Intracranial NeoplasmNCT05904704
Oxygen-Enhanced MRI for Generating Hypoxia Maps in Patients With Intracranial Tumors
A study testing Magnetic Resonance Imaging and Oxygen Therapy in people with Intracranial Neoplasm, run by OHSU Knight Cancer Institute at 1 site in United States.
Trial summary
This clinical trial evaluates the feasibility of performing oxygen-enhanced magnetic resonance imaging (MRI) to generate hypoxia maps in patients with intracranial tumors. Decreased levels of oxygen (hypoxia) is a hallmark of malignant brain tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Intracranial Neoplasm
- What is being tested?
- Magnetic Resonance Imaging and Oxygen Therapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- 12 Apr 2023to 31 Mar 2029
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients (18 years of age or older) with a known or suspected intracranial tumor
- Able to provide informed written consent and/or acceptable surrogate capable of providing consent on the patient's behalf
- Legally authorized representative (LAR)-signed informed consent and assent obtained for those subjects identified as decisionally impaired
- Intracranial lesion known or suspected to be neoplastic greater than 10 mL as assessed by T2/fluid attenuated inversion recovery (FLAIR) magnetic resonance (MR) imaging
- Karnofsky performance score > 60 or Eastern Cooperative Oncology Group (ECOG) < 3 as assessed by referring clinician
- Planning to undergo or previously received therapeutic intervention for the intracranial tumor
Who cannot join
- Pregnant or breastfeeding
- Contraindication to supplemental oxygen administration, MRI, or intravenous gadolinium based contrast agents.
- Claustrophobia
- Weight greater than modality maximum capacity
- Presence of metallic foreign body or implanted medical devices in body not documented as MRI safe according to the Oregon Health \& Science University (OHSU) Department of Radiology guidelines (including but not limited to cardiac pacemaker, aneurysm clips, surgical clips, prostheses, artificial hearts, valves with steel parts, metal fragments, shrapnel, tattoos near the eye, or steel implants)
- Sickle cell disease
Show all 12Show fewer
- Unsure of pregnancy status as assessed by Department of Radiology and Advanced Imaging Research Center (AIRC) guidelines
- Subjects for whom supplemental oxygen could be harmful such as people with potential for hypoventilation or chronic respiratory insufficiency (end-stage chronic obstructive pulmonary disease [COPD], obstructive sleep apnea [OSA] on continuous positive airway pressure [CPAP]/biphasic positive airway pressure [Bi-PAP], etc)
- Subjects with a relative contraindication to supplemental oxygen administration will not be provided oxygen but may still participate in the study
- Presence of any other co-existing condition that, in the judgment of the principal investigator, might increase the risk to the subject (i.e., plans for hospice or end of life care)
- Poor peripheral intravenous access evaluated by patient history
- Presence of other serious systemic illnesses, including: uncontrolled infection, other uncontrolled malignancy, uncontrolled diabetes type II, or psychiatric/social situations which might impact the endpoint of the study or limit compliance with study requirements
Trial locations and contacts
1 site in 1 country.
United States1 site
OHSU Knight Cancer Institute
Portland, Oregon, 97239
About this study
Official title: Feasibility of Oxygen Enhanced MRI in Assessment of Malignant Brain Tumors
This clinical trial evaluates the feasibility of performing oxygen-enhanced magnetic resonance imaging (MRI) to generate hypoxia maps in patients with intracranial tumors. Decreased levels of oxygen (hypoxia) is a hallmark of malignant brain tumors. Chronic hypoxia is a stimulator of blood vessel formation, which is required for tumor growth and spread. Hypoxia also limits the effectiveness of radiation and chemotherapy. MRI is an imaging technique that uses radiofrequency waves and a strong magnetic field rather than x-rays to provide detailed pictures of internal organs and tissues. The administration of inhaled oxygen allows for an increased MRI signal effect size. Oxygen-enhanced MRI may be a non-invasive method that can physiologically estimate tissue hypoxia. With a better understanding of the extent of tumor hypoxia, more effective and patient-specific therapies could be devised to halt malignant tumor growth.
Read the detailed description
PRIMARY OBJECTIVE:
- Determine the feasibility of generating hypoxia maps from oxygen MRI.
SECONDARY OBJECTIVES:
- Evaluate the association between oxygen MRI hypoxia maps generated using T2* and T1 MRI sequences.
II. Evaluate the association between oxygen MRI hypoxia maps and progression free survival.
OUTLINE:
Patients receive supplemental oxygen while undergoing standard of care MRI.
- Conditions
- Intracranial Neoplasm
- Being tested
- Magnetic Resonance Imaging, Oxygen Therapy
- Medical subject headings
- Brain Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Magnetic Resonance ImagingProcedure or surgery
Also called Magnetic Resonance, Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance
Undergo MRI
Oxygen TherapyProcedure or surgery
Also called supplemental oxygen therapy
Receive supplemental oxygen
| Study group | Role | What they receive |
|---|---|---|
| Diagnostic (oxygen-enhanced MRI) | Experimental | Patients receive supplemental oxygen while undergoing standard of care MRI. Receives: Procedure: Magnetic Resonance Imaging; Procedure: Oxygen Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Generation of whole brain oxygen magnetic resonance imaging (MRI) data set
Evaluated to determine the feasibility of obtaining oxygen MRI hypoxia maps. Following completion of cohort enrollment, the generation of each hypoxia map will be independently scored as a dichotomous variable; successful or non-successful. The successful generation of a hypoxia map from either a T1 or T2* approach in 85% of the cohort of patients will need to be achieved for the imaging modality to be deemed feasible for the purposes of this study. Will provide the estimated proportion of success rate for each metric along with the corresponding 95% exact confidence interval.
Measured: One hour of diagnostic imaging
Quantification of hypoxic tumor volume
Evaluated to determine the feasibility of obtaining oxygen MRI hypoxia maps.
Measured: One hour of diagnostic imaging
Secondary outcomes (2)
Correlation between T1 and T2* sequence hypoxia volume
Will determine the association between oxygen MRI hypoxia maps generated using T2* and T1 MRI sequences. Assessed using Pearson's correlation coefficient.
Measured: One hour of diagnostic imaging
Progression free survival
Will perform Kaplan Meier analysis of progression free survival stratified by median T1 and T2* hypoxic volume to determine the association between oxygen MRI hypoxia maps and progression free survival. A Cox regression model will also be explored by treating hypoxic volume as a continuous variable.
Measured: Clinical follow up for up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2023
- Study start12 Apr 2023
- Primary completion31 Mar 2029 (estimated)
- Study completion31 Mar 2029 (estimated)
Why it stopped: no enrollment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Intracranial NeoplasmStudies of the same condition, open and under way.
- More trials run by OHSU Knight Cancer InstituteThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- OHSU Knight Cancer Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Oregon Health and Science University
- Responsible party
- Principal investigator, Ramon Barajas, OHSU Knight Cancer Institute
- Investigators
- Ramon Barajas, Principal investigator, OHSU Knight Cancer Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05904704
- Sponsor's protocol ID
- STUDY00025277
- Other IDs
- NCI-2023-01433, STUDY00025277
- Status last verified
- Nov 2025
- First submitted
- 6 Jun 2023
- Last updated
- 14 Nov 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility of Oxygen Enhanced MRI in Assessment of Malignant Brain Tumors
- ClinicalTrials.gov ID
- NCT05904704
- Acronym / sponsor ID
- STUDY00025277
- Conditions
- Intracranial Neoplasm
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: no enrollment
- Enrolment
- 0 participants (actual)
- Lead sponsor
- OHSU Knight Cancer InstituteUniversity, hospital or other
- Collaborators
- Oregon Health and Science University
- Study start
- 12 Apr 2023 (actual)
- Primary completion
- 31 Mar 2029 (estimated)
- Study completion
- 31 Mar 2029 (estimated)
- First posted
- 15 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical trial evaluates the feasibility of performing oxygen-enhanced magnetic resonance imaging (MRI) to generate hypoxia maps in patients with intracranial tumors. Decreased levels of oxygen (hypoxia) is a hallmark of malignant brain tumors. Chronic hypoxia is a stimulator of blood vessel formation, which is required for tumor growth and spread. Hypoxia also limits the effectiveness of radiation and chemotherapy. MRI is an imaging technique that uses radiofrequency waves and a strong magnetic field rather than x-rays to provide detailed pictures of internal organs and tissues. The administration of inhaled oxygen allows for an increased MRI signal effect size. Oxygen-enhanced MRI may be a non-invasive method that can physiologically estimate tissue hypoxia. With a better understanding of the extent of tumor hypoxia, more effective and patient-specific therapies could be devised to halt malignant tumor growth.
Detailed description
PRIMARY OBJECTIVE:
- Determine the feasibility of generating hypoxia maps from oxygen MRI.
SECONDARY OBJECTIVES:
- Evaluate the association between oxygen MRI hypoxia maps generated using T2* and T1 MRI sequences.
II. Evaluate the association between oxygen MRI hypoxia maps and progression free survival.
OUTLINE:
Patients receive supplemental oxygen while undergoing standard of care MRI.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Diagnostic (oxygen-enhanced MRI) | Experimental | Procedure: Magnetic Resonance Imaging, Procedure: Oxygen TherapyPatients receive supplemental oxygen while undergoing standard of care MRI. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Adult patients (18 years of age or older) with a known or suspected intracranial tumor
- Able to provide informed written consent and/or acceptable surrogate capable of providing consent on the patient's behalf
- Legally authorized representative (LAR)-signed informed consent and assent obtained for those subjects identified as decisionally impaired
- Intracranial lesion known or suspected to be neoplastic greater than 10 mL as assessed by T2/fluid attenuated inversion recovery (FLAIR) magnetic resonance (MR) imaging
- Karnofsky performance score > 60 or Eastern Cooperative Oncology Group (ECOG) < 3 as assessed by referring clinician
Key exclusion criteria (12 listed)
- Pregnant or breastfeeding
- Contraindication to supplemental oxygen administration, MRI, or intravenous gadolinium based contrast agents.
- Presence of any other co-existing condition that, in the judgment of the principal investigator, might increase the risk to the subject (i.e., plans for hospice or end of life care)
- Poor peripheral intravenous access evaluated by patient history
- Presence of other serious systemic illnesses, including: uncontrolled infection, other uncontrolled malignancy, uncontrolled diabetes type II, or psychiatric/social situations which might impact the endpoint of the study or limit compliance with study requirements
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Magnetic Resonance ImagingAlso: Magnetic Resonance, Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic ResonanceUndergo MRI | Procedure or surgery | Diagnostic (oxygen-enhanced MRI) |
| Oxygen TherapyAlso: supplemental oxygen therapyReceive supplemental oxygen | Procedure or surgery | Diagnostic (oxygen-enhanced MRI) |
Primary outcome
Generation of whole brain oxygen magnetic resonance imaging (MRI) data set
Time frame: One hour of diagnostic imaging
Evaluated to determine the feasibility of obtaining oxygen MRI hypoxia maps. Following completion of cohort enrollment, the generation of each hypoxia map will be independently scored as a dichotomous variable; successful or non-successful. The successful generation of a hypoxia map from either a T1 or T2* approach in 85% of the cohort of patients will need to be achieved for the imaging modality to be deemed feasible for the purposes of this study. Will provide the estimated proportion of success rate for each metric along with the corresponding 95% exact confidence interval.
Quantification of hypoxic tumor volume
Time frame: One hour of diagnostic imaging
Evaluated to determine the feasibility of obtaining oxygen MRI hypoxia maps.
2 secondary outcomes
Correlation between T1 and T2* sequence hypoxia volume
Time frame: One hour of diagnostic imaging
Progression free survival
Time frame: Clinical follow up for up to 5 years
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Nov 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ramon Barajas principal investigator
OHSU Knight Cancer Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Magnetic Resonance Imaging and Oxygen Therapy in people with Intracranial Neoplasm, run by OHSU Knight Cancer Institute at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 14 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Generation of whole brain oxygen magnetic resonance imaging (MRI) data set (time frame: One hour of diagnostic imaging). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Nov 2025.