Can a simple MRI spot early success in brain cancer treatment?
NCT ID NCT03115333
First seen Jun 24, 2026 · Last updated Sep 16, 2026 · Updated 4 times
Summary
This study tests whether a special MRI scan, called DSC-MRI, can measure blood flow changes in brain tumors to predict if the drug bevacizumab is working early in treatment. Researchers will scan 146 patients with recurrent glioblastoma before and two weeks after starting the drug. The goal is to see if changes in blood volume can tell doctors sooner whether the treatment is helping, potentially guiding better care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bevacizumab
- What this could lead to
- If successful, this could lead to a reliable way to quickly tell if a glioblastoma treatment is working, helping doctors adjust therapy sooner.
- What could go wrong
- This is an early-phase study focused on imaging, not a treatment itself. The scan may not reliably predict outcomes, and results may not apply to all patients.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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146 people
The number who actually took part.
- Started
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Jul 2017
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Histologically proven intracranial glioblastoma or gliosarcoma at initial surgery * Patients will be eligible if the original histology was low-grade glioma and a subsequent diagnosis of glioblastoma or gliosarcoma is made (high-grade transformation) * Karnofsky performance status \>= 70 * Women must not be pregnant or breast-feeding * Progression of disease assessed by local site using Revised Assessment in Neuro-Oncology (RANO) criteria, with plan to give whole-dose bevacizumab therapeutically, either as single therapy or in conjunction with other chemotherapeutic regimens; patients getting bevacizumab to support additional radiation therapy or immunotherapy, or primarily for reduction of edema rather than for tumor treatment, are excluded; this must be the patient?s initial recurrence * Patient must not have been treated previously with immunotherapies (vaccines, checkpoint inhibitors, T-cells) * Intratumoral hemorrhage (acute, subacute, or chronic) as seen on hemosiderin-sensitive (gradient-echo) MRI may preclude patient inclusion because of anticipated limited evaluation due to magnetic susceptibility artifact on the heavily T2-weighted DSC-MRI images; if the region of enhancing tumor not affected by blooming artifact on the hemosiderin-sensitive images does not meet the 10 x 10 x 10 mm ?measurable enhancement? threshold specified elsewhere, the patient is ineligible * Progressive enhancement (\> 25% increase in contrast enhancing volume compared to nadir) on MRI within 14 days of registration, \>= 42 days since completion of radiation/temozolomide therapy, and \>= 28 days since surgical resection or cytotoxic chemotherapy; measurable enhancement is defined as two perpendicular in-plane diameters of at least 10 mm and at least 10 mm in the 3rd orthogonal direction * Patients must be able to tolerate brain MRI scans with dynamic intravenous gadolinium-based contrast agent injections * Ability to withstand 22 gauge intravenous (IV) placement * No history of untreatable claustrophobia * No magnetic resonance (MR) incompatible implants/devices or metallic foreign bodies * No contraindication to intravenous contrast administration * Adequate organ function, including adequate renal function defined as estimated glomerular filtration rate (eGFR) \>= 40 mL/min/1.73 m\^2 as calculated per institution standard of care, and meeting local site requirements for intravenous administration of gadolinium-based MRI contrast agents * No known allergy-like reaction to gadolinium or moderate or severe allergic reactions to one or more allergens as defined by the American College of Radiology (ACR); patient may be eligible if willing to undergo pre-treatment as defined by the institution's policy and/or ACR guidance * Weight compatible with limits imposed by the MRI scanner table * Patient must be scheduled to receive treatment with a standard dose regimen of bevacizumab (bevacizumab infusion on days 1 and 15 of a 28-day treatment cycle); patient can be treated with bevacizumab alone or in combination with other chemotherapies Exclusion Criteria: (see Inclusion Criteria)
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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.
Contacts and locations
Locations
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Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215, United States
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Baptist Health Lexington
Lexington, Kentucky, 40503, United States
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Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207, United States
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Boca Raton Regional Hospital
Boca Raton, Florida, 33486, United States
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Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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East Carolina University
Greenville, North Carolina, 27834, United States
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Eden Hospital Medical Center
Castro Valley, California, 94546, United States
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Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Froedtert Menomonee Falls Hospital
Menomonee Falls, Wisconsin, 53051, United States
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Froedtert West Bend Hospital/Kraemer Cancer Center
West Bend, Wisconsin, 53095, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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IU Health Methodist Hospital
Indianapolis, Indiana, 46202, United States
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Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202, United States
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Loma Linda University Medical Center
Loma Linda, California, 92354, United States
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Maryland Proton Treatment Center
Baltimore, Maryland, 21201, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Mayo Clinic Hospital
Phoenix, Arizona, 85054, United States
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Mayo Clinic in Arizona
Scottsdale, Arizona, 85259, United States
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Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Hermann Texas Medical Center
Houston, Texas, 77030, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Memorial Sloan Kettering Commack
Commack, New York, 11725, United States
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Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748, United States
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Memorial Sloan Kettering Westchester
East White Plains, New York, 10604, United States
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Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109, United States
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Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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Moffitt Cancer Center - McKinley Campus
Tampa, Florida, 33612, United States
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Moffitt Cancer Center-International Plaza
Tampa, Florida, 33607, United States
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Northside Hospital
Atlanta, Georgia, 30342, United States
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Northside Hospital-Forsyth
Cumming, Georgia, 30041, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149, United States
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ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066, United States
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ProHealth Waukesha Memorial Hospital
Waukesha, Wisconsin, 53188, United States
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Regions Hospital
Saint Paul, Minnesota, 55101, United States
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Rhode Island Hospital
Providence, Rhode Island, 02903, United States
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Saint Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013, United States
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Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376, United States
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Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141, United States
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Siteman Cancer Center-South County
St Louis, Missouri, 63129, United States
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UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868, United States
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UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
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USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
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UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390, United States
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UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188, United States
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United Hospital
Saint Paul, Minnesota, 55102, United States
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University Hospital
San Antonio, Texas, 78229, United States
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University of Cincinnati/Barrett Cancer Center
Cincinnati, Ohio, 45219, United States
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University of Maryland/Greenebaum Cancer Center
Baltimore, Maryland, 21201, United States
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University of Missouri - Ellis Fischel
Columbia, Missouri, 65212, United States
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University of New Mexico Cancer Center
Albuquerque, New Mexico, 87102, United States
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University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229, United States
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VA Palo Alto Health Care System
Palo Alto, California, 94304, United States
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Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Other studies related to the condition(s) this trial covers.
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