Hyperpolarized MRI for GIST on Imatinib
NCT07724626 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2026-07-24
Summary
Conventional imaging methods, such as CT and MRI, are limited in evaluating GIST response to imatinib, as they mainly reflect tumor size and fail to capture early metabolic or molecular changes. This study investigates GISTs from a metabolic perspective by integrating hyperpolarized (HP) 13C-MRI, metabolomics, and radiomics. HP 13C-MRI enables real-time monitoring of metabolic flux in vivo, while NMR-based metabolomics provides systemic insights. In this single-center, prospective observational cohort study, 30 GIST patients receiving imatinib will undergo pre-treatment CT, HP 13C-MRI, metabolomics, and biopsy. Early response will be assessed at one month, with routine evaluation at four months. Patients will be categorized as responders or non-responders, and multi-omics data will be analyzed using machine learning. The study hypothesizes that metabolic changes detected by HP 13C-MRI can predict treatment response, offering reproducible, quantifiable metrics to improve evaluation and patient care.
Conditions
- Imatinib Therapy Response
- Gastrointestinal Stromal Tumor (GIST)
Interventions
- DRUG
-
Hyperpolarized 13C-MRI
Metabolic MRI using IV injection of hyperpolarized \[1-13C\]pyruvate.
Sponsors & Collaborators
-
Ministry of Science and Technology, Taiwan
collaborator OTHER_GOV -
Chang Gung Memorial Hospital
lead OTHER
Principal Investigators
-
Ying-Chieh Lai, MD · Chang Gung Memorial Hospital, Link
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2027-01-01
- Primary Completion
- 2028-07-31
- Completion
- 2028-10-31
- FDA Drug
- Yes
Countries
- Taiwan
Study Locations
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