Page last updated: 2024-10-16

aminolevulinic acid and Minimal Disease, Residual

aminolevulinic acid has been researched along with Minimal Disease, Residual in 41 studies

Aminolevulinic Acid: A compound produced from succinyl-CoA and GLYCINE as an intermediate in heme synthesis. It is used as a PHOTOCHEMOTHERAPY for actinic KERATOSIS.
5-aminolevulinic acid : The simplest delta-amino acid in which the hydrogens at the gamma position are replaced by an oxo group. It is metabolised to protoporphyrin IX, a photoactive compound which accumulates in the skin. Used (in the form of the hydrochloride salt)in combination with blue light illumination for the treatment of minimally to moderately thick actinic keratosis of the face or scalp.

Research Excerpts

ExcerptRelevanceReference
"Introducing 5-aminolevulinic acid-photodynamic diagnosis into transurethral resection reduces residual bladder cancer and improves the cumulative intravesical recurrence-free survival in patients with non-muscle-invasive bladder cancer, indicating its possible therapeutic benefits."8.12Photodynamic diagnosis-assisted transurethral resection using oral 5-aminolevulinic acid decreases residual cancer and improves recurrence-free survival in patients with non-muscle-invasive bladder cancer. ( Harada, S; Honda, T; Kani, N; Kato, T; Matsuoka, Y; Okazoe, H; Sugimoto, M; Taoka, R; Tohi, Y; Tsunemori, H; Ueda, N; Yamasaki, M, 2022)
"Our observations suggest that 5-aminolevulinic acid-induced porphyrin fluorescence may label malignant gliomas safely and accurately enough to enhance the completeness of tumor removal."7.70Intraoperative detection of malignant gliomas by 5-aminolevulinic acid-induced porphyrin fluorescence. ( Fritsch, C; Goetz, AE; Goetz, C; Kiefmann, R; Reulen, HJ; Stepp, H; Stocker, S; Stummer, W; Wagner, S, 1998)
"Significant reduction in the number of residual tumours was detected in 59% (p = 0."6.71[Clinical significance of macroscopic 5-aminolevulinic acid (ALA)-inducer fluorescence in transurethral resection of non-invasive bladder cancer]. ( Al-Shukri, S; Danil'chenko, DI; Koenig, F; Loening, SA; Riedl, K; Schnorr, D; Waldman, A, 2003)
"Evaluation of residual tumor rate and recurrence free survival were defined as the two primary study endpoints."6.71[Reducing the risk of superficial bladder cancer recurrence with 5-aminolevulinic acid-induced fluorescence diagnosis. Results of a 5-year study]. ( Filbeck, T; Knuechel, R; Pichlmeier, U; Rössler, W; Wieland, WF, 2003)
"Residual tumor was evaluated in the 2 groups by repeat transurethral resection 10 to 14 days later."6.70Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy. ( Eisenberger, F; Hofstetter, A; Jocham, D; Kriegmair, M; Rassweiler, J; Rothenberger, KH; Stenzl, A; Tauber, R; Zaak, D, 2002)
"The risk of residual tumor after transurethral resection of transitional cell carcinoma is significantly decreased by 5-aminolevulinic acid fluorescence endoscopy."6.70Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy. ( Eisenberger, F; Hofstetter, A; Jocham, D; Kriegmair, M; Rassweiler, J; Rothenberger, KH; Stenzl, A; Tauber, R; Zaak, D, 2002)
"5-aminolevulinic acid is a protoporphyrin IX precursor used for photodynamic diagnosis."5.72Photodynamic diagnosis-assisted transurethral resection using oral 5-aminolevulinic acid decreases residual cancer and improves recurrence-free survival in patients with non-muscle-invasive bladder cancer. ( Harada, S; Honda, T; Kani, N; Kato, T; Matsuoka, Y; Okazoe, H; Sugimoto, M; Taoka, R; Tohi, Y; Tsunemori, H; Ueda, N; Yamasaki, M, 2022)
"Multiple myeloma is the cancer of plasma cells."5.51Flow Cytometry-Based Photodynamic Diagnosis with 5-Aminolevulinic Acid for the Detection of Minimal Residual Disease in Multiple Myeloma. ( Fujimaki, S; Fujiwara, M; Fujiwara, T; Fukuhara, N; Harigae, H; Ito, T; Iwaki, K; Onishi, Y; Ono, K; Saito, K; Sasaki, K; Suzuki, C; Tamura, H; Tanaka, T; Yokoyama, H, 2019)
"5-Aminolevulinic acid (ALA) is a natural compound in the heme biosynthesis pathway."5.51Flow Cytometry-Based Photodynamic Diagnosis with 5-Aminolevulinic Acid for the Detection of Minimal Residual Disease in Multiple Myeloma. ( Fujimaki, S; Fujiwara, M; Fujiwara, T; Fukuhara, N; Harigae, H; Ito, T; Iwaki, K; Onishi, Y; Ono, K; Saito, K; Sasaki, K; Suzuki, C; Tamura, H; Tanaka, T; Yokoyama, H, 2019)
"5-Aminolevulinic acid (5-ALA) fluorescence can maximize perirolandic glioblastoma (GBM) resection with low rates of postoperative sequelae."5.22Functional outcomes, extent of resection, and bright/vague fluorescence interface in resection of glioblastomas involving the motor pathways assisted by 5-ALA. ( Bonaudo, C; Campagnaro, L; Carrai, R; Ciccarino, P; Dardo, M; Della Puppa, A; Esposito, A; Fainardi, E; Muscas, G; Orlandini, S, 2022)
"Controversy exists regarding the therapeutic benefit and cost effectiveness of photodynamic diagnosis (PDD) with 5-aminolevulinic acid (5-ALA) or hexyl aminolevulinate (HAL) in addition to white-light cystoscopy (WLC) in the management of non-muscle-invasive bladder cancer (NMIBC)."4.89Hexyl aminolevulinate-guided fluorescence cystoscopy in the diagnosis and follow-up of patients with non-muscle-invasive bladder cancer: a critical review of the current literature. ( Babjuk, M; Catto, JW; Jichlinski, P; Rink, M; Shariat, SF; Stenzl, A; Stepp, H; Witjes, JA; Zaak, D, 2013)
"The clinical benefit of photodynamic diagnosis (PDD) with 5-aminolevulinic acid or hexaminolevulinate in addition to white-light cystoscopy (WLC) in bladder cancer has been discussed controversially."4.86Photodynamic diagnosis in non-muscle-invasive bladder cancer: a systematic review and cumulative analysis of prospective studies. ( Jacqmin, D; Jichlinski, P; Jocham, D; Kausch, I; Montorsi, F; Sommerauer, M; Stenzl, A; Vonthein, R; Ziegler, A, 2010)
"Introducing 5-aminolevulinic acid-photodynamic diagnosis into transurethral resection reduces residual bladder cancer and improves the cumulative intravesical recurrence-free survival in patients with non-muscle-invasive bladder cancer, indicating its possible therapeutic benefits."4.12Photodynamic diagnosis-assisted transurethral resection using oral 5-aminolevulinic acid decreases residual cancer and improves recurrence-free survival in patients with non-muscle-invasive bladder cancer. ( Harada, S; Honda, T; Kani, N; Kato, T; Matsuoka, Y; Okazoe, H; Sugimoto, M; Taoka, R; Tohi, Y; Tsunemori, H; Ueda, N; Yamasaki, M, 2022)
"Our observations suggest that 5-aminolevulinic acid-induced porphyrin fluorescence may label malignant gliomas safely and accurately enough to enhance the completeness of tumor removal."3.70Intraoperative detection of malignant gliomas by 5-aminolevulinic acid-induced porphyrin fluorescence. ( Fritsch, C; Goetz, AE; Goetz, C; Kiefmann, R; Reulen, HJ; Stepp, H; Stocker, S; Stummer, W; Wagner, S, 1998)
"Residual tumor was found in 15 (75%) AK and in 4 (66."2.73Fractionated illumination improves the outcome in the treatment of precancerous lesions with photodynamic therapy. ( Mirić, L; Persin, A; Puizina-Ivić, N; Vanjaka-Rogosić, L; Zorc, H, 2008)
"Significant reduction in the number of residual tumours was detected in 59% (p = 0."2.71[Clinical significance of macroscopic 5-aminolevulinic acid (ALA)-inducer fluorescence in transurethral resection of non-invasive bladder cancer]. ( Al-Shukri, S; Danil'chenko, DI; Koenig, F; Loening, SA; Riedl, K; Schnorr, D; Waldman, A, 2003)
"Evaluation of residual tumor rate and recurrence free survival were defined as the two primary study endpoints."2.71[Reducing the risk of superficial bladder cancer recurrence with 5-aminolevulinic acid-induced fluorescence diagnosis. Results of a 5-year study]. ( Filbeck, T; Knuechel, R; Pichlmeier, U; Rössler, W; Wieland, WF, 2003)
"Residual tumor was evaluated in the 2 groups by repeat transurethral resection 10 to 14 days later."2.70Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy. ( Eisenberger, F; Hofstetter, A; Jocham, D; Kriegmair, M; Rassweiler, J; Rothenberger, KH; Stenzl, A; Tauber, R; Zaak, D, 2002)
"The risk of residual tumor after transurethral resection of transitional cell carcinoma is significantly decreased by 5-aminolevulinic acid fluorescence endoscopy."2.70Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy. ( Eisenberger, F; Hofstetter, A; Jocham, D; Kriegmair, M; Rassweiler, J; Rothenberger, KH; Stenzl, A; Tauber, R; Zaak, D, 2002)
"Non-muscle-invasive bladder cancer (NMIBC) is associated with a high recurrence risk, partly because of the persistence of lesions following transurethral resection of bladder tumour (TURBT) due to the presence of multiple lesions and the difficulty in identifying the exact extent and location of tumours using standard white-light cystoscopy (WLC)."2.50Clinical and cost effectiveness of hexaminolevulinate-guided blue-light cystoscopy: evidence review and updated expert recommendations. ( Babjuk, M; Gontero, P; Jacqmin, D; Karl, A; Kruck, S; Mariappan, P; Palou Redorta, J; Stenzl, A; van Velthoven, R; Witjes, JA; Zaak, D, 2014)
"Residual tumour was significantly less often found after PDD (odds ratio: 0."2.46Photodynamic diagnosis in non-muscle-invasive bladder cancer: a systematic review and cumulative analysis of prospective studies. ( Jacqmin, D; Jichlinski, P; Jocham, D; Kausch, I; Montorsi, F; Sommerauer, M; Stenzl, A; Vonthein, R; Ziegler, A, 2010)
"5-aminolevulinic acid is a protoporphyrin IX precursor used for photodynamic diagnosis."1.72Photodynamic diagnosis-assisted transurethral resection using oral 5-aminolevulinic acid decreases residual cancer and improves recurrence-free survival in patients with non-muscle-invasive bladder cancer. ( Harada, S; Honda, T; Kani, N; Kato, T; Matsuoka, Y; Okazoe, H; Sugimoto, M; Taoka, R; Tohi, Y; Tsunemori, H; Ueda, N; Yamasaki, M, 2022)
"Sensitivity and specificity were calculated for Gd-DTPA MRI, PWI, met-PET, and 5-ALA according to the histology of specimen."1.51Diagnostic accuracy of intraoperative perfusion-weighted MRI and 5-aminolevulinic acid in relation to contrast-enhanced intraoperative MRI and ( Beer, AJ; Coburger, J; Eberhardt, N; König, R; Pala, A; Reske, SN; Scheuerle, A; Schmitz, B; Wirtz, CR, 2019)
"5-Aminolevulinic acid (ALA) is a natural compound in the heme biosynthesis pathway."1.51Flow Cytometry-Based Photodynamic Diagnosis with 5-Aminolevulinic Acid for the Detection of Minimal Residual Disease in Multiple Myeloma. ( Fujimaki, S; Fujiwara, M; Fujiwara, T; Fukuhara, N; Harigae, H; Ito, T; Iwaki, K; Onishi, Y; Ono, K; Saito, K; Sasaki, K; Suzuki, C; Tamura, H; Tanaka, T; Yokoyama, H, 2019)
"Multiple myeloma is the cancer of plasma cells."1.51Flow Cytometry-Based Photodynamic Diagnosis with 5-Aminolevulinic Acid for the Detection of Minimal Residual Disease in Multiple Myeloma. ( Fujimaki, S; Fujiwara, M; Fujiwara, T; Fukuhara, N; Harigae, H; Ito, T; Iwaki, K; Onishi, Y; Ono, K; Saito, K; Sasaki, K; Suzuki, C; Tamura, H; Tanaka, T; Yokoyama, H, 2019)
"To evaluate the residual tumor rate, the bladder was inspected after its removal and normal appearing mucosa sampled for histologic analysis."1.46Diagnostic Accuracy of Hexaminolevulinate in a Cohort of Patients Undergoing Radical Cystectomy. ( Alba, S; Buscarini, M; Carrieri, G; Cormio, L; Di Stasi, S; Gallone, MF; Minafra, P; Pagliarulo, V; Petitti, T, 2017)
"Sensitivity and specificity to detect residual tumor tissue were 75% and 100%, respectively, for iMRI and 70% and 100% for 5-ALA fluorescence."1.42Combination of Intraoperative Magnetic Resonance Imaging and Intraoperative Fluorescence to Enhance the Resection of Contrast Enhancing Gliomas. ( Duetzmann, S; Forster, MT; Franz, K; Gessler, F; Hattingen, E; Mittelbronn, M; Seifert, V; Senft, C, 2015)
"In liver metastasis from colorectal cancer cases with serosa invasion, 18 patients (85."1.40Fluorescence detection of malignant liver tumors using 5-aminolevulinic acid-mediated photodynamic diagnosis: principles, technique, and clinical experience. ( Hayashi, M; Hirokawa, F; Inoue, Y; Komeda, K; Tanaka, R; Uchiyama, K, 2014)
"5-ALA fluorescence was detected in all hepatocellular carcinoma cases with serosa invasion."1.40Fluorescence detection of malignant liver tumors using 5-aminolevulinic acid-mediated photodynamic diagnosis: principles, technique, and clinical experience. ( Hayashi, M; Hirokawa, F; Inoue, Y; Komeda, K; Tanaka, R; Uchiyama, K, 2014)
"Analysis of residual tumor volumes, total resections and neurological outcomes demonstrate that iMRI may be significantly superior to 5-ALA and white-light surgery for glioblastomas at comparable peri- and postoperative morbidities."1.40Maximizing the extent of resection and survival benefit of patients in glioblastoma surgery: high-field iMRI versus conventional and 5-ALA-assisted surgery. ( Bisdas, S; Ebner, FH; Ernemann, U; Honegger, J; Naegele, T; Roder, C; Tatagiba, M, 2014)
"Mean residual tumor volume (range) after iMRI-assisted surgery [0."1.40Maximizing the extent of resection and survival benefit of patients in glioblastoma surgery: high-field iMRI versus conventional and 5-ALA-assisted surgery. ( Bisdas, S; Ebner, FH; Ernemann, U; Honegger, J; Naegele, T; Roder, C; Tatagiba, M, 2014)
"Perianal squamous cell carcinoma in situ (SCCIS) is a relatively rare intraepidermal neoplasm that has the potential to progress to invasive squamous cell carcinoma."1.40Combination therapy for perianal squamous cell carcinoma in situ with imiquimod and photodynamic therapy. ( Bontumasi, NM; Hurst, EA; Sheinbein, D, 2014)
"5-aminolevulinic acid (5-ALA) is a pro-drug that leads to accumulation of fluorescent protoporphyrins in malignant gliomas."1.38Fluorescence-guided resection of gliomas. ( Cortnum, S; Laursen, RJ, 2012)
"We compared resection completeness and residual tumor, determined by histopathology, after white light resection (WLR) using an operating microscope versus additional fluorescence guided resection (FGR)."1.32Increased brain tumor resection using fluorescence image guidance in a preclinical model. ( Bilbao, JM; Bogaards, A; Collens, SP; Giles, A; Lilge, LD; Lin, A; Muller, PJ; Varma, A; Wilson, BC; Yang, VX, 2004)
"This was first shown for cancer of the bladder."1.31[Fluorescent endoscopy superior to white light endoscopy. Detecting cancers of the urinary bladder earlier]. ( Zaak, D, 2002)
"Following transurethral resection of bladder cancer, the fate of patients is clearly related to the presence or absence of precancerous or malignant lesions in the remaining mucosa."1.29[Photodynamic diagnosis of urothelial neoplasms after intravesicular instillation of 5-aminolevulinic acid]. ( Baumgartner, R; Ehsan, A; Hofstädter, F; Hofstetter, A; Knüchel, R; Kriegmair, M; Lumper, W; Steinbach, P, 1994)

Research

Studies (41)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (4.88)18.2507
2000's12 (29.27)29.6817
2010's23 (56.10)24.3611
2020's4 (9.76)2.80

Authors

AuthorsStudies
Taoka, R1
Matsuoka, Y1
Yamasaki, M1
Kani, N1
Honda, T1
Harada, S1
Tohi, Y1
Kato, T1
Okazoe, H1
Tsunemori, H1
Ueda, N1
Sugimoto, M1
Muscas, G1
Orlandini, S1
Bonaudo, C1
Dardo, M1
Esposito, A1
Campagnaro, L1
Carrai, R1
Fainardi, E1
Ciccarino, P1
Della Puppa, A1
Zhao, H3
Peng, P3
Luo, Z3
Liu, H3
Sun, J3
Wang, X3
Jia, Q3
Yang, Z3
Ross, JL1
Cooper, LAD1
Kong, J1
Gutman, D1
Williams, M1
Tucker-Burden, C1
McCrary, MR1
Bouras, A1
Kaluzova, M1
Dunn, WD1
Duong, D1
Hadjipanayis, CG1
Brat, DJ1
Pala, A1
Reske, SN1
Eberhardt, N1
Scheuerle, A1
König, R2
Schmitz, B1
Beer, AJ1
Wirtz, CR2
Coburger, J2
Michael, AP1
Watson, VL1
Ryan, D1
Delfino, KR1
Bekker, SV1
Cozzens, JW1
Langen, KJ1
Floeth, FW1
Galldiks, N1
Rink, M1
Babjuk, M3
Catto, JW1
Jichlinski, P2
Shariat, SF1
Stenzl, A5
Stepp, H3
Zaak, D6
Witjes, JA3
Apalla, Z1
Lallas, A1
Tzellos, T1
Sidiropoulos, T1
Lefaki, I1
Trakatelli, M1
Sotiriou, E1
Lazaridou, E1
Evangelou, G1
Patsatsi, A1
Kyrgidis, A1
Stratigos, A1
Zalaudek, I1
Argenziano, G1
Ioannides, D1
Roder, C1
Bisdas, S1
Ebner, FH1
Honegger, J1
Naegele, T1
Ernemann, U1
Tatagiba, M1
Inoue, Y1
Tanaka, R1
Komeda, K1
Hirokawa, F1
Hayashi, M1
Uchiyama, K1
Gontero, P1
Jacqmin, D3
Karl, A1
Kruck, S1
Mariappan, P1
Palou Redorta, J1
van Velthoven, R1
Bontumasi, NM1
Sheinbein, D1
Hurst, EA1
Gessler, F1
Forster, MT1
Duetzmann, S1
Mittelbronn, M1
Hattingen, E1
Franz, K1
Seifert, V1
Senft, C1
Hagel, V1
Guyotat, J2
Pallud, J1
Armoiry, X2
Pavlov, V1
Metellus, P1
Pagliarulo, V1
Alba, S1
Gallone, MF1
Di Stasi, S1
Cormio, L1
Petitti, T1
Buscarini, M1
Minafra, P1
Carrieri, G1
Puizina-Ivić, N1
Zorc, H1
Vanjaka-Rogosić, L1
Mirić, L1
Persin, A1
Tonn, JC2
Stummer, W3
Burger, M1
Stief, CG1
Wieland, WF2
Jocham, D4
Otto, W1
Denzinger, S1
Scarpa, RM1
Cracco, CM1
Kausch, I1
Sommerauer, M1
Montorsi, F2
Ziegler, A1
Vonthein, R1
Redorta, JP1
Sofras, F1
Malmström, PU1
Riedl, C1
Conti, G1
Arentsen, HC1
Mostafid, AH1
Roessler, K2
Becherer, A1
Donat, M1
Cejna, M1
Zachenhofer, I1
Roberts, DW1
Valdés, PA1
Harris, BT1
Hartov, A1
Fan, X1
Ji, S1
Leblond, F1
Tosteson, TD1
Wilson, BC2
Paulsen, KD1
Cortnum, S1
Laursen, RJ1
Eyüpoglu, IY1
Hore, N1
Savaskan, NE1
Grummich, P1
Buchfelder, M1
Ganslandt, O1
Jacquesson, T1
Ducray, F1
Maucort-Boulch, D1
Louis-Tisserand, G1
Mbaye, M1
Pelissou-Guyotat, I1
Kriegmair, M2
Rothenberger, KH1
Rassweiler, J1
Eisenberger, F1
Tauber, R1
Hofstetter, A2
Reulen, HJ2
Novotny, A1
Filbeck, T1
Pichlmeier, U1
Knuechel, R1
Rössler, W1
Danil'chenko, DI1
Koenig, F1
Riedl, K1
Schnorr, D1
Waldman, A1
Al-Shukri, S1
Loening, SA1
Bogaards, A1
Varma, A1
Collens, SP1
Lin, A1
Giles, A1
Yang, VX1
Bilbao, JM1
Lilge, LD1
Muller, PJ1
Maruyama, T1
Utsuki, S1
Oka, H1
Sato, S1
Suzuki, S1
Shimizu, S1
Tanaka, S1
Fujii, K1
Baumgartner, R1
Knüchel, R1
Ehsan, A1
Steinbach, P1
Lumper, W1
Hofstädter, F1
Stocker, S1
Wagner, S1
Fritsch, C1
Goetz, C1
Goetz, AE1
Kiefmann, R1
Iwaki, K1
Fujiwara, T1
Ito, T1
Suzuki, C1
Sasaki, K1
Ono, K1
Saito, K1
Fukuhara, N1
Onishi, Y1
Yokoyama, H1
Fujimaki, S1
Tanaka, T1
Tamura, H1
Fujiwara, M1
Harigae, H1
Della Pepa, GM1
Ius, T1
La Rocca, G1
Gaudino, S1
Isola, M1
Pignotti, F1
Rapisarda, A1
Mazzucchi, E1
Giordano, C1
Dragonetti, V1
Chiesa, S1
Balducci, M1
Gessi, M1
Skrap, M1
Olivi, A1
Marchese, E1
Sabatino, G1
Millesi, M1
Kiesel, B1
Mischkulnig, M1
Martínez-Moreno, M1
Wöhrer, A1
Wolfsberger, S1
Knosp, E1
Widhalm, G1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Safety Analysis and Oncological Outcomes in Endoscopic Bladder Tumor Resection With Laser Holmium Compared With Transurethral Resection: a Prospective and Randomized Study[NCT05833997]100 participants (Anticipated)Interventional2020-12-10Recruiting
A Phase 1 and 2 Study of 5-aminolevulinic Acid (5-ALA) to Enhance Visualisation and Resection of Malignant Glial Tumors of the Brain[NCT01128218]Phase 1/Phase 233 participants (Actual)Interventional2011-03-31Completed
A Phase 1 and 2 Study of 5-aminolevulinic Acid (5-ALA) to Enhance Visualisation and Resection of Malignant Glial Tumors of the Brain[NCT00977795]Phase 1/Phase 20 participants (Actual)Interventional2009-09-30Withdrawn (stopped due to PI moving to Southern Illinois University to start new protocol)
Diagnostic Performance of Fluorescein as an Intraoperative Brain Tumor Biomarker: Correlation With Preoperative MR, ALA-induced PpIX Fluorescence, and Histopathology[NCT02691923]Phase 230 participants (Anticipated)Interventional2016-03-31Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Establish a Safe Dose for Oral 5-ALA Administration

Dose escalation from 10mg/kg to 50mg/kg to determine optimal 5-ALA dose (NCT01128218)
Timeframe: 6 months

InterventionDose Limiting Toxicity (Number)
Phase 1 Dose Level 1 (10mg/kg)0
Phase 1 Dose Level 2 (20mg/kg)0
Phase 1 Dose Level 3 (30mg/kg)0
Phase 1 Dose Level 4 (40mg/kg)0
Phase 1 Dose Level 5 (50mg/kg)0

Assess 5-ALA's Resulting Fluorescence for Distinguishing Tumor Within the Brain

"Under blue light, the neurosurgeon will take two small biopsies per patient from areas identified as obvious tumor (fluorescent) and areas in the wall of the resection cavity that were judged to be normal (but possibly edematous), non-eloquent brain (non-fluorescent). A neuropathologist will review all biopsy specimens, including those taken from the solid tumor. Pathologic confirmation of tumor type will be made by the study reference neuropathologist.~We assessed 5-ALA's resulting fluorescence for distinguishing tumor within the brain, where~True Positive: Fluorescence showing Tumor and Biopsy result Tumor False Positive: Fluorescence showing Tumor and Biopsy result No Tumor True Negative: No Fluorescence and Biopsy result No Tumor False Negative: No Fluorescence and Biopsy result Tumor~These values represent the characteristics of 5-ALA aka its ability to distinguish tumor from non-tumor." (NCT01128218)
Timeframe: Baseline

InterventionBiopsies (Number)
True PositivesTrue NegativesFalse PositivesFalse Negatives
Phase 2 Dose Level 1 (40mg/kg)14608

Determine the Sensitivity, Specificity, and Positive Predictive Value of 5-ALA Mediated Fluorescence for Malignant Glioma Tissue in the Brain.

"The neurosurgeon will take two small biopsies per patient from areas identified as obvious tumor and areas in the wall of the resection cavity that were judged to be normal, non-eloquent brain. A neuropathologist will review all biopsy specimens, including those taken from the solid tumor. Pathologic confirmation of tumor type will be made by the study reference neuropathologist.~We assessed 5-ALA's resulting fluorescence for distinguishing tumor within the brain, where~True Positive: Fluorescence showing Tumor and Biopsy result Tumor False Positive: Fluorescence showing Tumor and Biopsy result No Tumor True Negative: No Fluorescence and Biopsy result No Tumor False Negative: No Fluorescence and Biopsy result Tumor~These values represent the characteristics of 5-ALA aka its ability to distinguish tumor from non-tumor. From these parameters we determined sensitivity, specificity and the positive and negative predictive values." (NCT01128218)
Timeframe: Baseline

InterventionPercentage (Number)
SensitivitySpecificityPositive Predictive ValueNegative Predictive Value
Phase 2 Dose Level 1 (40mg/kg)63.6410010042.86

Reviews

11 reviews available for aminolevulinic acid and Minimal Disease, Residual

ArticleYear
Functional outcomes, extent of resection, and bright/vague fluorescence interface in resection of glioblastomas involving the motor pathways assisted by 5-ALA.
    Acta neurochirurgica, 2022, Volume: 164, Issue:12

    Topics: Aminolevulinic Acid; Brain Neoplasms; Efferent Pathways; Glioblastoma; Humans; Neoplasm, Residual; R

2022
Comparison of hexaminolevulinate (HAL) -guided versus white light transurethral resection for NMIBC: A systematic review and meta-analysis of randomized controlled trials.
    Photodiagnosis and photodynamic therapy, 2023, Volume: 41

    Topics: Aminolevulinic Acid; Cystoscopy; Humans; Neoplasm Recurrence, Local; Neoplasm, Residual; Photochemot

2023
Comparison of hexaminolevulinate (HAL) -guided versus white light transurethral resection for NMIBC: A systematic review and meta-analysis of randomized controlled trials.
    Photodiagnosis and photodynamic therapy, 2023, Volume: 41

    Topics: Aminolevulinic Acid; Cystoscopy; Humans; Neoplasm Recurrence, Local; Neoplasm, Residual; Photochemot

2023
Comparison of hexaminolevulinate (HAL) -guided versus white light transurethral resection for NMIBC: A systematic review and meta-analysis of randomized controlled trials.
    Photodiagnosis and photodynamic therapy, 2023, Volume: 41

    Topics: Aminolevulinic Acid; Cystoscopy; Humans; Neoplasm Recurrence, Local; Neoplasm, Residual; Photochemot

2023
Comparison of hexaminolevulinate (HAL) -guided versus white light transurethral resection for NMIBC: A systematic review and meta-analysis of randomized controlled trials.
    Photodiagnosis and photodynamic therapy, 2023, Volume: 41

    Topics: Aminolevulinic Acid; Cystoscopy; Humans; Neoplasm Recurrence, Local; Neoplasm, Residual; Photochemot

2023
Hexyl aminolevulinate-guided fluorescence cystoscopy in the diagnosis and follow-up of patients with non-muscle-invasive bladder cancer: a critical review of the current literature.
    European urology, 2013, Volume: 64, Issue:4

    Topics: Aminolevulinic Acid; Cost-Benefit Analysis; Cystectomy; Cystoscopy; Disease-Free Survival; Health Ca

2013
Clinical and cost effectiveness of hexaminolevulinate-guided blue-light cystoscopy: evidence review and updated expert recommendations.
    European urology, 2014, Volume: 66, Issue:5

    Topics: Aminolevulinic Acid; Cost-Benefit Analysis; Cystectomy; Cystoscopy; Disease Progression; Disease-Fre

2014
5-Aminolevulinic Acid-Protoporphyrin IX Fluorescence-Guided Surgery of High-Grade Gliomas: A Systematic Review.
    Advances and technical standards in neurosurgery, 2016, Issue:43

    Topics: Aminolevulinic Acid; Brain; Brain Neoplasms; Fluorescence; Glioblastoma; Humans; Microscopy, Fluores

2016
Fluorescence-guided resection of malignant gliomas using 5-aminolevulinic acid: practical use, risks, and pitfalls.
    Clinical neurosurgery, 2008, Volume: 55

    Topics: Aminolevulinic Acid; Brain; Brain Neoplasms; Clinical Trials as Topic; Glioma; Humans; Microscopy, F

2008
Fluorescence-guided resection of malignant gliomas using 5-aminolevulinic acid: practical use, risks, and pitfalls.
    Clinical neurosurgery, 2008, Volume: 55

    Topics: Aminolevulinic Acid; Brain; Brain Neoplasms; Clinical Trials as Topic; Glioma; Humans; Microscopy, F

2008
Fluorescence-guided resection of malignant gliomas using 5-aminolevulinic acid: practical use, risks, and pitfalls.
    Clinical neurosurgery, 2008, Volume: 55

    Topics: Aminolevulinic Acid; Brain; Brain Neoplasms; Clinical Trials as Topic; Glioma; Humans; Microscopy, F

2008
Fluorescence-guided resection of malignant gliomas using 5-aminolevulinic acid: practical use, risks, and pitfalls.
    Clinical neurosurgery, 2008, Volume: 55

    Topics: Aminolevulinic Acid; Brain; Brain Neoplasms; Clinical Trials as Topic; Glioma; Humans; Microscopy, F

2008
Photodynamic diagnosis in non-muscle-invasive bladder cancer: a systematic review and cumulative analysis of prospective studies.
    European urology, 2010, Volume: 57, Issue:4

    Topics: Aminolevulinic Acid; Cystectomy; Cystoscopy; Disease-Free Survival; Evidence-Based Medicine; Humans;

2010
Hexaminolevulinate-guided fluorescence cystoscopy in the diagnosis and follow-up of patients with non-muscle-invasive bladder cancer: review of the evidence and recommendations.
    European urology, 2010, Volume: 57, Issue:4

    Topics: Aminolevulinic Acid; Cystectomy; Cystoscopy; Disease-Free Survival; Evidence-Based Medicine; Humans;

2010
Glioblastoma multiforme treatment with clinical trials for surgical resection (aminolevulinic acid).
    Neurosurgery clinics of North America, 2012, Volume: 23, Issue:3

    Topics: Aminolevulinic Acid; Brain Neoplasms; Disease-Free Survival; Fluorescent Dyes; Glioblastoma; Humans;

2012
[Surgery of high-grade gliomas guided by fluorescence: a retrospective study of 22 patients].
    Neuro-Chirurgie, 2013, Volume: 59, Issue:1

    Topics: Aged; Aged, 80 and over; Aminolevulinic Acid; Antineoplastic Combined Chemotherapy Protocols; Brain

2013
[Intraoperative photodynamic diagnosis using 5-ALA for glioma surgery].
    Nihon rinsho. Japanese journal of clinical medicine, 2005, Volume: 63 Suppl 9

    Topics: Aminolevulinic Acid; Brain Neoplasms; Glioma; Humans; Monitoring, Intraoperative; Neoplasm, Residual

2005

Trials

6 trials available for aminolevulinic acid and Minimal Disease, Residual

ArticleYear
Effects of 5-ALA dose on resection of glioblastoma.
    Journal of neuro-oncology, 2019, Volume: 141, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Brain Neoplasms; Contrast Media; Dose-Response

2019
Fractionated illumination improves the outcome in the treatment of precancerous lesions with photodynamic therapy.
    Collegium antropologicum, 2008, Volume: 32 Suppl 2

    Topics: Aminolevulinic Acid; Bowen's Disease; Humans; Keratosis, Actinic; Neoplasm, Residual; Photochemother

2008
Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy.
    The Journal of urology, 2002, Volume: 168, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Austria; Carcinoma, Transitional Cell; Cystosco

2002
Fluorescence-guided resections of malignant gliomas--an overview.
    Acta neurochirurgica. Supplement, 2003, Volume: 88

    Topics: Aminolevulinic Acid; Biopsy; Blood-Brain Barrier; Brain; Brain Neoplasms; Cell Division; Fluorescenc

2003
[Reducing the risk of superficial bladder cancer recurrence with 5-aminolevulinic acid-induced fluorescence diagnosis. Results of a 5-year study].
    Der Urologe. Ausg. A, 2003, Volume: 42, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Carcinoma in Situ; Carcinoma, Transitional Cell

2003
[Clinical significance of macroscopic 5-aminolevulinic acid (ALA)-inducer fluorescence in transurethral resection of non-invasive bladder cancer].
    Voprosy onkologii, 2003, Volume: 49, Issue:6

    Topics: Aminolevulinic Acid; Cystectomy; Cystoscopy; Fluorescence; Humans; Light; Neoplasm, Residual; Photos

2003

Other Studies

24 other studies available for aminolevulinic acid and Minimal Disease, Residual

ArticleYear
Photodynamic diagnosis-assisted transurethral resection using oral 5-aminolevulinic acid decreases residual cancer and improves recurrence-free survival in patients with non-muscle-invasive bladder cancer.
    Photodiagnosis and photodynamic therapy, 2022, Volume: 38

    Topics: Aminolevulinic Acid; Disease Progression; Humans; Neoplasm Recurrence, Local; Neoplasm, Residual; Ph

2022
5-Aminolevulinic Acid Guided Sampling of Glioblastoma Microenvironments Identifies Pro-Survival Signaling at Infiltrative Margins.
    Scientific reports, 2017, Nov-15, Volume: 7, Issue:1

    Topics: Adult; Aged; Aminolevulinic Acid; ErbB Receptors; Female; Fluorescence; Glioblastoma; Humans; Male;

2017
Diagnostic accuracy of intraoperative perfusion-weighted MRI and 5-aminolevulinic acid in relation to contrast-enhanced intraoperative MRI and
    Neurosurgical review, 2019, Volume: 42, Issue:2

    Topics: Adult; Aged; Aminolevulinic Acid; Brain Neoplasms; Female; Gadolinium DTPA; Glioblastoma; Humans; Ma

2019
Sensitivity of intraoperative 5-aminolevulinic acid fluorescence compared with PET using O-(2-¹⁸F-fluoroethyl)-L-tyrosine to detect cerebral gliomas.
    Neurological research, 2013, Volume: 35, Issue:3

    Topics: Aminolevulinic Acid; Brain Neoplasms; Female; Fluorescent Dyes; Glioblastoma; Humans; Male; Monitori

2013
Applicability of dermoscopy for evaluation of patients' response to nonablative therapies for the treatment of superficial basal cell carcinoma.
    The British journal of dermatology, 2014, Volume: 170, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Aminoquinolines; Antineoplastic Combined Chemot

2014
Maximizing the extent of resection and survival benefit of patients in glioblastoma surgery: high-field iMRI versus conventional and 5-ALA-assisted surgery.
    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2014, Volume: 40, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Brain Neoplasms; Cohort Studies; Disease-Free S

2014
Fluorescence detection of malignant liver tumors using 5-aminolevulinic acid-mediated photodynamic diagnosis: principles, technique, and clinical experience.
    World journal of surgery, 2014, Volume: 38, Issue:7

    Topics: Aged; Aminolevulinic Acid; Anastomotic Leak; Carcinoma, Hepatocellular; Color; Colorectal Neoplasms;

2014
Combination therapy for perianal squamous cell carcinoma in situ with imiquimod and photodynamic therapy.
    Cutis, 2014, Volume: 94, Issue:5

    Topics: Aminolevulinic Acid; Aminoquinolines; Anal Canal; Antineoplastic Agents; Carcinoma, Squamous Cell; C

2014
Combination of Intraoperative Magnetic Resonance Imaging and Intraoperative Fluorescence to Enhance the Resection of Contrast Enhancing Gliomas.
    Neurosurgery, 2015, Volume: 77, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Brain Neoplasms; Female; Glioma; Humans; Intrao

2015
Surgery for Glioblastoma: Impact of the Combined Use of 5-Aminolevulinic Acid and Intraoperative MRI on Extent of Resection and Survival.
    PloS one, 2015, Volume: 10, Issue:6

    Topics: Adult; Aged; Aminolevulinic Acid; Brain Neoplasms; Case-Control Studies; Glioblastoma; Humans; Magne

2015
Diagnostic Accuracy of Hexaminolevulinate in a Cohort of Patients Undergoing Radical Cystectomy.
    Journal of endourology, 2017, Volume: 31, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Carcinoma in Situ; Carcinoma, Transitional Cell

2017
Hexaminolevulinate is equal to 5-aminolevulinic acid concerning residual tumor and recurrence rate following photodynamic diagnostic assisted transurethral resection of bladder tumors.
    Urology, 2009, Volume: 74, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Carbon Radioisotopes; Cystectomy; Cystoscopy; F

2009
Editorial comment.
    Urology, 2009, Volume: 74, Issue:6

    Topics: Aminolevulinic Acid; Carbon Radioisotopes; Cystectomy; Cystoscopy; Humans; Neoplasm Recurrence, Loca

2009
Intraoperative tissue fluorescence using 5-aminolevolinic acid (5-ALA) is more sensitive than contrast MRI or amino acid positron emission tomography ((18)F-FET PET) in glioblastoma surgery.
    Neurological research, 2012, Volume: 34, Issue:3

    Topics: Adult; Aged; Aminolevulinic Acid; Brain Neoplasms; Contrast Media; Female; Fluorescent Dyes; Gliobla

2012
Fluorescence-guided resection of gliomas.
    Danish medical journal, 2012, Volume: 59, Issue:8

    Topics: Aminolevulinic Acid; Brain Neoplasms; Female; Fluorescence; Glioblastoma; Humans; Magnetic Resonance

2012
Improving the extent of malignant glioma resection by dual intraoperative visualization approach.
    PloS one, 2012, Volume: 7, Issue:9

    Topics: Adult; Aged; Aminolevulinic Acid; Brain; Brain Neoplasms; Female; Fluorescent Dyes; Glioma; Humans;

2012
Increased brain tumor resection using fluorescence image guidance in a preclinical model.
    Lasers in surgery and medicine, 2004, Volume: 35, Issue:3

    Topics: Aminolevulinic Acid; Animals; Brain Neoplasms; Glioma; Microscopy; Models, Animal; Neoplasm, Residua

2004
Possibility of using laser spectroscopy for the intraoperative detection of nonfluorescing brain tumors and the boundaries of brain tumor infiltrates. Technical note.
    Journal of neurosurgery, 2006, Volume: 104, Issue:4

    Topics: Adult; Aminolevulinic Acid; Astrocytoma; Brain; Brain Neoplasms; Female; Humans; Lasers; Male; Middl

2006
[Photodynamic diagnosis of urothelial neoplasms after intravesicular instillation of 5-aminolevulinic acid].
    Der Urologe. Ausg. A, 1994, Volume: 33, Issue:4

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Biopsy; Carcinoma

1994
Intraoperative detection of malignant gliomas by 5-aminolevulinic acid-induced porphyrin fluorescence.
    Neurosurgery, 1998, Volume: 42, Issue:3

    Topics: Aged; Aminolevulinic Acid; Brain Neoplasms; Female; Fluorescence; Fluorometry; Glioma; Humans; Intra

1998
[Fluorescent endoscopy superior to white light endoscopy. Detecting cancers of the urinary bladder earlier].
    MMW Fortschritte der Medizin, 2002, Mar-28, Volume: 144, Issue:13

    Topics: Aminolevulinic Acid; Carcinoma in Situ; Carcinoma, Transitional Cell; Cystoscopy; Fluorescence; Huma

2002
Flow Cytometry-Based Photodynamic Diagnosis with 5-Aminolevulinic Acid for the Detection of Minimal Residual Disease in Multiple Myeloma.
    The Tohoku journal of experimental medicine, 2019, Volume: 249, Issue:1

    Topics: Aminolevulinic Acid; Cell Line, Tumor; Flow Cytometry; gamma-Aminobutyric Acid; Humans; Leukocytes;

2019
5-Aminolevulinic Acid and Contrast-Enhanced Ultrasound: The Combination of the Two Techniques to Optimize the Extent of Resection in Glioblastoma Surgery.
    Neurosurgery, 2020, 06-01, Volume: 86, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Brain Neoplasms; Contrast Media; Female; Follow

2020
Analysis of the surgical benefits of 5-ALA-induced fluorescence in intracranial meningiomas: experience in 204 meningiomas.
    Journal of neurosurgery, 2016, Volume: 125, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Aminolevulinic Acid; Brain Neoplasms; Female; Fluorescence; Humans;

2016