Feasibility of amide proton transfer imaging in children and adolescents with brain tumours

ISRCTN ISRCTN41243307
DOI https://doi.org/10.1186/ISRCTN41243307
IRAS number 162706
Secondary identifying numbers IRAS 162706
Submission date
21/01/2022
Registration date
06/03/2022
Last edited
29/04/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Gliomas are brain tumours that start in glial cells. In children and adolescents diagnosed with gliomas, MRI scans are used to follow up patients which can be challenging, particularly when assessing a non-enhancing tumour. APT-CEST is a technique that can show an increased signal in non-enhancing parts of the tumour and the aim of this study is to correlate the APT-CEST signal with choline uptake as a marker of tumour activity.

Who can participate?
Children and adolescents aged 12-20 years being treated for glioma

What does the study involve?
Participation will involve the patient undergoing a PET-MRI scan. The participant will be injected with a radio-isotope named choline followed by an MRI scan. The MRI will be slightly longer than a normal diagnostic MRI at about 45 minutes. Following the PET-MRI scan, the patient will be free to go and will be followed up in clinic with their normal doctor.

What are the possible benefits and risks of participating?
The benefit for the patient will be an improved understanding of their tumour. The study will require extra time for scanning.

Where is the study run from?
University College London Hospitals NHS Foundation Trust (UK)

When is the study starting and how long is it expected to run for?
September 2015 to March 2020

Who is funding the study?
UCLH Biomedical Research Centre (UK)

Who is the main contact?
Dr Harpreet Hyare
harpreet.hyare@nhs.net

Contact information

Dr Harpreet Hyare
Principal Investigator

20 Porchester Terrace
London
W2 3TL
United Kingdom

Phone +44 (0)7939061494
Email harpreet.hyare@nhs.net

Study information

Study designObservational feasibility study
Primary study designObservational
Secondary study designCase series
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use the contact details to request a participation information sheet.
Scientific titleFeasibility of amide proton transfer chemical exchange saturation transfer in paediatric, teenage and young adult gliomas
Study objectivesAmide proton transfer (APT)-chemical exchange saturation transfer (CEST) demonstrated an elevated signal in brain tumours compared to normal-appearing brain tissue.
Ethics approval(s)Approved 22/02/2016, London-Bromley Research Ethics Committee (Level 3, Block B, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK; +44 (0)207 104 8105; bromley.rec@hra.nhs.uk), REC ref: 16/LO/0276
Health condition(s) or problem(s) studiedGlioma
InterventionThe participant is recruited from clinic by their normal doctor and is asked to undergo a PET-MRI study. The patient is given an information sheet and If the patient agrees, they are booked for a scan in the Nuclear Medicine Department. On the day of the scan, the patient is consented. The patient will have a canal fitted and be injected with radioactive choline. After 60 minutes, they will undergo a PET-MRI scan which is slightly longer than a normal MRI scan at approximately 45 minutes. The patient is then free to go and will be followed up by their normal doctor in clinic.
Intervention typeOther
Primary outcome measureGlioma tumour cell proliferation measured using amide proton transfer chemical exchange saturation transfer (APT-CEST) and 18F-fluoromethylcholine (18F-choline) positron emission tomography (PET) standardised uptake value (SUV) at baseline
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/09/2015
Completion date01/03/2020

Eligibility

Participant type(s)Patient
Age groupMixed
SexBoth
Target number of participants10
Total final enrolment10
Key inclusion criteriaPatients aged 12-20 years undergoing treatment for glioma
Key exclusion criteria1. Pregnant
2. Other cancer
Date of first enrolment01/04/2016
Date of final enrolment01/03/2020

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University College London Hospitals NHS Foundation Trust
250 Euston Road
London
NW1 2PG
United Kingdom

Sponsor information

University College London Hospitals NHS Foundation Trust
Hospital/treatment centre

250 Euston Road
London
WC1N 3PG
England
United Kingdom

Phone +44 (0)8451555000
Email semerton@nhs.net
Website https://www.uclh.nhs.uk/Pages/home.aspx
ROR logo "ROR" https://ror.org/042fqyp44

Funders

Funder type

Research organisation

UCLH Biomedical Research Centre
Private sector organisation / Universities (academic only)
Alternative name(s)
NIHR University College London Hospitals Biomedical Research Centre, University College London Hospitals Biomedical Research Centre, UCLH/UCL Biomedical Research Centre, NIHR University College London Hospitals BRC, NIHR BRC, UCL, UCLH BRC
Location
United Kingdom

Results and Publications

Intention to publish date01/03/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPeer-reviewed journal publication. Additional documents are not available.
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

29/04/2022: The sponsor contact has been updated.
03/03/2022: Trial's existence confirmed by the London-Bromley Research Ethics Committee.