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CompletedNCT02311556Updated Feb 24, 2017

Response of Brain Metastases After Gamma-Knife Radiosurgery Using Dynamic Susceptibility-weighted Contrast-enhanced Perfusion Magnetic Resonance Imaging

A Phase 1 interventional study of dynamic susceptibility-weighted contrast-enhanced perfusion magnetic resonance imaging in Brain Metastases, sponsored by Washington University School of Medicine. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-02-24.

Sponsored by Washington University School of Medicine · Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was Jul 2016, 10 years 3 months ago, and no results have been posted to the registry.
  • Registered 1 year 6 months after the study started (first participant enrolled May 2013, registered Dec 2014).
Phase
Phase 1
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study is designed to evaluate whether advanced magnetic resonance imaging (MRI) techniques such as dynamic susceptibility-weighted contrast-enhanced perfusion MRI may be used to predict treatment response of brain metastasis after radiosurgery.

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Conditions studied

  • Brain Metastases
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In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 23 is below the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,765 studies on the registry; 271 are open to participants now.

Of its 324 completed or terminated interventional studies of FDA-regulated products, 212 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient must have newly diagnosed brain metastases visible on brain MRI. A biopsy of the lesion is not required as long as the patient has a biopsy-proven malignancy elsewhere and a clinician deems the lesion to be metastatic.
  • At least one brain metastasis must be ≥ 1cm to allow adequate quantitative imaging measurement for DSC-PMR.
  • Patient must be clinically eligible for and elect to be treated with GK alone without WBRT.
  • Patient must be ≥ 18 years of age.
  • Patient must have Karnofsky Performance Status (KPS) of at least 60
  • Patient may be part of other clinical trials (as long as no other local treatments beyond GK such as WBRT or other local therapy are indicated to the brain) or imaging studies.
  • Patient or legally authorized representative must be able to understand and willing to sign a written informed consent document.

Exclusion criteria

Exclusion Criteria:

  • Patient must not have any medical contraindications to MRI (e.g., unsafe foreign metallic implants, incompatible pacemaker, inability to lie still for long periods, severe to end-stage kidney disease or on hemodialysis).
  • Patient must not be pregnant or breastfeeding.
  • Patient must not have an estimated glomerular filtration rate (eGFR) \< 60 mL/min/1.73m2.
  • Patient must not have melanoma.
  • Patient must not have hemorrhagic lesions.
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Study design

Phase
Phase 1
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    DSC-PMR

    DSC-PMR (dynamic susceptibility-weighted contrast- enhanced perfusion magnetic resonance imaging) at baseline (screening or time of radiosurgery) and after radiosurgery

    Device: dynamic susceptibility-weighted contrast-enhanced perfusion magnetic resonance imaging

Interventions

  • Devicedynamic susceptibility-weighted contrast-enhanced perfusion magnetic resonance imaging

    Also known as: DSC-PMR

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What researchers measure

Primary outcomes

  1. Time to local progression of each treated and evaluable brain metastasis

    Tumor perfusion on DSC-PMR will be used as predictor for time to local tumor progression.

    Time frame: At time of radiosurgery and after radiosurgery (approximately 1 week)

Secondary outcomes

  1. Radiation necrosis

    Radiation necrosis will be defined by pathology, when available. When no pathology is available, clinical diagnosis based on clinical course and management will be used.

    Time frame: Up to 1 year

  2. Complete response

    Complete response = no residue enhancing lesion on MRI

    Time frame: Up to 1 year

  3. Elsewhere brain failure

    Elsewhere brain failure = appearance of brain metastases outside of the prior radiosurgery region which can be diagnosed radiographically and does not required require pathological confirmation.

    Time frame: Up to 1 year

  4. Clinical deterioration

    Clinical deterioration will be assessed based on the Karnofsky Performance scale (KPS). * 100=Normal no complaints; no evidence of disease. * 90=Able to carry on normal activity; minor signs or symptoms of disease. * 80=Normal activity with effort; some signs or symptoms of disease. * 70=Cares for self; unable to carry on normal activity or to do active work. * 60=Requires occasional assistance, but is able to care for most of his personal needs. * 50=Requires considerable assistance and frequent medical care. * 40=Disabled; requires special care and assistance. * 30=Severely disabled; hospital admission is indicated although death not imminent. * 20=Very sick; hospital admission necessary; active supportive treatment necessary. * 10=Moribund; fatal processes progressing rapidly. * 0=Dead

    Time frame: Up to 1 year

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Study locations

1 site
  • Washington University School of Medicine
    St. Louis, Missouri 63110, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02311556
Lead sponsor
Washington University School of Medicine
Responsible party
Sponsor
First posted
Dec 8, 2014
Start date
May 7, 2013
Primary completion
Jul 1, 2016
Completion
Dec 16, 2016
Last update
Feb 24, 2017

Study contacts

Jiayi Huang, M.D.
principal investigator · Washington University of Medicine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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