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Low accrual
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The investigators propose a longitudinal study evaluating post-treatment changes in patients with squamous cell carcinoma (SCC) of the neck using an innovative optimized diffusion-weighted imaging (DWI) pulse sequence to identify more accurately recurrent tumors as well as early non-responders to therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DWI MRI + Standard of care FDG PET/CT | Experimental | -The patients will undergo an optimized research neck DWI MRI, up to 3 weeks post-treatment and then a standard-of-care 3-month post-treatment FDG PET/CT examination. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diffusion-weighted imaging magnetic resonance imaging | Device | The research MRI study of the head and neck will be performed on a Siemens 3T MRI Scanner system |
|
| Measure | Description | Time Frame |
|---|---|---|
| Apparent Diffusion Coefficient Mean (ADCmean) |
| 2-3 weeks post-standard of care treatment |
| Apparent Diffusion Coefficient Lowest Value in a Tumor (ADCmin) |
| 2-3 weeks post-standard of care treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants That Were Non-responders to Treatment on Both the DWI MRI and the Standard of Care FDG PET/CT | 2-3 weeks post-standard of care treatment |
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Inclusion Criteria:
Exclusion Criteria:
Contraindications to MRI, including:
Pregnant and/or breastfeeding, with women of childbearing potential having a negative urine or serum pregnancy test
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| Name | Affiliation | Role |
|---|---|---|
| Gloria J Guzman Pérez-Carrillo, M.D. | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
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| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | DWI MRI + Standard of Care FDG PET/CT | -The patients will undergo an optimized research neck DWI MRI, up to 3 weeks post-treatment and then a standard-of-care 3-month post-treatment FDG PET/CT examination. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 5, 2023 |
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All anonymized MRI studies will be blindly evaluated by at least two experienced neuroradiologists
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| FDG PET/CT | Device | Standard of care |
|
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | DWI MRI + Standard of Care FDG PET/CT | -The patients will undergo an optimized research neck DWI MRI, up to 3 weeks post-treatment and then a standard-of-care 3-month post-treatment FDG PET/CT examination. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Full Range | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Apparent Diffusion Coefficient Mean (ADCmean) |
| Evaluable patients include those that received the DWI MRI and the standard of care FDG PET/CT, had measurable disease on imaging, and had tumor persistence/recurrence. | Posted | Mean | Standard Deviation | x 10-6 mm^2/s | 2-3 weeks post-standard of care treatment |
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| Primary | Apparent Diffusion Coefficient Lowest Value in a Tumor (ADCmin) |
| Evaluable patients include those that received the DWI MRI and the standard of care FDG PET/CT, had measurable disease on imaging, and had tumor persistence/recurrence. | Posted | Number | x 10-6 mm^2/s | 2-3 weeks post-standard of care treatment |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants That Were Non-responders to Treatment on Both the DWI MRI and the Standard of Care FDG PET/CT | Evaluable patients include those that received the DWI MRI and the standard of care FDG PET/CT, had measurable disease on imaging, and had tumor persistence/recurrence. | Posted | Count of Participants | Participants | 2-3 weeks post-standard of care treatment |
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Adverse events were collected from start of MRI through completion of MRI (approximately 3 hours). Adverse events were not collected for the standard of care FDG PET/CT.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | DWI MRI + Standard of Care FDG PET/CT | -The patients will undergo an optimized research neck DWI MRI, up to 3 weeks post-treatment and then a standard-of-care 3-month post-treatment FDG PET/CT examination. | 3 | 8 | 0 | 8 | 0 | 8 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gloria J. Guzman Pérez-Carrillo, M.D. | Washington University School of Medicine | 314-362-5950 | guzman.gloria@wustl.edu |
| Aug 1, 2024 |
| Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D018307 | Neoplasms, Squamous Cell |
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| ID | Term |
|---|---|
| D038524 | Diffusion Magnetic Resonance Imaging |
| ID | Term |
|---|---|
| D008279 | Magnetic Resonance Imaging |
| D014054 | Tomography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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