CEST in Low-grade Glioma Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Saturation Transfer (ST)-MRI.
- Who it may be relevant to
- Registry conditions: Low-grade Glioma. Basic parameters: from 12 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Multi-institutional Observational Study of CEST Imaging in Low-grade Glioma
Overview
Low grade gliomas (LGGs) are malignant, infiltrative and incurable brain tumours that typically present in the younger population. This project proposes to use non-contrast metabolic "Saturation Transfer" (ST)-MRI to evaluate LGG tumour progression and aims to predict early changes in LGG. Early identification of LGG patients whose tumours will progress will permit early interventions. ST-MRI does not involve any intravenous injection of contrast and which acquires metabolic information not seen by standard MRI.
Detailed description
Please see trial details below:
Interventions
- Diagnostic test Saturation Transfer (ST)-MRI
Non-contrast magnetic resonance imaging "Saturation Transfer" scans consisting of magnetization transfer (MT) and chemical exchange saturation transfer (CEST)
Primary outcome measures
- The time-to-progression as measured by Saturation Transfer (ST)-MRI (based on a change in volume or parameter value of over 10%) relative to the time-to-progression as measured by standard MRI using RANO-LGG. [Time frame: Up to 6 years, from date of initial (ST)-MRI scan until the date of progression]
Secondary outcome measures (1)
- Accuracy of Saturation Transfer (ST)-MRI for detecting progression (based on a change in volume or parameter value of over 10%). [Time frame: Up to 6 years, from date of initial (ST)-MRI scan until the date of progression]
Eligibility criteria
Inclusion criteria
- Be at least 12 years of age;
- Diagnosed with:
- Cohort A (pre-surgical): Suspected LGG (oligodendroglioma or astrocytoma), based on any combination of histological, molecular, radiological, and/or clinical findings; or
- Cohort B (post-surgical): IDH1/2-mutant or IDH-wildtype (WT) low-grade glioma candidate for observation
- No contraindications to MRI;
- eGFR > 30 ml/min;
- No prior chemotherapy or radiation therapy;
- No need for upfront treatment (surgery, chemotherapy, and/or radiation therapy)
- Followed at either Sunnybrook Health Sciences Centre or at St Michael's Hospital
Exclusion criteria
- Need for upfront post-surgical treatment with either chemotherapy and/or radiation therapy
- Pregnancy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Diagnostic
Study locations
Canada · 2 centers
- Sunnybrook Health Sciences Centre — Toronto
- St. Michael's Hospital — Toronto
Identifiers
NCT: NCT05996653 · 5396