Tongue Carcinoma Clinical Trial
Official title:
Improving Therapeutic Outcomes in the Tongue Carcinoma Patient: Assessment of Adaptation Using Functional Magnetic Resonance Imaging and Diffusion Tensor Imaging
The purpose of this study is to see how the brain re-learns to control the tongue in
speaking and swallowing when either portions of the tongue have been removed, or when the
tongue has been treated with radiation, in order to treat cancer. We hope the results of
this study will help us to improve healing for patients who are being treated for cancer of
the tongue.
When patients with cancer of the tongue are treated by removing parts of the tongue
(surgery) or by destroying the cancer with radiation to the tongue, they have significant
difficulty speaking and swallowing after such treatments. At this time, patients who have
been treated for cancer of the tongue re-learn speaking and swallowing through exercises
taught by a speech pathologist.
What is needed is information on how the brain re-learns to control speaking and swallowing
so that we can help these patients re-learn faster after their treatments.
Status | Completed |
Enrollment | 99 |
Est. completion date | June 2014 |
Est. primary completion date | June 2014 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 21 Years to 75 Years |
Eligibility |
Inclusion Criteria: Inclusion criteria for the tongue carcinoma patients: - Primary malignancy of the oral or base of tongue, Stage I-IV of AJCC staging system, planned for surgical or radiation therapy. Inclusion criteria for the healthy subjects: - Healthy adult subjects between the ages of 21-75 years. Exclusion Criteria: Exclusion criteria for the tongue carcinoma patients include the following: - History of significant psychiatric condition (e.g. schizophrenia, obsessive-compulsive disorder, significant dementia), - History of the following neurological conditions: CVA, seizure disorders, demyelinating conditions, systemic neuromuscular disorders, cerebral palsy, Alzheimer's disease. - History of previous moderate to severe traumatic brain injury. - History of significant cardiovascular, respiratory, gastrointestinal or renal disease (e.g.myocardial infarction within the previous 12 months, significant vaso-occlusive disease,severe or advanced asthma, COPD, emphysema, gastroesophageal reflux disease, or renal compromise) - History of achalasia - History of other neoplasms involving the brain, head and neck, or gastrointestinal system. - History of dysphagia, odynophagia, or aphasia unrelated to present illness. - History of significant claustrophobic reactions. - Standard contraindications to MR examinations (e.g. implanted stimulators). Exclusion criteria for the healthy subjects includes the all of the conditions listed for the tongue: - Carcinoma patients and additionally includes history of significant surgery or previous radiation therapy to the head and neck - Previous history of dysphagia, odynophagia, aphasia, pregnancy,and standard contraindications to MR examinations. |
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Country | Name | City | State |
---|---|---|---|
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Memorial Sloan Kettering Cancer Center | New York Presbyterian Hospital, Rockefeller University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To utilize fMRI to characterize adaptation to alterations in tongue morphology & function following either surgical therapy, or radiation/chemotherapy to tongue in patients undergoing treatment of malignancies involving the tongue. | 7 years | No | |
Secondary | Determine relationship between mechanisms of adaptation at level of central nervous system to alterations in function in the tongue. | 7 years | No | |
Secondary | Determine changes in cortical activity in representation of tongue movement that occur pre and post-treatment. | 7 years | No | |
Secondary | Determine the central neural response to direct peripheral rehabilitation strategies. | conclusion of study | No |
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