New MRI scan could reveal hidden clues about brain tumor behavior
NCT ID NCT03324360
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing a special MRI technique that uses a substance called hyperpolarized 13C-pyruvate to look at how brain metastases (tumors that spread to the brain) use energy. The goal is to see if this scan can help doctors understand which tumors are more likely to resist radiation therapy. About 276 participants will be enrolled to see if the technique is feasible and provides useful information.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hyperpolarized 13C-Pyruvate injection
- What this could lead to
- If successful, this imaging technique could help doctors better predict which brain tumors will respond to radiation therapy, allowing more personalized treatment.
- What could go wrong
- This is a very early phase 1 study focused on feasibility, not treatment. The technique may not prove useful or may not be adopted widely.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 276 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2017
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Part I (Controls) Group A * Participants of all ethnic groups/race categories (≥18yrs old) * Informed consent Group B * Male participants of all ethnic groups/race categories (between the age of 18-39) * Informed consent Group C * Female participants of all ethnic groups/race categories (between the age of 18-39) * Informed consent Group D * Male participants of all ethnic groups/race categories (between the age of 40-59) * Informed consent Group E * Female participants of all ethnic groups/race categories (between the age of 40-59) * Informed consent Group F * Male participants of all ethnic groups/race categories (≥60 yrs old) * Informed consent Group G * Female participants of all ethnic groups/race categories (≥60 yrs old) * Informed consent Group H and I * Male or female participants of all ethnic groups/race categories (≥18 yrs old) * Informed consent Group J * Male or female participants of all ethnic groups/race categories (≥60 yrs old) * Informed consent * Diagnosed with mild cognitive impairment Group K * Male or female participants of all ethnic groups/race categories (≥60 yrs old) * Informed consent * Diagnosed with mild Alzheimer's disease Group L * Male or female participants of all ethnic groups/race categories (≥18 years of age) * Informed consent Group M * Male or female participants of all ethnic groups/race categories (≥18 years of age) * Informed consent Part II \& III * Adult participants of all ethnic groups/race categories (age ≥18 yrs old) * Radiographic diagnosis of brain metastases and pathological confirmation of a solid cancer primary * Metastatic brain tumor amenable to Stereotactic radiosurgery or radiotherapy * Participants on dexamethasone must be on a stable dose at the time of baseline MRI and 1-5 days post-SRS MRI * Estimated survival more than 6 months * Informed consent Exclusion Criteria: * Prior brain radiotherapy for the specific index or lesion to be imaged in the study * For groups B to I, L, and M only: Montreal Cognitive Assessment (MoCA) score \<26 * The participant will also be asked to complete the standard MRI safety screening questionnaire, prior to their research scan and participation in the study. * Contraindications to MRI including: * Participants weighing \>136 kg (weight limit for the scanner tables) * Participants with pacemakers, cerebral aneurysm clips, shrapnel injury or implantable electronic devices not compatible with MRI. * Pregnant * Claustrophobia to the extent that the participant cannot stay in the MRI for 45-60 minutes * Known adverse reactions to the contrast agent Gd-DTPA * Inability to lie still for 45-60 minutes * Participants with a high risk factor for nephrogenic systemic fibrosis (NFS). * Participant declines the procedure or further procedures; * Participant is not well enough to undergo MRI scanning; * Participant is unable to complete the MRI procedure for any reason or is non-compliant with MRI requirements. * For groups J and K, a \<1 lacunar infarct or any cortical subcortical infarct or moderate to severe white matter disease * For groups J and K, any other structural brain lesion that could affect cognition
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sunnybrook Health Sciences Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a single day of brain radiation match five days?
- Can doctors watch brain metastases instead of zapping them?
- Starving brain tumors of blood before surgery
- Tiny gadolinium particles aim to make brain radiation hit harder
- A sharper MRI could reveal radiation sensitivity of brain tumors
- Expert tumor board may extend survival in brain metastases