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GlioblastomaIMAGLIONCT02841332

Multimodal Imaging Analysis During Treatment With Bevacizumab in Patients With Recurrent Glioblastoma

A study testing F-MISO, Cerebral magnetic resonance imagery and Bevacizumab in people with Glioblastoma, run by University Hospital, Toulouse at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to estimate the capacity of the multimodal imaging parameters measured at 15 days and 2 months of initiation of treatment with bevacizumab, to measure changes in clinical status (sensitivity to measure changes) in patients treated for recurrent glioblastoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glioblastoma
What is being tested?
F-MISO, Cerebral magnetic resonance imagery and Bevacizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
1 siteFrance
Study dates
May 2013to Dec 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • World Health Organization performance index lower or equal to 3
  • Estimated life expectancy greater than 3 months
  • patient in whom the diagnosis of glioblastoma was histologically proven
  • Patient with tumor progression of morphological magnetic resonance imagery evidenced by Pluri Disciplinary Meeting. This increase must meet the detailed criteria Response Assessment Neuro Oncology Working group : except in the case of a new lesion appearing outside of the field of radiotherapy, tumor progression can not therefore be defined on an magnetic resonance imagery performed in a period shorter than 12 weeks after the last day of radiotherapy (see criteria Response Assessment Neuro Oncology Working Group detailed chapter 2-1 B)
  • Patient with unilateral tensor above injury at baseline (in order to have in each case a tumor region of interest area and an area equivalent region of interest contralateral healthy tissue) .
  • Patient with measurable lesion at baseline, according to the criteria defined by the working group Respons Assessment Neuro Oncology. The lesion with contrast is measured two-dimensionally on T1 gadolinium in axial section. The two perpendicular diameters of red lead should be 10 mm and that at least two axial sections.
  • Patient with progression after radiotherapy and have received at least one chemotherapy regimen (temodal)
  • A patient in whom treatment with bevacizumab monotherapy

Who cannot join

  • Pregnancy
  • Exclusion criteria related to cons to the realization of positron emission tomography or magnetic resonance imagery : Weight greater than 120 kg, Foreign body incompatible with magnetic resonance imagery (eg metallic intraocular foreign body), Medical equipment installed incompatible with magnetic resonance imagery (eg pacemaker)
  • Pregnant or lactating woman

Trial locations and contacts

1 site in 1 country.

France1 site
  • UHToulouse

    Toulouse, 31000

Other trials in France

About this study

Official title: Multimodal Imaging Analysis of Tissue Changes Occurring During Treatment With Antiangiogenic (Bevacizumab) in Patients With Recurrent Glioblastoma

The purpose of this study is to estimate the capacity of the multimodal imaging parameters measured at 15 days and 2 months of initiation of treatment with bevacizumab, to measure changes in clinical status (sensitivity to measure changes) in patients treated for recurrent glioblastoma.

Read the detailed description

Glioblastomas are tumors with poor prognosis. The treatment of recurrent glioblastoma after a standard first-line treatment is not clearly codified, however, many results in the literature show the benefit of bevacizumab (anti- angiogenic therapy) and it is often proposed in this indication . Tissue action, response mechanisms and therapeutic escape remain is poorly understood.

The investigators hypothesize that these response mechanisms are controlled by changes in some parameters in the tumor tissue, such as hypoxia, neoangiogenesis, cell density and that multimodal imaging can help us to better understand these mechanisms.

To identify which parameters of imaging would best measure response mechanisms, the investigators want to evaluate in the first study and for this particular indication , a property of the measure called by the Anglo -Saxon ' sensitivity to change " that is to say, its sensitivity or ability to measure changes. This is an additional property to the reproducibility of the measurement.

Conditions
Glioblastoma
Being tested
F-MISO, Cerebral magnetic resonance imagery, Bevacizumab, Clinical examination
Keywords
Recurrent Glioblastoma, Positron emission tomography, Fluoro misonidazole, MRI multimodal
Medical subject headings
Glioblastoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • F-MISODrug

    Also called fluoro-misonidazole

    The fluoro-misonidazole is a positron emission tomography tracer (labeled with Fluorine-18)-specific hypoxia. This compound penetrates into cells where it is reduced by a nitroreductase enzyme. It is rapidly regenerated by reoxidation when the cell is properly oxygenated. This metabolite can accumulate in viable hypoxic cells (necrotic cells that can provide initial reduction reaction of F-MISO).

    Moreover, the fixing of this tracer appears to be independent of blood flow. The advantage of this technique is to provide a direct image of hypoxic cells by directly targeting under stress hypoxic.

  • Cerebral magnetic resonance imageryOther

    Also called Cerebral MRI

    During the pre-therapeutic imagery session :

    • Morphological magnetic resonance imagery ( axial T1 sequence axial T1 post contrast , Flair Axial )
    • magnetic resonance imagery spectroscopy sequence
    • Perfusion magnetic resonance imagery sequence
    • Diffusion magnetic resonance imagery sequence
  • BevacizumabDrug

    Also called Avastin

    Administration of bevacizumab during 7 cycles of treatment (J1, J15, J30, J45, J60, J120 and J180)

  • Clinical examinationOther

    During the examination, the following parameters will be checked :

    • Neurological examination
    • Corticotherapy prescribed
    • General status of patient (world health organization score)
    • Weight and height
    • Control of arterial pressure
    • Chirurgical and medical history
    • Concomitant treatment
Study groups in NCT02841332
Study groupRoleWhat they receive
Patients with glioblastomaExperimentalPatient with histologically proved glioblastoma diagnostic will receive the following interventions : * Cerebral magnetic resonance imagery * Tomography emission positron with F-MISO * Bevacizumab administration * Clinical examination
Receives: Drug: F-MISO; Other: Cerebral magnetic resonance imagery; Drug: Bevacizumab; Other: Clinical examination

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Detection capacity of patient clinical status in imagery with F-MISO as assessed by tomography with emission of positron

    Specific imagery parameters used are :

    Standard Uptake Value max, mean Standard Uptake Value, global or tumoral volume reported

    Measured: At day 15 after the 1st perfusion of bevacizumab

  2. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Perfusion magnetic resonance imagery

    Specific imagery parameters used are :

    Cerebral blood volume and relative cerebral blood volume, absolute neo angiogenesis and reported to tumoral volume

    Measured: At day 15 after the 1st perfusion of bevacizumab

  3. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Diffusion magnetic resonance imagery

    Specific imagery parameters used are :

    Apparent diffusion Coefficient and Apparent diffusion relative Coefficient , absolute elevated cellular density volume and reported to tumoral volume

    Measured: At day 15 after the 1st perfusion of bevacizumab

  4. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Spectroscopy magnetic resonance imagery

    Specific imagery parameters used are :

    choline pike, NAA pike, mean and maximal creatinine pike, mean and maximal ratio choline/NAA, mean and maximal ratio choline/creatinine

    Measured: At day 15 after the 1st perfusion of bevacizumab

  5. Detection capacity of patient clinical status in imagery with F-MISO as assessed by tomography with emission of positron

    Specific imagery parameters used are :

    Standard Uptake Value max, mean Standard Uptake Value, global or tumoral volume reported

    Measured: At day 60 after the 4th perfusion of bevacizumab

  6. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Perfusion magnetic resonance imagery

    Specific imagery parameters used are :

    Cerebral blood volume and crelative cerebral blood volume, absolute neo angiogenesis and reported to tumoral volume

    Measured: At day 60 after the 4th perfusion of bevacizumab

  7. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Diffusion magnetic resonance imagery

    Specific imagery parameters used are :

    Apparent diffusion Coefficient and Apparent diffusion relative Coefficient , absolute elevated cellular density volume and reported to tumoral volume

    Measured: At day 60 after the 4th perfusion of bevacizumab

  8. Detection capacity of patient clinical status in imagery with F-MISO as assessed by Spectroscopy magnetic resonance imagery

    Specific imagery parameters used are :

    choline pike, NAA pike, mean and maximal creatinine pike, mean and maximal ratio choline/NAA, mean and maximal ratio choline/creatinine

    Measured: At day 60 after the 4th perfusion of bevacizumab

Secondary outcomes (30)
  1. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: at day 15 after the 1st perfusion of bevacizumab

  2. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: at day 60 after the 4th perfusion of bevacizumab

  3. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with apparent diffusion coefficient on diffusion magnetic resonance imagery

    Measured: at day 15 after the 1st perfusion of bevacizumab

  4. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with apparent diffusion coefficient on diffusion magnetic resonance imagery

    Measured: at day 60 after the 4th perfusion of bevacizumab

  5. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of choline on spectroscopy magnetic resonance imagery

    Measured: at day 15 after the 1st perfusion of bevacizumab

  6. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of choline on spectroscopy magnetic resonance imagery

    Measured: at day 60 after the 4th perfusion of bevacizumab

  7. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: at day 15 after the 1st perfusion of bevacizumab

  8. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: at day 60 after the 4th perfusion of bevacizumab

  9. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of rate of creatinine on spectroscopy magnetic resonance imagery

    Measured: at day 15 after the 1st perfusion of bevacizumab

  10. Estimation of predictive parameters of progression free survival with a sensibility of change of at least 75% as assessed with rate of rate of creatinine on spectroscopy magnetic resonance imagery

    Measured: at day 60 after the 4th perfusion of bevacizumab

  11. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: At day 15 after the first perfusion of bevacizumab

  12. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: At day 60 after the 4th perfusion of bevacizumab

  13. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by apparent diffusion coefficient on diffusion magnetic resonance imagery,

    Measured: At day 15 after the 1st perfusion of bevacizumab

  14. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by apparent diffusion coefficient on diffusion magnetic resonance imagery,

    Measured: At day 60 after the 4th perfusion of bevacizumab

  15. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by rate of choline on spectroscopy magnetic resonance imagery

    Measured: At day 15 after the 1st perfusion of bevacizumab

  16. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by rate of choline on spectroscopy magnetic resonance imagery

    Measured: At day 60 after the 4th perfusion of bevacizumab

  17. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: At day 15 after the 1st perfusion of bevacizumab

  18. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: At day 60 after the 4th perfusion of bevacizumab

  19. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed byrate of creatinine on spectroscopy magnetic resonance imagery

    Measured: At day 15 after the 1st perfusion of bevacizumab

  20. Estimation of imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% as assessed by rate of creatinine on spectroscopy magnetic resonance imagery

    Measured: At day 60 after the 4th perfusion of bevacizumab

  21. Variation in imagery predictive parameters for progression free survival with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: At day 15 and day 60

  22. Variation in imagery predictive parameters for progression free survival with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by apparent diffusion coefficient on diffusion magnetic resonance imagery

    Measured: At day 15 and day 60

  23. Variation in imagery predictive parameters for progression free survival with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by rate of choline on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

  24. Variation in imagery predictive parameters for progression free survival with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

  25. Variation in imagery predictive parameters for progression free survival with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by rate of creatinine on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

  26. Variation in imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by relative cerebral blood volume in Perfusion magnetic resonance imagery

    Measured: At day 15 and day 60

  27. Variation in imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by apparent diffusion coefficient on diffusion magnetic resonance imagery

    Measured: At day 15 and day 60

  28. Variation in imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by rate of choline on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

  29. Variation in imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by rate of N-acetyl aspartate on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

  30. Variation in imagery prognostic parameters for global survival at 6 months with a sensibility of change of at least 75% between cycle 1 and cycle 4 of treatment as assessed by rate of creatinine on spectroscopy magnetic resonance imagery

    Measured: At day 15 and day 60

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2016 (estimated)
  2. Study startMay 2013
  3. Primary completionSep 2016
  4. Study completionDec 2016

Why it stopped: lack of recruitment

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02841332
Sponsor's protocol ID
12 050 03
Acronym
IMAGLIO
Status last verified
Dec 2016
First submitted
3 Nov 2014
Last updated
20 Dec 2016
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing F-MISO, Cerebral magnetic resonance imagery and Bevacizumab in people with Glioblastoma, run by University Hospital, Toulouse at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 20 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: lack of recruitment). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Detection capacity of patient clinical status in imagery with F-MISO as assessed by tomography with emission of positron (time frame: At day 15 after the 1st perfusion of bevacizumab). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2016.

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