Cognitive Outcomes After Brain Substructure-informed Radiation Planning in Pediatric Patients
NCT05658731 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 338
Last updated 2025-07-01
Summary
The goal of this trial is to determine whether it is possible to minimize radiation dose to parts of the brain that are important for thinking and learning in children who require radiation to treat their tumor, and if this will help reduce neurocognitive (thinking and learning) impairments in these patients.
Patients with newly diagnosed brain or head and neck tumors who are having radiation therapy will have neurocognitive testing and MRI imaging (both research and for regular care) done as part of their participation in the study.
Survivors of childhood brain tumors who completed radiation therapy at least two years before joining the study, and have not had a recurrence, will have neurocognitive testing and research MRIs completed.
Healthy children will also be enrolled and have research MRIs done.
The researchers will use the radiation plan to determine how much radiation was delivered to different parts of the brain. The investigators will use the MRIs to determine how the normal brain is changing after treatment; and how this compares to patients who had standard radiation treatment or who never had a brain tumor. The neurocognitive testing will be compared among different groups to see how different treatment plans affect performance on neurocognitive tests.
Conditions
Interventions
- RADIATION
-
substructure informed planning
Radiation Therapy with substructure informed planning determined by the PI.
- OTHER
-
Neurocognitive Testing
California Verbal Learning Test (CVLT) and other cognition assessments.
- DIAGNOSTIC_TEST
-
MRI
Magnetic resonance imaging (MRI) using whole brain diffusion tensor imaging (DTI) and resting state functional MRI (rsfMRI).
Sponsors & Collaborators
-
United States Department of Defense
collaborator FED -
Clark Charitable Foundation
collaborator UNKNOWN -
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
lead OTHER
Principal Investigators
-
Sahaja Acharya, MD · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 26 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-05-17
- Primary Completion
- 2032-12-31
- Completion
- 2035-12-31
Countries
- United States
Study Locations
More Related Trials
-
Adjuvant Hypofractionated Stereotactic Radiosurgery for Intermediate-risk Meningioma
NCT06557512 ·Status: RECRUITING ·Phase: NA
-
Temozolomide and Radiation Therapy in Treating Young Patients With Pontine Glioma
NCT00514397 ·Status: UNKNOWN ·Phase: PHASE2
-
Intensity-Modulated Stereotactic Radiation Therapy in Treating Patients With Grade II-IV Glioma
NCT03251027 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Temozolomide, Nedaplatin, Vincristine, and Radiotherapy as First-line Treatment in Newly Diagnosed Primary CNS Lymphoma
NCT01735747 ·Status: UNKNOWN ·Phase: PHASE2
-
Stereotactic Radiosurgery in Treating Patients With Brain Tumors
NCT00019578 ·Status: COMPLETED ·Phase: PHASE1
-
Targeted Pediatric High-Grade Glioma Therapy
NCT05839379 ·Status: RECRUITING
-
Hippocampal-Avoiding Whole Brain Irradiation With Simultaneous Integrated Boost for Treatment of Brain Metastases
NCT01414738 ·Status: COMPLETED ·Phase: PHASE2
-
Arsenic Trioxide and Radiation Therapy in Treating Young Patients With Newly Diagnosed Gliomas
NCT00095771 ·Status: COMPLETED ·Phase: PHASE1
-
Intrathecal Radioimmunotherapy, Radiation Therapy, and Chemotherapy After Surgery in Treating Patients With Medulloblastoma
NCT00058370 ·Status: COMPLETED ·Phase: NA
-
Low Dose Radiation Therapy for Glioblastoma Multiforme
NCT01466686 ·Status: COMPLETED ·Phase: PHASE2
-
Biologically-based Target Volumes to Treat Newly Diagnosed Glioblastoma
NCT03506139 ·Status: WITHDRAWN ·Phase: PHASE2
-
Testing the Addition of an Anti-Cancer Drug, AZD1390, During Radiation Therapy for Newly Diagnosed High Grade Glioma, Diffuse Midline Glioma, or Diffuse Intrinsic Pontine Glioma
NCT06894979 ·Status: RECRUITING ·Phase: PHASE1
-
Neoadjuvant Avelumab and Hypofractionated Proton Radiation Therapy Followed by Surgery for Recurrent Radiation-refractory Meningioma
NCT03267836 ·Status: TERMINATED ·Phase: PHASE1
-
Vorinostat, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
NCT00731731 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Hyperpolarized Imaging in Diagnosing Participants With Glioma
NCT03739411 ·Status: RECRUITING ·Phase: PHASE1
-
Testing Ramipril to Prevent Memory Loss in People With Glioblastoma
NCT03475186 ·Status: COMPLETED ·Phase: PHASE2
-
Combination Chemotherapy and Radiation Therapy in Treating Patients With Germ Cell Tumors in the Brain
NCT00293358 ·Status: COMPLETED ·Phase: PHASE3
-
A Clinical and Molecular Risk-Directed Therapy for Newly Diagnosed Medulloblastoma
NCT01878617 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Capecitabine and Radiation Therapy in Treating Young Patients With Newly Diagnosed, Nonmetastatic Brain Stem Glioma or High-Grade Glioma
NCT00357253 ·Status: COMPLETED ·Phase: PHASE1
-
Adavosertib and Local Radiation Therapy in Treating Children With Newly Diagnosed Diffuse Intrinsic Pontine Gliomas
NCT01922076 ·Status: COMPLETED ·Phase: PHASE1
-
Radiation Therapy, Temozolomide, and Erlotinib in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
NCT00274833 ·Status: COMPLETED ·Phase: PHASE2
-
External Beam Radiation Therapy and Cetuximab Followed by Irinotecan and Cetuximab for Children and Young Adults With Newly Diagnosed Diffuse Pontine Tumors and High-Grade Astrocytomas
NCT01012609 ·Status: COMPLETED ·Phase: PHASE2
-
Novel Targeted Radiotherapy in Pediatric Patients With Inoperable Relapsed or Refractory HGG
NCT05610891 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Combination Chemotherapy Following Radiation Therapy in Treating Patients With Malignant Glioma
NCT00005637 ·Status: COMPLETED ·Phase: PHASE1
-
Irinotecan and Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases From Solid Tumors
NCT00389584 ·Status: COMPLETED ·Phase: PHASE1/PHASE2