Genetic Testing of Cerebrospinal Fluid to Diagnose and Monitor Glioblastoma

NCT ID: NCT05927610

Last Updated: 2025-05-21

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-19

Study Completion Date

2024-02-15

Brief Summary

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The goal of this study is to determine the utility of cerebrospinal fluid (CSF) cell-free DNA (cfDNA) as a prognostic biomarker in glioblastoma (GBM).

Detailed Description

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Conditions

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Glioblastoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Cohort A

Cohort A will consist of newly diagnosed patients with Glioblastoma. Eligibility for enrollment prior to pathology diagnosis will be determined by a consensus diagnosis of high grade glioma based on clinical and radiographic evidence between neuroradiologist, neurosurgeon and study PI.

Group Type EXPERIMENTAL

Lumber Puncture

Intervention Type DIAGNOSTIC_TEST

During the lumbar puncture/LP, 20cc will be collected per standard practice in adult patients. LP will be performed either at bedside or under interventional radiology (IR) guidance (due to patient anatomy).

Cohort B

Cohort B will consist of patients with a histologically confirmed diagnosis of IDH WT glioblastoma.

Group Type EXPERIMENTAL

Lumber Puncture

Intervention Type DIAGNOSTIC_TEST

During the lumbar puncture/LP, 20cc will be collected per standard practice in adult patients. LP will be performed either at bedside or under interventional radiology (IR) guidance (due to patient anatomy).

Interventions

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Lumber Puncture

During the lumbar puncture/LP, 20cc will be collected per standard practice in adult patients. LP will be performed either at bedside or under interventional radiology (IR) guidance (due to patient anatomy).

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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LP

Eligibility Criteria

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Inclusion Criteria

Cohort A

* Participants must be able to understand and be willing to sign a written informed consent document
* Age ≥ 18 years
* MRI with contrast-enhancing lesion concerning for high-grade glioma in absence of known systemic malignancy
* Clinical consensus of presumed diagnosis of high grade glioma between (1) neuroradiology (2) neurosurgery; and (3) principal investigator
* No prior tumor directed therapy
* Planned radiation therapy for glioblastoma
* Patients must be willing and able to tolerate MRI scans and/or CT scans w/ contrast
* Patients must be willing to consent to MSK IRB#12-245

Cohort B

* Participants must be able to understand and be willing to sign a written informed consent document
* Age ≥ 18 years
* Histologic confirmed glioblastoma (WHO grade IV), IDH wild type per IHC
* No prior tumor-directed therapies except surgical resection or biopsy
* Patients who have gliadel wafers placed during upfront surgery are excluded
* Planned radiation therapy for glioblastoma
* Patients must be willing and able to tolerate MRI scans and/or CT scans w/ contrast
* Patients must be willing to consent to MSK IRB#12-245

Exclusion Criteria

Cohorts A and B

* Any case for which there is a medical contraindication or safety concern regarding a lumbar puncture under standard medical guidelines at MSK
* Refusal to undergo serial lumbar punctures
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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Alexandra Miller, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Related Links

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http://www.mskcc.org

Memorial Sloan Kettering Cancer Center

Other Identifiers

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23-058

Identifier Type: -

Identifier Source: org_study_id

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