ALBATROSS Study: International Multicenter Study for Prospective Validation of Imaging Biomarkers Calculated at Vascular Habitats of High-grade Gliomas

Study Overview
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Brief Summary
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This Clinical study is framed in the ALBATROSS Project: Clinically validated decision support system based on pixel level Artificial Intelligent models for deciding treatment in glioblastoma. The prospective multicenter international dataset compiled during the ALBATROSS project will include a cohort up to 300 new patients diagnosed with GB after June 1, 2020. Longitudinal images (T1, T2, T1c, FLAIR, PWI-DSC and DWI at least), complete molecular profiling, primary and secondary lines of treatment and clinical conditions will be included for each patient.

Detailed Description
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The Hypothesis under study in this project is: Therapeutic decision making during clinical management of patients with glioblastoma may benefit from delineating functional habitats at pixel level relative to growth, proliferation, infiltration and angiogenesis The Overall Scientific Objectives of the research proposal are to: OSO1. Delineate functional habitats from multiparametric MRI relative to the growth, proliferation, infiltration and angiogenesis at the enhanced tumor and infiltrated peripheral edema OSO2. Demonstrate that functional habitats at enhanced tumors and infiltrated peripheral edema show structural, cellular and molecular differences related to the heterogeneity of the tumor region and are compatible with mathematical models of glioma growth and infiltration OSO3. Determine the in-vivo molecular sub-type of patients with glioblastoma from image biomarkers in functional habitats OSO4. Identify groups of patients with glioblastoma presenting positive therapeutic response in terms of longer survival using image biomarkers from functional habitats OSO5. Position ONCOhabitats as a clinical decision support system for the management of patients with glioblastoma

Official Title
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ALBATROSS Study: International Multicenter Study for Prospective Validation of Imaging Biomarkers Calculated at Vascular Habitats of High-grade Gliomas

Conditions
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Astrocytoma, Grade IV

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients diagnosed with astrocytoma grade IV WHO with histopathological/genetic confirmation who undergo the Stupp treatment Age > 18 years at diagnosis Patients with access to complete preoperative, postoperative and follow up MRI studies, including: Pre gadolinium T1-weighted MRI Post gadolinium T1-wighted MRI T2-weighted MRI Fluid-Attenuated Inversion Recovery (FLAIR) Dynamic Susceptibility Contrast (DSC) T2*-weighted perfusion sequences Diffusion Weighted Imaging (DWI) Patients who undergo surgery with the possibility to collect samples from different regions of the tumor Exclusion Criteria: Patient with congestive heart failure within 6 months prior to study entry (New York Heart Association >= Grade 3) Uncontrolled or significant cardiovascular disease, including: Myocardial infarction and transient ischemic attack or stroke within 6 months prior to enrollment Uncontrolled angina within 6 months Diagnosed or suspected congenital long QT syndrome Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or Torsades de pointes) Clinically significant abnormality on electrocardiogram (ECG) Pulmonary disease including or greater than grade 2 dyspnea or laryngeal edema, grade 3 pulmonary edema or pulmonary hypertension according to CTCAE 4.03

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall Survival (OS) | Overall Survival is defined as the time from the first presurgical MRI is taken to the patient (MR0) to death | From date of inclusion (date of first MRI) until the date of death, assessed up to 48 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Progression Free Survival (PFS) | Progression Free Survival is defined as the time from the first presurgical MRI is taken to the patient to the detection of tumor relapse | From date of inclusion (date of first MRI) until the date of documented tumor progression, assessed up to 48 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Astrocytoma, Grade IV, Glioblastoma, Glioblastoma IDH wildtype, Astrocytoma IDH mutant, Glioblastoma IDH mutant, High-grade glioma