

Intervention Type DEVICE

MRI scans will include a routine clinical MRI series.

Whole Brain Radiation Therapy

Patients with brain metastases receiving fractionated (spread out over time) Whole Brain Radiation Therapy (WBRT). This intervention is not assigned by the investigator. Treatment has been decided prior to study enrollment.

MRI scans will be performed approximately 1-2 weeks prior to RT, at the end of RT and 1 month after RT. The MRI scan will include a routine clinical MRI series.

Fractionated Whole Brain Radiation Therapy (WBRT)

Intervention Type RADIATION

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Magnetic Resonance Imaging (MRI) Assessments

Intervention Type DEVICE

MRI scans will include a routine clinical MRI series.

Stereotactic Radiation Therapy

Patients with brain metastases receiving fractionated (spread out over time) Stereotactic Radiation Therapy (FSRT). This intervention is not assigned by the investigator. Treatment has been decided prior to study enrollment.

MRI scans will be performed approximately 1-2 weeks prior to FSRT, during the last week of RT but before the last fraction and 1 month after RT. The MRI scan will include a routine clinical MRI series.

Fractionated Stereotactic Radiation Therapy (FSRT)

Intervention Type RADIATION

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Magnetic Resonance Imaging (MRI) Assessments

Intervention Type DEVICE

MRI scans will include a routine clinical MRI series.

Interventions

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Single Fraction Stereotactic Radiosurgery (SRS)

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Intervention Type RADIATION

Fractionated Whole Brain Radiation Therapy (WBRT)

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Intervention Type RADIATION

Fractionated Stereotactic Radiation Therapy (FSRT)

Intervention will not be assigned by the investigator. Treatment determination will be made prior to study enrollment.

Intervention Type RADIATION

Magnetic Resonance Imaging (MRI) Assessments

MRI scans will include a routine clinical MRI series.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with a histological confirmed malignancy and presence of intraparenchymal brain metastases
* Patients are treated by WBRT, SRS, or FSRT
* Age greater than or equal to 18 years
* A life expectancy of greater than or equal to 8 weeks
* Karnofsky performance status (an assessment of general well being and ability to do activities of daily living; scale ranges from 0 to 100 where 100 is perfect health) greater than or equal to 60
* Informed consent with signed study-specific informed consent form

Exclusion Criteria

* Major medical or psychiatric illness, which, in the investigator's opinion, will prevent completion of the protocol
* Patients with lepto-meningeal metastases documented by Magnetic Resonance Imagine (MRI), Computed Tomography (CT), or Cerebrospinal Fluid (CSF) evaluation
* For patients that will undergo Whole Brain Radiation Therapy (WBRT), previous WBRT is not allowed. Patients who have had brain metastases managed by Stereotactic Radiosurgery (SRS), Fractionated Stereotactic Radiation Therapy (FSRT), or surgery are eligible
* For patients that will undergo Stereotactic Radiosurgery (SRS), previous Whole Brain Radiation Therapy (WBRT) within 5 months prior to study entry is not allowed. Prior Stereotactic Radiosurgery (SRS), Fractionated Stereotactic Radiation Therapy (FSRT), or surgery is allowed if current treatment will be for a lesion(s) not previously treated.
* For patients that will undergo Fractionated Stereotactic Radiation Therapy (FSRT), previous Whole Brain Radiation Therapy (WBRT) within 5 months prior to study entry is not allowed. Prior Stereotactic Radiosurgery (SRS), Fractionated Stereotactic Radiation Therapy (FSRT), or surgery is allowed if current treatment will be for a lesion(s) not previously treated.
* Patients unable to undergo or tolerate MRI scans (presence of cardiac pacemaker, implanted cardiac defibrillator, aneurysm clips, etc).
* Patients should have no contraindications to having a contrast enhanced Magnetic Resonance Imaging (MRI) scan. These contraindications will be assessed at the time of enrollment using the guidelines set up and in clinical use by the University of Michigan.
* Women who are pregnant are excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan Rogel Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yue Cao, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Michigan Rogel Cancer Center

Locations

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University of Michigan Hospital

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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HUM00043426

Identifier Type: OTHER

Identifier Source: secondary_id

UMCC 2005.003

Identifier Type: -

Identifier Source: org_study_id

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