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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00594724
Other study ID # 02-093
Secondary ID
Status Completed
Phase N/A
First received January 7, 2008
Last updated June 11, 2014
Start date November 2002
Est. completion date June 2014

Study information

Verified date June 2014
Source Memorial Sloan Kettering Cancer Center
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

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.


Description:

The purpose of this investigation is to determine cortical mechanisms of adaptation to surgical or radiation treatment to the tongue. This study will use a non-invasive imaging technique, Functional Magnetic Resonance Imaging (fMRI), to investigate cortical responses to partial glossectomy or radiation therapy for treatment of a tongue malignancy. Patients with Stage I-IV (AJCC) malignancies of the tongue who are treated with surgery and or radiation therapy will be imaged using fMRI pre-operatively and at approximately six months postoperatively.

Patterns of brain activity from the fMRI studies will be compared with matched healthy control subjects. The results of this investigation will provide needed information on both central and peripheral mechanisms of adaptation.


Recruitment information / eligibility

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.

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic


Related Conditions & MeSH terms


Intervention

Procedure:
MRI
Adaptation Using Functional Magnetic Resonance Imaging and Diffusion Tensor Imaging

Locations

Country Name City State
United States Memorial Sloan Kettering Cancer Center New York New York

Sponsors (3)

Lead Sponsor Collaborator
Memorial Sloan Kettering Cancer Center New York Presbyterian Hospital, Rockefeller University

Country where clinical trial is conducted

United States, 

Outcome

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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