7 Tesla MRI Neuroimaging in Testicular Cancer Patients With Hypogonadism and on Androgen Replacement Therapy

NCT ID: NCT06191575

Last Updated: 2025-12-22

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

SUSPENDED

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-11-29

Study Completion Date

2027-12-31

Brief Summary

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This study evaluates 7 Tesla (T) magnetic resonance imaging (MRI) in observing changes in the brain (neuroimaging) in testicular cancer patients who have decreased testosterone (hypogonadism) and are on testosterone (androgen) replacement therapy. Symptoms of hypogonadism can include fatigue, weakness, loss of libido, depression, poor concentration and erectile dysfunction. Some patients experience mental changes after diagnosis and treatment. There is some evidence that hypogonadism produces structural changes in the brain. The 7T MRI uses radio waves and a very powerful magnet linked to a computer to create detailed pictures of areas inside the body. This study may help researchers learn if 7T MRI can produce better images to assess the changes in the brain structure of testicular patients with hypogonadism and on androgen replacement therapy (ART).

Detailed Description

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PRIMARY OBJECTIVE:

I. To assess longitudinal structural changes in brain architecture using MRI in hypogonadal men with testis cancer being treated with androgen replacement therapy.

OUTLINE: This is an observational study.

Patients undergo 7T MRI over 1-2 hours at baseline and at 12 months after baseline. Patients also undergo a proctored cognitive assessment over approximately 1 hour prior to each MRI. Additionally, patients undergo blood sample collection at screening and at 12 months after baseline MRI.

Conditions

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Hypogonadism Malignant Testicular Germ Cell Tumor

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational (7T MRI, cognitive assessment, blood collection)

Patients undergo 7T MRI over 1-2 hours at baseline and at 12 months after baseline. Patients also undergo a proctored cognitive assessment over approximately 1 hour prior to each MRI. Additionally, patients undergo blood sample collection at screening and at 12 months after baseline MRI.

7 Tesla Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo 7T MRI

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood sample collection

Cognitive Assessment

Intervention Type PROCEDURE

Undergo cognitive assessment

Interventions

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7 Tesla Magnetic Resonance Imaging

Undergo 7T MRI

Intervention Type PROCEDURE

Biospecimen Collection

Undergo blood sample collection

Intervention Type PROCEDURE

Cognitive Assessment

Undergo cognitive assessment

Intervention Type PROCEDURE

Other Intervention Names

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7 T MRI 7 Tesla MRI Biological Sample Collection Biospecimen Collected Specimen Collection

Eligibility Criteria

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Inclusion Criteria

* Males age \>= 18 years
* Diagnosed with germ cell tumor of the testis (seminoma or non-seminoma) and treated with radical orchiectomy
* Diagnosed with hypogonadism and started androgen replacement therapy 6 months prior (+/- 2 weeks)
* Ability to understand and the willingness to sign a written informed consent
* Ability to undergo imaging procedure without any form of sedation

Exclusion Criteria

* History of any neuropsychiatric disease
* History of narcotic use or psychiatric medications
* History of ART prior to current ART regimen
* Standard contraindications for MRI:

* Prior work as a machinist or metal worker, or history of metal being removed from the eyes
* Cardiac pacemaker or internal pacing wires
* Non-MRI compatible vena cava filter, vascular aneurysm clip, heart valve, spinal or ventricular shunt, optic implant, neuro-stimulator unit, ocular implant, or intrauterine device, or
* Claustrophobia, or uncontrollable motion disorder
* Current active second malignancy
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mark S Shiroishi, MD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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Los Angeles County-USC Medical Center

Los Angeles, California, United States

Site Status

USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2022-07931

Identifier Type: REGISTRY

Identifier Source: secondary_id

4T-22-1

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA014089

Identifier Type: NIH

Identifier Source: secondary_id

View Link

4T-22-1

Identifier Type: -

Identifier Source: org_study_id