Evaluating Biomarkers of Cognitive Dysfunction in Patients With Cancer

NCT ID: NCT07226466

Last Updated: 2025-11-10

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

NOT_YET_RECRUITING

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-03-01

Study Completion Date

2028-05-31

Brief Summary

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This study investigates the effects of brain radiotherapy on cognitive function by evaluating plasma biomarkers and apolipoprotein E (APOE) genotype in patients with primary or metastatic brain tumors. Standard brain radiotherapy is known to impact cognitive outcomes, yet the underlying biological mechanisms remain unclear.

Detailed Description

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PRIMARY OBJECTIVES:

1. Assess plasma biomarkers for Aβ, GFAP, phospho Tau, and NfL pre- and post-radiotherapy.
2. Determine APOE genotype.
3. Evaluate neuropsychiatric testing aligned with standard of care brain MRIs and serum markers.
4. Measure brain morphometrics pre- and post-radiotherapy with standard of care brain MRIs.

SECONDARY OBJECTIVES:

1\. Measure patient-reported quality of life changes pre- and post-radiotherapy using a standard University of California, San Francisco (UCSF) -approved questionnaire.

OUTLINE:

This is a single-arm, non-randomized, open-label pilot study. Participants will be study duration spans 12 months post-brain radiotherapy.

Conditions

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Brain Tumor Adult Brain Metastases From Solid Tumors Brain Tumor, Primary Brain Tumor

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Adults with Brain Tumor Receiving Radiotherapy

The study entails longitudinal assessment of plasma biomarkers (Aβ, GFAP, phospho Tau, NfL), determination of APOE genotype, neuropsychiatric testing Brain Health Assessment test (BHA), a clinically validated neurocognitive battery compiling metrics on memory and language), and brain morphometric measurements synchronized with standard of care brain MRIs.

Blood sample

Intervention Type PROCEDURE

Blood sample will be collected

Brain magnetic resonance imaging (MRI)

Intervention Type PROCEDURE

Brain MRI will be performed during the course of data collection

Brain Health Assessment

Intervention Type PROCEDURE

Brain Health Assessment will be performed during the course of data collection

Quality of Life (QoL) Questionnaire

Intervention Type RADIATION

QoL questionnaire will be given to participants during the course of data collection

Interventions

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Blood sample

Blood sample will be collected

Intervention Type PROCEDURE

Brain magnetic resonance imaging (MRI)

Brain MRI will be performed during the course of data collection

Intervention Type PROCEDURE

Brain Health Assessment

Brain Health Assessment will be performed during the course of data collection

Intervention Type PROCEDURE

Quality of Life (QoL) Questionnaire

QoL questionnaire will be given to participants during the course of data collection

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

1. \>= 18 years old
2. Diagnosis of a primary brain tumor OR #3. Not both #2 and #3.
3. Diagnosis of primary solid tumor and secondary involvement of the brain
4. If the patient has brain metastases: fewer than 5 brain metastases (post-operative and definitive allowed), none \> 1 cm in max diameter.
5. Candidate for standard of care / usual care (SOC) focused brain radiotherapy.
6. No prior brain radiotherapy, including whole brain radiotherapy.
7. Eastern Cooperative Oncology Group (ECOG) functional score 0 or 1.
8. Estimated life expectancy post-treatment of \> 2 years.

Exclusion Criteria

1. Diagnosis of neurodegenerative disease (Alzheimer's disease, Parkinson's disease).
2. Diagnosis of memory disorder pre-treatment.
3. Leptomeningeal disease or disease involving either hippocampus.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean Nakamura, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status

Countries

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United States

Central Contacts

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Jean Nakamura, MD

Role: CONTACT

Phone: (415) 514-4997

Email: [email protected]

Facility Contacts

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Jean Nakamura, MD

Role: primary

Other Identifiers

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NCI-2025-01532

Identifier Type: REGISTRY

Identifier Source: secondary_id

249213

Identifier Type: -

Identifier Source: org_study_id