Clinical trial NCT03977896: Feasibility of 11C-MET PET/MRI Imaging in Pediatric Brain Fossa Tumors
Official title: Pilot Study to Evaluate the Feasibility of Hybrid Brain Imaging 11C-MET PET/MRI of Posterior Brain Fossa Tumors in Children
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Posterior Brain Fossa Tumors in Children
Keywords: PET/MRI
11C-MET
posterior brain fossa tumors
children
surgery
feasibility
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2019-06-06
Enrollment: 15
Sex: ALL
Minimum age (years): 5
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Brain tumors are the most common solid tumors in children and are the second most common cause of cancer-related death among this population. Posterior brain fossa tumors represent about 50% of children brain tumors.

Recently, knowledge in molecular biology has permitted to identify different tumors subgroups of very different prognosis. Today, surgery removal of the tumor is the mandatory. Neuro-oncological treatment differs depending on the histological and molecular subgroup. With classical Magnetic Resonance Imaging (cMRI), distinction between different types of posterior fossa tumors remains difficult.

Positron Emission Tomography combined with MRI (PET/MRI) has proven its benefits for the management of brain tumors. The direct spatiotemporal correlation makes possible the assessment of metabolic, anatomical and functional information. PET/MRI would provide precisions on the pre-therapeutic characterization of tumors, which could permit to modify the patients' care.

L- \[methyl-11C\] methionine (11C-MET) is currently the gold-standard tracer used in neuro-oncology, but few data exists in children. 11C-MET PET/MRI assessment seems promising, but has not been studied enough. To the best of our knowledge, there is no specific study on primary brain tumors of the posterior fossa in children using 11C-MET PET/MRI.

The primary objectives of this first pilot study is to evaluate the practical feasibility of 11C-MET PET/MRI imaging (machine accessibility and imaging interpretability) before surgery in a population of children older than 5 years old with posterior fossa tumors.

The secondary objectives aim to describe :

* the PET/MRI parameters of the different tumors studied,
* and the patient's participation acceptation.

This feasibility study will allow us to standardize the PET/MRI measurements; this could allow us to discriminate, in a larger study, the different tumor subgroups before surgery.


Eligibility criteria: Inclusion Criteria:

* Patients ≥ 5 years old and \< 18 years old at enrollment,
* with primary posterior brain fossa tumor, metastatic or not,
* hospitalized in the Department of Pediatric Neurosurgery of Femme-Mère-Enfant Hospital, and for whom a surgery is scheduled,
* covered by national health insurance,
* patient's parents or legal guardians who have provided written informed consent prior to participation in the study.

Exclusion Criteria:

* Patients with contraindication for MRI (claustrophobia, carrying metallic object)
* Patients with contraindication for Gadolinium injection (including pregnancy and breastfeeding)
* patient with recurring posterior brain fossa tumor
* patient with brain stem infiltrative tumor

Primary outcomes:
measure: number of patients who performed the PET/MRI
timeFrame: 7 days
measure: number of patients called in for PET/MRI who have not realized the PET/MRI
timeFrame: 7 days
measure: number of patients with good quality of the imaging
timeFrame: 7 days
Secondary outcomes:
Other outcomes:
Locations:
city: Bron
country: France
facility: Hospices Civils de Lyon - Groupement Hospitalier Est - Hôpital Femme Mère Enfant - Service de Neurochirurgie Pédiatrique
Study officials:
affiliation: Hospices Civils de Lyon
name: Pierre-Aurélien BEURIAT, MD
role: PRINCIPAL_INVESTIGATOR
References: