About this trial
This pilot trial studies the side effects of hyperpolarized carbon C 13 pyruvate magnetic resonance imaging (MRI) in diagnosing participants with glioma. Diagnostic procedures, such as hyperpolarized carbon C 13 pyruvate MRI, may help find and diagnose glioma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants must be > 18 years old and with a life expectancy > 12 weeks.
Participants must have a Karnofsky performance status of ≥ 60.
Participants must have adequate renal function (creatinine < 1.5 mg/dL) before starting therapy. This tests must be performed within 60 days prior to Hyperpolarized Imaging scan.
Participants must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy, would compromise the patient's ability to tolerate the imaging examination or any disease that will obscure toxicity or dangerously alter response to the imaging agent.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Hyperpolarized Carbon C 13 Pyruvate
RadiationGiven IV
Magnetic Resonance Imaging
Procedure/SurgeryUndergo MRI
Radiation Therapy
RadiationUndergo radiation therapy for cancer outside of this study.
Chemotherapy
DrugUndergo chemotherapy for cancer outside of this study.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of adverse events
Adverse events will be monitored from just before investigational medicinal product (IMP) administration until the end of study participation. Vital signs (blood pressure and heart rate only) will be recorded at baseline and 30 minutes post injection. For blood pressures and heart rate recorded after IMP administration, the following safety endpoints will be summarized for each part of the study: (1) The occurrence of changes from baseline, at each post-administration time point, greater than a pre-specified magnitude (20 mm Hg for systolic blood pressure, 10 mm Hg for diastolic blood pressure, 10 beats per minute for heart rate). (2) The occurrence of post-administration values outside the normal limits. Toxicities will be graded using the National Cancer Institute (NCI) Common Terminology (Toxicity) Criteria for Adverse Events (CTCAE) version 4.0
Peak lactate/pyruvate ratio in brain tissue
The lactate/pyruvate ratio and/or glutamate/pyruvate will be compared in tumor versus normal appearing brain tissue. Comparisons will be made using a Wilcoxon signed rank test.
Peak lactate/pyruvate ratio in (13C) pyruvate scan
The lactate/pyruvate ratio and/or glutamate/pyruvate from baseline will be compared to the ratio on the post-radiation therapy (RT) repeat scan. Comparisons will be made using a Wilcoxon signed rank test.
Sponsors and contacts
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Susan Chang
Lead sponsor
University of California, San Francisco
Sponsor institution
National Cancer Institute (NCI)
Collaborator