In Vivo Succinate Detection After External Beam Radiation Therapy in SDHx- Paragangliomas

  • STATUS
    Recruiting
  • End date
    Jun 30, 2025
  • participants needed
    32
  • sponsor
    Assistance Publique - Hôpitaux de Paris
Updated on 31 December 2021

Summary

Qualitative and quantitative biomarker of response to radiotherapy is needed in paragangliomas. We aim at assessing the added value of 1H-SRM for the evaluation of early response to EBR therapy in patients with cervical SDHx PGL.

Description

Paragangliomas (PGL) are rare neuroendocrine tumors inherited in 40% of cases. SDHx genes (SDHA, SDHB, SDHC, SDHD), encoding the 4 subunits of the mitochondrial enzyme succinate dehydrogenase (SDH), are the most frequently involved.

Accumulation of succinate, the substrate for SDH, is a very specific biomarker for these mutations. Recently, we have demonstrated the feasability of detecting and quantifying succinate in tumors in vivo, by magnetic resonance spectroscopy (1H-SRM).

Patients carrying these mutations frequently develop cervical PGL for which the treatment of choice is external beam radiation therapy (EBR).

The objective of this project is to determine the feasibility of using 1H-SRM for the evaluation of early response to EBR therapy in patients with cervical SDHx PGL.

Details
Condition Paraganglioma of Head and Neck
Treatment 1H-Spectroscopy MRI
Clinical Study IdentifierNCT04583384
SponsorAssistance Publique - Hôpitaux de Paris
Last Modified on31 December 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Age ≥ 18 years
Signed informed consent
Patient with cervical PGL with planning of treatment with EBR
Patient with an SDHx mutation or unknown genetic status
Patient affiliated to a social security scheme

Exclusion Criteria

Pregnant woman
Contraindication to MRI (implantable device, etc.)
Impossibility of lying down without movement for 45 minutes (hyperalgesic patient, claustrophobia, etc.)
PPGL having previously been the subject of local (excluding surgery) or systemic treatment
PPGL <1 cm longest axis
Patient under guardianship or curatorship
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