Breast Cancer Clinical Trial
— Brain fMRI-BCOfficial title:
A Pilot Study of Structural and Functional Brain Magnetic Resonance Imaging Findings of Chemotherapy Toxicity in Older Women With Breast Cancer
Verified date | April 2024 |
Source | City of Hope Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This study will use advanced MRI techniques to characterize the changes that occur to the structure and functionality of the brain in older breast cancer patients receiving adjuvant chemotherapy, and determine the relationship between the brain changes and severity of chemotherapy toxicity. Our results will be an early step towards identifying neuroimaging markers of aging, breast cancer and chemotherapy treatment, and will contribute to our understanding of the underlying pathophysiology of cognitive changes and chemotherapy toxicity in vulnerable, older adults with cancer. Furthermore, the work will lay the foundation for future, larger scale clinical studies of cognitive changes and chemotherapy toxicity in the aging cancer population.
Status | Active, not recruiting |
Enrollment | 49 |
Est. completion date | December 31, 2024 |
Est. primary completion date | December 31, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - 1) Patients with stage I-III breast cancers who are to receive adjuvant chemotherapy; - 2) Able to understand English (the functional MRI task paradigms and neurocognitive testing are not validated in languages other than English); - 3) Able to provide informed consent; - 4) Patients age = 65 and of any performance status. Exclusion Criteria: - 1) Patients with metastatic disease; - 2) Patients with MRI exclusion criteria such as claustrophobia, cardiac pacemaker, and orbital metal implants. |
Country | Name | City | State |
---|---|---|---|
United States | City of Hope Medical Center | Duarte | California |
United States | South Pasadena Cancer Center | South Pasadena | California |
Lead Sponsor | Collaborator |
---|---|
City of Hope Medical Center | National Institute on Aging (NIA) |
United States,
Chen BT, Ghassaban K, Jin T, Patel SK, Ye N, Sun CL, Kim H, Rockne RC, Mark Haacke E, Root JC, Saykin AJ, Ahles TA, Holodny AI, Prakash N, Mortimer J, Waisman J, Yuan Y, Somlo G, Li D, Yang R, Tan H, Katheria V, Morrison R, Hurria A. Subcortical brain iron deposition and cognitive performance in older women with breast cancer receiving adjuvant chemotherapy: A pilot MRI study. Magn Reson Imaging. 2018 Dec;54:218-224. doi: 10.1016/j.mri.2018.07.016. Epub 2018 Aug 2. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Intensity of brain activation during functional brain MRI. | Prior to and after chemotherapy in older patients with breast cancer. | 2 years | |
Secondary | NIH Tool box cognitive assessment. | Secondary measures include the changes in cognitive assessment measured by NIH Toolbox cognitive testing prior to and after chemotherapy. | 2 years | |
Secondary | Structural MRI brain parameters. | These secondary measures include gray matter density, fractional anisotropy (FA) and resting-state brain connectivity. | 2 years | |
Secondary | Chemotherapy toxicity. | Chemotherapy toxicity as a secondary outcome measure will be captured in a standardized manner using the NCI Common Toxicity Criteria for Adverse Events (v4.0) (NCI CT CAE version 4.0). Furthermore, we will determine the association of the brain MRI parameters for both structure and function with chemotherapy toxicity in older patients with breast cancer. | 2 years |
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