Malignant Glioma Clinical Trial
Official title:
Evaluating the Impact of 18F-DOPA-PET on Neurosurgical Planning for Gliomas
Verified date | June 2023 |
Source | Mayo Clinic |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This pilot clinical trial studies fluorine F 18 fluorodopa (18F-DOPA)-positron emission tomography (PET) in planning surgery in patients with gliomas. New imaging procedures, such as 18F-DOPA-PET scan, may help find gliomas and may help in planning surgery.
Status | Active, not recruiting |
Enrollment | 72 |
Est. completion date | December 15, 2024 |
Est. primary completion date | October 25, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 7 Years and older |
Eligibility | Inclusion Criteria: - MRI findings compatible with newly diagnosed or recurrent high- or low-grade malignant glioma - Planned craniotomy and resection or biopsy - Willing to sign release of information for any radiation and/or follow-up records - Provide informed written consent if >= 18 years; if < 18 years, provide informed written assent and parent or legal guardian provide informed written consent - Ability to provide tissue for mandatory correlative research component Exclusion Criteria: - Unable to undergo MRI scans with contrast (e.g. cardiac pacemaker, defibrillator, kidney failure) - Unable to undergo an 18F-DOPA PET scan (e.g. Parkinson's disease, taking anti-dopaminergic, or dopamine agonist medication or less than 6 half-lives from discontinuance of dopamine agonists; NOTE: other potentially interfering drugs: amoxapine, amphetamine, benztropine, buproprion, buspirone, cocaine, mazindol, methamphetamine, methylphenidate, norephedrine, phentermine, phenylpropanolamine, selegiline, paroxetine, citalopram, and sertraline; if a patient is on any of these drugs, list which ones on the on-study form - Any of the following: - Pregnant women - Nursing women - Men or women of childbearing potential who are unwilling to employ adequate contraception |
Country | Name | City | State |
---|---|---|---|
United States | Mayo Clinic | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Mayo Clinic | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Accurate identification of the highest grade/highest density disease | Paired t-test statistical analysis will be used to evaluate differences in volumes identified using biopsy-validated thresholds as highly aggressive disease comparing 18F-DOPA uptake and relative cerebral blood volume from pMRI. | Up to 5 years | |
Other | Accurate identification of tumor extent | Paired t-test statistical analysis will be used to evaluate differences in volumes identified using biopsy-validated thresholds as disease extent comparing 18F-DOPA PET and diffusion maps from DTI. | Up to 5 years | |
Other | Role of metabolic imaging in neurosurgical resection planning | Paired t-test analysis will be performed to determine the level of statistical significance between conventional MRI only and PET + MRI volumes. | Up to 5 years | |
Primary | Ratios of maximum tumor standardized uptake value (SUVmax) normalized to mean SUV (SUVmean) of T/N | To determine the optimal PET threshold for distinguishing HGG from LGG brain tissue, receiver operating characteristic (ROC) analysis and the Youden's index (sum of the sensitivity and specificity - 1) will be used. The Youden's index will be calculated for each possible T/N threshold. The final ROC area under the curve (AUC) value and confidence intervals will be estimated using ROC analysis methods for clustered continuous data as described by Obychowski. | Up to 5 years | |
Secondary | Differences in volumes generated from biopsy-validated thresholds evaluated by 18F-DOPA-PET, pMRI, and DTI | Paired t-test statistical analysis will be performed to determine if any differences exist and the level of statistical significance between volumes. | Up to 5 years | |
Secondary | Histologic grade of the specimen defined as HGG, LGG, or non-malignant brain tissue | The relationship between these T/N values, MRI contrast enhancement values, and the histologic grade of the specimen (HGG, LGG, or non-malignant brain tissue) will be determined using multivariate linear regression. These models will also include as appropriate the specimen cellularity and necrosis values. | Up to 5 years | |
Secondary | MRI contrast enhancement values | The relationship between these T/N values, MRI contrast enhancement values, and the histologic grade of the specimen (HGG, LGG, or non-malignant brain tissue) will be determined using multivariate linear regression. These models will also include as appropriate the specimen cellularity and necrosis values. | Up to 5 years | |
Secondary | Progression free survival | The time from study entry to progression, assessed up to 5 years | ||
Secondary | Proportion of patients whose maximum 18F-DOPA uptake samples are in agreement with the final diagnostic grade | Associated confidence intervals will be estimated based on dividing the number of patients whose samples agree by the total number of patients. | Up to 5 years |
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