Spatiotemporal Dimensions of Metabolism in Autochthonous Tumors of GBM Patients

N/AActive Not RecruitingNCT06054529

AdventHealth Translational Research Institute2 enrolled

Overview

To learn how altered metabolism in GBM causes tumor growth and resistance to drug therapy. In this pilot research study, we will dose GBM patients with a form of nicotinamide (a natural vitamin) that we can track. The nicotinamide will be converted to methyl nicotinamide (MeNAM) in the tumor. We will measure how fast the nicotinamide is converted to methyl nicotinamide. We believe that the speed of this chemical reaction in the tumor (fast versus slow) may be correlated with GBM aggressiveness

Study Type

OBSERVATIONAL

Enrollment

Conditions

Glioblastoma Multiforme

Interventions

Surgical removal of the GBM tumorPROCEDURE

Surgical removal of the GBM tumor

d4-NAM infusionOTHER

Following the surgical removal of the GBM tumor, GBM patients will be dosed with a form of nicotinamide (a natural vitamin) that we can track. The nicotinamide will be converted to methyl nicotinamide (MeNAM) in the tumor. We will measure how fast the nicotinamide is converted to methyl nicotinamide. We believe that the speed of this chemical reaction in the tumor (fast versus slow) may be correlated with GBM aggressiveness.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Preoperative MRI consistent with a primary intracranial malignant brain tumor. 2. Must be 18 years of age or older. 3. Patient eligible for debulking surgery/resection. Exclusion Criteria: 1. Inability to obtain pre-operative IV access. 2. Use of Tru Niagen, Basis (or any other nicotinamide riboside (NR)-containing NAD+ booster) or niacin supplements within one month prior to Study Visit 1. 3. Participation in studies involving investigational drug(s) within 30 days prior to Study Visit 1 4. Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 56 days prior to Study Visit 1 (participants may not donate blood any time during the study, through the final study day) 5. Presence of any condition that, in the opinion of Dr. Field, compromises participant safety or data integrity or the participant's ability to complete study days. 6. Pregnancy, lactation or \< 9 months postpartum from the Study Visit 1 date.

Locations (1)

AdventHealth Translational Research Institute

Orlando, Florida, United States

Outcomes

Primary Outcomes

Subtyping of GBM tumors as Classical, Proneural or MES (based on RNA-seq)

Resected tumor tissue will undergo routine testing

Time frame: 2 months

Data from ClinicalTrials.gov

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