Clinical trial

Hyperpolarized Carbon-13 Alpha-ketoglutarate Metabolic Imaging in IDH Mutant Glioma

Name
22925
Description
This study will investigate the use of hyperpolarized (HP) carbon-13 (13C) alpha-ketoglutarate (aKG) (HP 13C-aKG) to characterize tumor burden in patients with isocitrate dehydrogenase (IDH) mutant glioma.
Trial arms
Trial start
2023-04-11
Estimated PCD
2026-04-30
Trial end
2026-04-30
Status
Recruiting
Phase
Early phase I
Treatment
Hyperpolarized Carbon 13 Alpha-ketoglutarate (HP C13-aKG)
Given intravenously at time of imaging
Arms:
Cohort 1: Hyperpolarized Carbon-13 Alpha-ketoglutarate (HP 13C-aKG), Cohort 2: Hyperpolarized Carbon-13 Alpha-ketoglutarate (HP 13C-aKG)
Other names:
Hyperpolarized C13-aKG, HP C13-aKG
Magnetic Resonance Image (MRI)
Magnetic resonance imaging is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body
Arms:
Cohort 1: Hyperpolarized Carbon-13 Alpha-ketoglutarate (HP 13C-aKG), Cohort 2: Hyperpolarized Carbon-13 Alpha-ketoglutarate (HP 13C-aKG)
Other names:
MRI, MRI scan
Size
40
Primary endpoint
Mean signal to noise ratio of HP 13C-aKG
Day of imaging (1 day)
Mean signal to noise ratio of oncometabolite 2-hydroxyglutarate (2-HG)
Day of imaging (1 day)
Mean signal to noise ratio of of glutamate
Day of imaging (1 day)
Median signal to noise ratio of 2HG to aKG
Day of imaging (1 day)
Mean signal to noise ratio of 2HG to glutamate
Day of imaging (1 day)
Proportion of participants who reported treatment-emergent adverse events
Day of imaging (1 day)
Comparison of HP 13C 2HG/aKG ratio with surgical results (Cohort 2)
Day of imaging (1 day)
Comparison of HP 13C 2HG/glutamate ratio with surgical results (Cohort 2)
Day of imaging (1 day)
Comparison of HP 13C glutamate/aKG ratio with surgical results (Cohort 2)
Day of imaging (1 day)
Eligibility criteria
Inclusion Criteria: 1. Participants must be \> 18 years old who have evidence of evaluable disease (with contrast enhancing lesion or non-enhancing lesion \> 1 cubic centimetre (cc)) * Cohort 1: Participants with IDH mutant glioma who may or may not have received prior treatment * Cohort 2: Participants with recurrent IDH mutant glioma before receiving surgical resection, All the subjects must have prior MR scans available for review to assess the location and size of residual/recurrent tumor and do not have contraindication for magnetic resonance (MR) examinations. To be included in the study all subjects must also meet the following criteria: 1. Participants must have a life expectancy \> 8 weeks. 2. Participants must have a Karnofsky performance status of \> 70. 3. Participants must have adequate renal function (creatinine \< 1.5 mg/dL). This test must be performed within 60 days prior to the HP 13C Imaging scan. 4. Participants must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy, would compromise the participant's ability to participate in this study or any disease that will obscure toxicity or dangerously impact response to the imaging agent. 5. Participants must not have New York Heart Association (NYHA) Grade II or greater congestive heart failure. 6. Participants must not have history of myocardial infarction or unstable angina within 12 months prior to study enrollment. 7. This study was designed to include women and minorities but was not designed to measure differences of intervention effects. Males and females will be recruited with no preference to gender. Minorities will actively be recruited to participate. No exclusion to this study will be based on race. 8. Participants must sign an informed consent indicating that they are aware of the investigational nature of this study. Participants must sign an authorization for the release of their protected health information. 9. Participants may not be known to be HIV-positive. HIV testing is not required for study participation. 10. Participants must not have a history of any other cancer (except non-melanoma skin cancer or carcinoma in-situ of the cervix), unless they are in complete remission and have been off all therapy for that disease for a minimum of 3 years. 11. Participants must not be pregnant or breast-feeding. Women of childbearing potential are required to obtain a negative pregnancy test within 14 days of Hyperpolarized Imaging scan. Effective contraception (men and women) must be used in subjects of childbearing potential. Exclusion Criteria: 1. Participants are excluded from participating in this study if they are not able to comply with study procedures.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['EARLY_PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'DIAGNOSTIC', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 40, 'type': 'ESTIMATED'}}
Updated at
2023-08-24

1 organization

1 product

2 indications

Organization
Robert Bok
Indication
Gliomas
Indication
Mixed