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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03964909
Other study ID # 2016-0906
Secondary ID NCI-2019-0265320
Status Recruiting
Phase N/A
First received
Last updated
Start date April 24, 2017
Est. completion date December 31, 2026

Study information

Verified date April 2024
Source M.D. Anderson Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This clinical trial studies how well resting-state functional magnetic resonance imaging (MRI) and cerebrovascular reactivity (CVR) MRI performed before and after surgery works in measuring the effects on language in patients with glioma. Mapping language function before brain tumor resection is crucial for preventing post-surgical deficits and maximizing restoration of language function following surgery. Additional imaging, such as resting-state functional MRI and CVR MRI, may help measure the language network in the brain before surgery and any effects on language function after surgery.


Description:

PRIMARY OBJECTIVES: I. To develop a reliable platform for preoperative mapping of language networks using resting-state-functional magnetic resonance imaging (rs)-fMRI in glioma patients. SECONDARY OBJECTIVES: I. To explore the reorganizations of resting-state functional connectivity (FC) and their relation to neuropsychological outcomes in glioma patients after surgery. OUTLINE: Patients undergo standard of care functional (f)MRI, CVR MRI over 3 minutes, and rs-fMRI over 6 minutes 1 month before and within 6 weeks after standard of care surgery. After completion of study, patients are followed up at 4-6 weeks.


Recruitment information / eligibility

Status Recruiting
Enrollment 30
Est. completion date December 31, 2026
Est. primary completion date December 31, 2026
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - Patients with newly diagnosed brain mass suspected to be gliomas - English speaker - Right handed - Tumor is located on or adjacent to Broca's or Wernicke's areas in the hemisphere suspected to be dominant for language - No prior history of neurologic disease or insult, or neuropsychiatric illness requiring treatment that would affect cognition in the opinion of the attending neuropsychologist - Patients who will undergo neurosurgical resection - Patients who are on neurosurgical evaluation will undergo direct cortical stimulation (DCS) as standard of care - Patients who will complete pre- and postoperative neuropsychological testing per standard of care - Pregnant women Exclusion Criteria: - Patients with prior radiation or chemotherapy - Patients cannot give informed consent - Patients cannot undergo MRI and functional MRI examinations

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Functional Magnetic Resonance Imaging
Undergo fMRI
Magnetic Resonance Imaging
Undergo CVR MRI
Resting State Functional Connectivity Magnetic Resonance Imaging
Undergo rs-fMRI

Locations

Country Name City State
United States M D Anderson Cancer Center Houston Texas

Sponsors (2)

Lead Sponsor Collaborator
M.D. Anderson Cancer Center National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Detectability of language networks Will be performed using resting-state-functional magnetic resonance imaging (rs-fMRI). The receiver operating characteristic (ROC) analysis will be carried out to compare the difference between the diagnostic performance of the proposed method and that of the data-driven rs-fMRI method. The study will evaluate the performance of rs-fMRI by comparing with the standard of care intraoperative direct cortical stimulation. Up to 6 weeks
Secondary Changes in resting-state functional connectivity and neuropsychological outcomes Graph theoretical analysis and large-scale network analysis will be applied to analyze pre- and post- surgical rs-fMRI data, to explore how the functional reorganization is correlated to the changes of neuropsychological scores. Correlational analyses will be conducted to determine the associations between changes in rs-fMRI network features and neuropsychological functioning from the pre- to postoperative period. Up to 6 weeks
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