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CTRI Number  CTRI/2021/01/030566 [Registered on: 19/01/2021] Trial Registered Prospectively
Last Modified On: 18/01/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Biomarker R&D study 
Study Design  Other 
Public Title of Study   Brain tumor biomarker study 
Scientific Title of Study   Measuring tumor-specific genetic alterations in cerebrospinal fluid (CSF) as a biomarker of tumor burden in malignant brain tumor patients. 
Trial Acronym  Not applicable 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aditi Chatterjee 
Designation  Associate Director, R&D 
Affiliation  Strand Life Sciences Pvt Ltd 
Address  Strand Life Sciences Pvt Ltd, Research Informatics, Research & Development University of Agricultural Sciences, Convention Centre, Veterinary College Campus, Bellary Road

Bangalore
KARNATAKA
560024
India 
Phone    
Fax    
Email  aditi.c@strandls.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aditi Chatterjee 
Designation  Associate Director, R&D 
Affiliation  Strand Life Sciences Pvt Ltd 
Address  Strand Life Sciences Pvt Ltd, Research Informatics, Research & Development University of Agricultural Sciences, Convention Centre, Veterinary College Campus, Bellary Road

Bangalore
KARNATAKA
560024
India 
Phone    
Fax    
Email  aditi.c@strandls.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pallavi Ghana 
Designation  Associate Director, Project Management 
Affiliation  Strand Life Sciences Pvt Ltd 
Address  Strand Life Sciences Pvt Ltd, Research Informatics, Project Management University of Agricultural Sciences, Convention Centre, Veterinary College Campus, Bellary Road

Bangalore
KARNATAKA
560024
India 
Phone    
Fax    
Email  pallavi.ghana@strandls.com  
 
Source of Monetary or Material Support  
Johns Hopkins University, School of Medicine Baltimore, MD, USA  
 
Primary Sponsor  
Name  Johns Hopkins University School of Medicine 
Address  600 North Wolfe Street Phipps 118 Baltimore, MD 21287, USA  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mayur Kaku  HealthCare Global Enterprises Limited, Bangalore  No.8 HCG Towers (Department of Neurosurgery) P. Kalinga Rao Road Sampangiram Nagar Bangalore 560027
Bangalore
KARNATAKA 
8951783386

mayurvkaku@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
HCG-Central Ethics Committee, Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C719||Malignant neoplasm of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Age >18 years for Cohort 1: patients with suspected or confirmed malignant brain tumor who are eligible for surgical resection, chemotherapy or radiation treatments, as identified by the site PI or Co-Is through routine clinical care processes
2. Age >12 years for Cohort 2: patients, including children, with malignant brain tumor, who are undergoing a diagnostic or therapeutic lumbar puncture, as identified by the site PI or Co-Is through routine clinical care processes
3. Life expectancy of greater than 6 months
4. Patients must have normal lab criteria as defined below:
4a) Platelets ≥ 100,000/mcL
4b) PTT above institutional limits
4c) INR above institutional limits
5) Ability to understand and the willingness to sign a written Informed Consent Form for patients >18 years and an Assent form for patients <18 years
6) Both men and women of all races and ethnic groups are eligible for this study
 
 
ExclusionCriteria 
Details  1) Patients who have an uncontrolled infection
2) Patients who are receiving an investigational agent(s) that increases the risks associated with cerebrospinal fluid sampling
3) Patients with clinical or radiographic evidence of elevated intracranial pressure (such as papilledema, obstructive hydrocephalus, or signs of herniation)
4) Patients who are coagulopathic and are taking blood thinning products, such as plavix, lovenox, or coumadin. Patients maybe on steroids or anti-convulsant therapy without affecting eligibility
5) Women who are pregnant or suspect they are pregnant or lactating mothers
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Identification of genetic biomarkers from brain tumor and cerebrospinal fluid samples  By the end of the duration of the study 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not Applicable 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/01/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Protocol No: SLS-JHM-01


Title: Measuring tumor-specific genetic alterations in cerebrospinal fluid (CSF) as a biomarker of tumor burden in malignant brain tumor patients


Study Sponsor: Johns Hopkins University, School of Medicine


Study Type: Observational, non-interventional, multicentric


Study sites: Upto 8 sites


Total number of subjects: 100


Study Arms: 2

1st Arm: Brain Tumor Malignancy with chemo/radiotherapy

2nd Arm: Brain Tumor Malignancy with lumbar puncture


Rationale: 

Tumor DNA load in body fluids (circulating tumor DNA or ctDNA) can be a minimally invasive adjunct biomarker for determining tumor burden and also for determining tumor mutations targetable by therapy.



Objectives:

Primary objective: To test the feasibility of measuring tumor-specific genetic alterations in cerebrospinal fluid (CSF) as a biomarker of tumor burden in malignant brain tumor patients

Secondary objective: To determine progression-free survival (PFS) and overall survival (OS) in patients with tumor-specific genetic alterations detected in the cerebrospinal fluid


Study Design:

This is a multi institutional study to evaluate the feasibility of measuring tumor-specific genetic alterations in cerebrospinal fluid (CSF) as a biomarker of tumor burden in malignant brain tumor patients. Patients with suspected or confirmed malignant brain tumor who are eligible for surgical tumor resection, treatment with chemo or radiation therapy, patients with malignant brain tumors who are undergoing the therapeutic or diagnostic lumbar puncture, will be enrolled into this study. The primary goal of this study is to determine the feasibility of detecting and quantifying ctDNA in CSF of patients with malignant brain tumors. Tumor tissue and CSF will be collected.


 
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