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临床试验/EUCTR2021-003374-30-IT
EUCTR2021-003374-30-IT进行中(未招募)1 期

A pilot study to Evaluate the Safety and Feasibility of Sonodynamic Therapy Using the ExAblate MRI-Guided Focused Ultrasound in the Treatment of Cerebral Glioblastomas. - SONIC-ALA

FONDAZIONE IRCCS ISTITUTO NEUROLOGICO CARLO BESTA0 个研究点目标入组 10 人开始时间: 2021年10月19日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Criteria Inclusion: CH patients
  • - age between 18-60 years;
  • - both genders;
  • - diagnosis of grade IV lobar glioblastoma with a diameter of less than 5 cm;
  • - diagnosis confirmed with magnetic resonance examination;
  • - no contraindication to the magnetic resonance examination;
  • - no contraindications to surgery.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 10
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Exclusion Criteria
  • 1. Brain glioblastoma presenting with the following characteristics:
  • ¿ Brain edema and/or mass effect that causes midline shift of more than 10 mm
  • ¿ Evidence of recent intracranial hemorrhage within the targeted tumor volume
  • ¿ Calcifications in the focused ultrasound sonication path (system tools may not
  • tailor the treatment around these calcifications)
  • 2. The sonication pathway to the tumor involves either:
  • ¿ more than 30% of the skull area traversed by scars, scalp disorders (e.g. eczema),
  • or atrophy of the scalp
  • ¿ Clips, shunts, or other metallic implanted objects in the skull or the brain
  • 3. Cardiac disease or unstable hemodynamic status including:
  • ¿ Documented myocardial infarction within six months of enrolment
  • ¿ Unstable angina on medication
  • ¿ Congestive heart failure
  • ¿ Left ventricular ejection fraction < 50%
  • ¿ Right-to-left, bidirectional, or transient right-to-left cardiac shunts
  • ¿ History of a hemodynamically unstable cardiac arrythmia
  • ¿ Cardiac pacemaker
  • 4. Severe hypertension
  • 5. Anti-coagulant therapy or medications known to increase risk of hemorrhage within
  • washout period prior to treatment
  • 6. History of a bleeding disorder, coagulopathy or with a history of spontaneous tumor
  • 7. Abnormal level of platelets (<100000) or INR >1.3
  • 8. Cerebral or systemic vasculopathy
  • 9. Known allergy sensitivity or contraindications to gadolinium
  • 10. Contraindications to MRI such as non-MRI-compatible implanted devices
  • 11. Subjects not fitting comfortably into the MRI scanner
  • 12. Difficulty lying supine and still for up to 4 hours in the MRI unit or claustrophobia
  • 13. Positive pregnancy test (for pre-menopausal women)
  • 14. Severely impaired renal function with estimated glomerular filtration rate
  • <30mL/min/1.73m2 and/or on dyalisis
  • 15. Respiratory: chronic pulmonary disorders, e.g. severe emphysema, COPD, pulmonary
  • vasculitis, or other causes of reduced pulmonary vascular cross-sectional area.
  • 16. Any illness or medical condition that in the investigator’s opinion precludes participation
  • in this study
  • 17. Patients unable to sign a consent form

研究者

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