About this trial
The goal of this prospective, non-randomized, single-arm, feasibility study is to develop data to evaluate the safety and feasibility of ExAblate 4000 treatment of benign intracranial tumors which require clinical intervention in pediatric and young adult subjects.
Indication of Use: Ablation of benign intracranial tumors in children and young adults which are ExAblate accessible.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects with benign (WHO grade I) centrally located intracranial tumors which require clinical intervention and are known to carry minimal hemorrhage risk
Minimum head circumference will be 49cm
Skull Density Ratio (SDR) should be ≥0.35
Subjects should be on a stable dose of all condition-related medications for 30 days prior to study entry as determine by medical records
Disqualifiers
Subjects with unstable cardiac status that would increase anesthetic risk including
Subjects exhibiting any behavior(s) consistent with ethanol or substance abuse as defined by the criteria outlined in the DSM-IV
Subjects who are taking human growth hormone (hGH), also known as somatotropin
Subjects with standard contraindications for MR imaging such as non-MRI compatible implanted metallic devices including vagus nerve stimulator, responsive neurostimulator, cardiac pacemakers, non-metallic shunts, size limitations, etc.
Trial design
Single group
Treatments tested in this trial
ExAblate 4000 System
DeviceFocused ultrasound
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Treatment-Emergent Adverse Events Safety and Tolerability
Safety will be assessed by tabulation of treatment related adverse events. All adverse events at least possibly procedure related will also be examined in detail for patterns of occurrence.
Measurement of Tumor Volume
ExAblate procedure will demonstrate feasibility along with measurement of tumor volumes at follow-up as compared to the baseline MRI.
Secondary outcomes
Changes in the General Physical Exam
Any changes in physical examination performed by a physician.
Changes in the Neurological Exam
Any changes in neurological examination performed by the neurologist/neurosurgeon.
Confrontational Visual Field Testing
Changes in confrontational visual field testing performed by a physician
Global Impression of Change-Clinician
Impression of change as the result of the treatment by a physician
Other outcomes
Change in Seizure Frequency
The change in seizure frequency will be evaluated from baseline through 12 months after treatment.
QOLCE-55
The change in scores on the QOLCE-55 questionnaire will be evaluated.