A Study of Memory, Thinking, and Brain Imaging in Adults With Histiocytosis

NCT ID: NCT03127709

Last Updated: 2025-05-02

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

ACTIVE_NOT_RECRUITING

Total Enrollment

13 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-07

Study Completion Date

2026-04-30

Brief Summary

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The purpose of this study is to try to understand how histopcytosis can cause symptoms or problems in the brain. The tests being done in the study will look at memory and thinking as well as brain function via MRI scan.

Detailed Description

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Conditions

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Histiocytosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Participants with a histiocytic disorder diagnosis

Participants will have a histiocytic disorder as determined by a corroborating constellation of histopathology, clinical, and/or radiologic findings.

Trail Making Test, Parts A & B

Intervention Type BEHAVIORAL

Part A is a timed measure of visual scanning and graphomotor speed. Part B is a timed measure of cognitive flexibility.

Brief Test of Attention

Intervention Type BEHAVIORAL

Assesses auditory working memory

Symbol Span

Intervention Type BEHAVIORAL

Assesses visual working memory

Controlled Oral Word Association Test

Intervention Type BEHAVIORAL

The COWA timed test of phonemic verbal fluency. It requires the subject to generate as many words as possible, beginning with a given letter of the alphabet (i.e., F, A, and S).

The Hopkins Verbal Learning Test-Revised

Intervention Type BEHAVIORAL

HVLT-R is a test of verbal learning and memory. Scores obtained are the total number of words.

Brief Visuospatial Memory Test-Revised

Intervention Type BEHAVIORAL

The BVMT-R is a test of visuospatial learning and memory.

Hospital Anxiety and Depression Scale

Intervention Type BEHAVIORAL

The HADS is a brief assessment validated in many cancer populations.

McGill Quality of Life Scale

Intervention Type BEHAVIORAL

This is a questionnaire that is a validated 17-item QOL instrument validated for ill patients and in the particular context of the ancer.

MR Brain Imaging

Intervention Type DIAGNOSTIC_TEST

Standard of care brain MR imaging includes high-resolution 3D T1-weighted images in the axial plane. The axial T1-weighted images will be isotropic with a typical matrix size of 256 x 256, 256 mm field-of-view (FOV) and 1 mm slice thickness covering the whole brain.

Resting state functional MRI

Intervention Type DIAGNOSTIC_TEST

Scanning will be performed on a 3 Tesla General Electric scanner (Optima 750W) with a GEM HNU 24-channel head coil. rsFMRI matching the FLAIR and T1 post-contrast images will be obtained. For resting state fMRI, T2\*-weighted images will be acquired with a single-shot gradient echo echo-planar imaging (EPI) sequence in the axial orientation (TR = 2500 ms, TE = 30 ms, FA = 80°, slice thickness = 4 mm, FOV= 240mm2, matrix=64×64) covering whole brain. For the resting state fMRI portion of the scan, patients will be instructed by the technologist or research staff to leave eyes open, focus on looking at a crosshair, and not think about anything during the scan.

Functional Assessment of Cancer Therapy Cognitive Scale (FACT-Cog)

Intervention Type BEHAVIORAL

This is a validated 37-item QOL instrument for cancer patients with cognitive complaints. The measures consist of FACT-Cog total, perceived cognitive impairments, perceived cognitive abilities, and impact on quality of life.

Interventions

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Trail Making Test, Parts A & B

Part A is a timed measure of visual scanning and graphomotor speed. Part B is a timed measure of cognitive flexibility.

Intervention Type BEHAVIORAL

Brief Test of Attention

Assesses auditory working memory

Intervention Type BEHAVIORAL

Symbol Span

Assesses visual working memory

Intervention Type BEHAVIORAL

Controlled Oral Word Association Test

The COWA timed test of phonemic verbal fluency. It requires the subject to generate as many words as possible, beginning with a given letter of the alphabet (i.e., F, A, and S).

Intervention Type BEHAVIORAL

The Hopkins Verbal Learning Test-Revised

HVLT-R is a test of verbal learning and memory. Scores obtained are the total number of words.

Intervention Type BEHAVIORAL

Brief Visuospatial Memory Test-Revised

The BVMT-R is a test of visuospatial learning and memory.

Intervention Type BEHAVIORAL

Hospital Anxiety and Depression Scale

The HADS is a brief assessment validated in many cancer populations.

Intervention Type BEHAVIORAL

McGill Quality of Life Scale

This is a questionnaire that is a validated 17-item QOL instrument validated for ill patients and in the particular context of the ancer.

Intervention Type BEHAVIORAL

MR Brain Imaging

Standard of care brain MR imaging includes high-resolution 3D T1-weighted images in the axial plane. The axial T1-weighted images will be isotropic with a typical matrix size of 256 x 256, 256 mm field-of-view (FOV) and 1 mm slice thickness covering the whole brain.

Intervention Type DIAGNOSTIC_TEST

Resting state functional MRI

Scanning will be performed on a 3 Tesla General Electric scanner (Optima 750W) with a GEM HNU 24-channel head coil. rsFMRI matching the FLAIR and T1 post-contrast images will be obtained. For resting state fMRI, T2\*-weighted images will be acquired with a single-shot gradient echo echo-planar imaging (EPI) sequence in the axial orientation (TR = 2500 ms, TE = 30 ms, FA = 80°, slice thickness = 4 mm, FOV= 240mm2, matrix=64×64) covering whole brain. For the resting state fMRI portion of the scan, patients will be instructed by the technologist or research staff to leave eyes open, focus on looking at a crosshair, and not think about anything during the scan.

Intervention Type DIAGNOSTIC_TEST

Functional Assessment of Cancer Therapy Cognitive Scale (FACT-Cog)

This is a validated 37-item QOL instrument for cancer patients with cognitive complaints. The measures consist of FACT-Cog total, perceived cognitive impairments, perceived cognitive abilities, and impact on quality of life.

Intervention Type BEHAVIORAL

Other Intervention Names

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BTA WMS-IV COWA HVLT-R BVMT-R HADS McGill QOL rsFMRI

Eligibility Criteria

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Inclusion Criteria

* Age greater than or equal to 18 years.
* Fluency in English
* Diagnosis of a histiocytic disorder as determined, in the opinion of the study PI, by a corroborating constellation of histopathology, clinical, and/or radiologic findings.
* Will undergo Standard of Care MRI.

Exclusion Criteria

* Known intracranial involvement of histiocytosis (including dura, leptomeninges and brain parenchyma)
* Prior stroke or intracranial hemorrhage
* Other (non-histiocytic) intracranial neoplasm or neurological disorder deemed by the PI or Co-PI to confound neuroimaging studies (e.g., demyelinating disease)
* Existing diagnosis of a psychiatric disorder or untreated mood disturbance
* Existing diagnosis of a neurodegenerative disease, such as Alzheimer's disease
* Chronic or daily excessive alcohol consumption as determined by the PI.
* History of chronic use of corticosteroids, defined as continuous treatment for six months or longer at any time in the past
* History of severe claustrophobia or other contraindications to patient SOC brain MRI
* Prior intravenous cytarabine or cladribine
* Other current or prior treatments (e.g., high-dose chemotherapy for a different cancer) deemed by the PI or Co-PI to confound imaging studies or cognitive performance
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eli Diamond, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Basking Ridge

Basking Ridge, New Jersey, United States

Site Status

Memorial Sloan Kettering Monmouth

Middletown, New Jersey, United States

Site Status

Memorial Sloan Kettering Cancer Center @ Suffolk

Commack, New York, United States

Site Status

Memorial Sloan Kettering Westchester

Harrison, New York, United States

Site Status

Countries

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United States

Related Links

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http://mskcc.org

Memorial Sloan Kettering

Other Identifiers

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17-199

Identifier Type: -

Identifier Source: org_study_id

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