50 Participants Needed

MRI for Glioblastoma

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Jonsson Comprehensive Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial uses MRI scans (Magnetic Resonance Imaging) to study brain tumors in patients with glioblastoma, a severe type of brain cancer. The goal is to identify which patients might benefit most from bevacizumab, a common but costly treatment. Participants must have a glioblastoma tumor that can be surgically removed and hasn't returned within three months of completing radiation therapy. The trial requires an MRI scan before surgery to observe specific markers in the brain. This research could help tailor treatments to individual patients, potentially improving outcomes. As an unphased trial, this study offers a unique opportunity to contribute to personalized treatment strategies for glioblastoma.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

What prior data suggests that MRI is safe for studying brain tumor biology in glioblastoma patients?

Previous studies have shown that MRI (magnetic resonance imaging) has been used safely in various medical procedures, including those for brain tumors. Research indicates that using MRI during glioma surgery doesn't cause major safety issues, although it may extend the surgery by about 42 minutes on average. Importantly, there were no significant reports of harmful side effects from the MRI itself.

In this trial, MRI is a common imaging technique used to better understand brain tumors. Findings suggest that MRI is well-tolerated, particularly because it is non-invasive. The main purpose of MRI here is to provide detailed images of the brain, aiding doctors in making better treatment decisions. Overall, based on existing data, participating in a trial using MRI should not pose significant safety concerns.12345

Why are researchers excited about this trial?

Researchers are excited about using MRI for glioblastoma because it offers a non-invasive way to assess the tumor before surgery. Unlike traditional methods that might rely on invasive biopsies, MRI provides detailed images of the brain, helping surgeons plan procedures more accurately and potentially improving outcomes. This technique could lead to better-targeted treatments by allowing doctors to understand the tumor's characteristics and location without making an incision.

What evidence suggests that MRI is effective for studying glioblastoma?

Research shows that advanced MRI scans enhance understanding of glioblastoma and link these insights to patient outcomes. In this trial, participants will undergo an MRI scan during the screening process. MRI can predict how long a patient might live without cancer worsening and their overall survival. One study found that MRI accurately identifies patients with the condition 90% of the time and those without it 88% of the time. These findings suggest that MRI is a valuable tool in determining which patients might benefit from treatments like bevacizumab, helping to customize therapies and improve outcomes for glioblastoma patients.46789

Who Is on the Research Team?

BM

Benjamin M. Ellingson

Principal Investigator

UCLA / Jonsson Comprehensive Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults over 18 with new or returning glioblastoma, a type of brain tumor. Participants must have tumors larger than 1.5 mL that can be surgically removed and should not have had radiation therapy within the last three months.

Inclusion Criteria

I am older than 18 years.
I have a glioblastoma larger than 1.5 mL and need surgery, or my glioblastoma has recurred 3 months after radiation.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks
1 visit (in-person)

Imaging

Participants undergo one MRI scan over approximately 1 hour prior to surgery

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after imaging and surgery

Up to 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • Biospecimen Collection
  • Magnetic Resonance Imaging
Trial Overview The study uses MRI scans to understand brain tumor biology in glioblastoma patients eligible for surgery. It aims to find out which patients might benefit from a drug called bevacizumab by analyzing MRI images and biomarkers.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Screening (MRI)Experimental Treatment3 Interventions

Magnetic Resonance Imaging is already approved in United States for the following indications:

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Approved in United States as Lumakras (sotorasib) for:
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Approved in United States as Vectibix (panitumumab) for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Jonsson Comprehensive Cancer Center

Lead Sponsor

Trials
373
Recruited
35,200+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

The use of a tri-cobalt-60 MRI-guided radiation therapy device allows for daily MRI scans during treatment for glioblastoma, enabling real-time monitoring of changes in tumor size and surrounding tissue.
Daily MRI scans showed a general trend of decreasing cavity measurements in postoperative patients, suggesting that this approach could enhance tumor targeting and minimize radiation exposure to healthy brain tissue.
Daily Tracking of Glioblastoma Resection Cavity, Cerebral Edema, and Tumor Volume with MRI-Guided Radiation Therapy.Mehta, S., Gajjar, SR., Padgett, KR., et al.[2020]
Intraoperative radiotherapy (IORT) using the INTRABEAM system was successfully performed on a 56-year-old female patient with recurrent glioblastoma multiforme, delivering a surface dose of 20 Gy, which is a promising approach for treating this aggressive brain tumor.
The novel (23)Na-MRI technique showed comparable effectiveness to (18)F-FET-PET in detecting tumor recurrence and provided additional insights beyond standard (1)H-MRI, indicating its potential as a valuable imaging tool in monitoring glioblastoma.
²³Na-MRI of recurrent glioblastoma multiforme after intraoperative radiotherapy: technical note.Haneder, S., Giordano, FA., Konstandin, S., et al.[2018]
In a study of 61 glioblastoma patients undergoing 6 weeks of chemoradiation therapy, significant changes in tumor size and position were observed, with 40% of patients showing a decrease in tumor volume and notable migration distances greater than 5 mm during treatment.
These findings suggest that MRI-guided radiation therapy could enhance treatment outcomes by allowing for real-time adaptations to tumor dynamics, highlighting the importance of daily imaging in managing glioblastoma effectively.
Quantitating Interfraction Target Dynamics During Concurrent Chemoradiation for Glioblastoma: A Prospective Serial Imaging Study.Stewart, J., Sahgal, A., Lee, Y., et al.[2021]

Citations

Advanced Magnetic Resonance Imaging in the Evaluation of ...The results showed that for DSC, the pooled sensitivity was 90% and the specificity was 88%. For DCE, the pooled sensitivity was 89% and the specificity was 85% ...
Advanced magnetic resonance imaging for glioblastomaThis study explores advanced MRI techniques better to understand GBM properties and their link to patient outcomes.
Magnetic resonance spectroscopy guided radiotherapy ...Delivering a RT boost to high-risk tumor regions identified by MRS after standard RT is feasible in patients with GBM and demonstrate acceptable toxicity.
Magnetic resonance imaging in glioblastoma radiotherapyThe purpose of the study was to examine the safety of adaptive radiotherapy in glioblastoma, using a margin-reduction approach based on an interim magnetic ...
Prediction of Survival Outcomes in Patients with Glioma ...The present meta-analysis highlighted the ability of MRI to predict PFS and overall survival in patients with gliomas.
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/30137606/
Glioblastoma Treated With Magnetic Resonance Imaging ...Median overall survival after LITT for the total cohort was 11.5 mo, and median progression-free survival 6.6 mo. Conclusion: LITT appears to be ...
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39642374/
Efficacy and safety of intraoperative MRI in glioma surgeryIntraoperative MRI use prolongs surgery by 42 minutes on average (95% CI 3.3-80.7 minutes; p = 0.03, I2 = 56%). The risk of postoperative ...
Efficacy and safety of intraoperative MRI in glioma surgeryIntraoperative MRI led to extended glioma resections in 29.2% of the investigated pooled data, aligning with rates from other studies: 35.2% in ...
Glioblastoma Treated With Magnetic Resonance Imaging ...Overall, we were able to achieve an average of 93% of tumor volume treatment within the yellow TDT line and 88% treatment with the blue TDT line, concordant ...
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