Glioblastoma
Conditions
Keywords
Glioblastoma, CSF cfDNA, cerebrospinal fluid cell free DNA, Memorial Sloan Kettering Cancer Center, 23-058
Brief summary
The goal of this study is to determine the utility of cerebrospinal fluid (CSF) cell-free DNA (cfDNA) as a prognostic biomarker in glioblastoma (GBM).
Interventions
During the lumbar puncture/LP, 20cc will be collected per standard practice in adult patients. LP will be performed either at bedside or under interventional radiology (IR) guidance (due to patient anatomy).
Sponsors
Study design
Eligibility
Inclusion criteria
Cohort A * Participants must be able to understand and be willing to sign a written informed consent document * Age ≥ 18 years * MRI with contrast-enhancing lesion concerning for high-grade glioma in absence of known systemic malignancy * Clinical consensus of presumed diagnosis of high grade glioma between (1) neuroradiology (2) neurosurgery; and (3) principal investigator * No prior tumor directed therapy * Planned radiation therapy for glioblastoma * Patients must be willing and able to tolerate MRI scans and/or CT scans w/ contrast * Patients must be willing to consent to MSK IRB#12-245 Cohort B * Participants must be able to understand and be willing to sign a written informed consent document * Age ≥ 18 years * Histologic confirmed glioblastoma (WHO grade IV), IDH wild type per IHC * No prior tumor-directed therapies except surgical resection or biopsy * Patients who have gliadel wafers placed during upfront surgery are excluded * Planned radiation therapy for glioblastoma * Patients must be willing and able to tolerate MRI scans and/or CT scans w/ contrast * Patients must be willing to consent to MSK IRB#12-245
Exclusion criteria
Cohorts A and B * Any case for which there is a medical contraindication or safety concern regarding a lumbar puncture under standard medical guidelines at MSK * Refusal to undergo serial lumbar punctures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | 6 months | Overall survival will be calculated as the time from pathological diagnosis to the date of death due to any cause (prior to analysis cut-off) or last follow-up |