A First in Human Study Using 89Zr-cRGDY Ultrasmall Silica Particle Tracers for Malignant Brain Tumors
Imaging of Patients With Malignant Brain Tumors Using 89Zr-cRGDY Ultrasmall Silica Particle Tracers: A Phase 1 Microdosing Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years of age or older
- Histologically confirmed diagnosis of malignant primary brain tumor clinical and radiographic findings consistent with a pituitary adenoma, or known metastatic cancer with brain lesion presumed to be metastatic.
- Normal baseline cardiac function based upon pre-operative evaluation at the physcian's discretion
- All patients of childbearing age must use an acceptable form of birth control
- Women who are pre-menopausal must have a negative serum pregnancy test
Exclusion Criteria:
Known pregnancy or breast-feeding Medical illness unrelated to the tumor which in the opinion of the attending physician and principal investigator will preclude administration of the tracer
°This includes patients with uncontrolled infection, chronic renal insufficiency, myocardial infarction within the past 6 months, unstable angina, cardiac arrhythmias other than chronic atrial fibrillation and chronic active or persistent hepatitis, or New York Heart Association Classification III or IV heart disease
- More than one metastatic cancer active in the last 5 years
- Active metastatic cancer in addition to malignant primary brain tumor
- Weight greater than the 400-lb weight limit of the PET scanner
- Unmanageable claustrophobia
- Inability to lie in the scanner for 30 minutes
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: surgical patients
Patients will be i.v.
injected with approximately 5 mCi (~3.4-6.7 nanomoles) of 89Zr-DFO-cRGDY-PEG-Cy5-C' dots (specific activity range 750.0 - 1450 mCi/ µmol) and undergo the microdosing study for purposes of collecting particle tracer kinetic and dosimetry data.
The patient's PET/CT Brain scans may be acquired prior to surgery.
All non-surgical and some surgical patients (at the discretion of the physician) will undergo PET brain imaging.
|
A low dose spiral CT is performed first per the standard procedure.
These images will be used for both attenuation correction and registration of the serial image set.
The initial PET brain scan will be acquired up to about 24 hours post injection.
Based upon the discretion of the physician, non-surgical patients have the possibility of a second scan and third up to about 48 hours post injection.
The times per bed position may be adjusted after the first patient is imaged, and his/her scans evaluated.
Additional low dose CT scans will be performed at the image session for attenuation correction and image registration.
PET study may be done on a PET-MR scanner for ease.
Venous blood and urine samples will be obtained at approximately 0.5 hours post injection at the end of each scan
|
|
Experimental: non-surgical patients
Before the patient's PET Brain scans patients will be i.v.
injected with approximately 5 mCi (~3.4-6.7 nanomoles) of 89Zr-DFO-cRGDY-PEG-Cy5-C' dots (specific activity range 750.0 - 1450 mCi/ µmol) and undergo the microdosing study for purposes of collecting particle tracer kinetic and dosimetry data.
All non-surgical and some surgical patients (at the discretion of the physician) will undergo PET brain imaging
|
A low dose spiral CT is performed first per the standard procedure.
These images will be used for both attenuation correction and registration of the serial image set.
The initial PET brain scan will be acquired up to about 24 hours post injection.
Based upon the discretion of the physician, non-surgical patients have the possibility of a second scan and third up to about 48 hours post injection.
The times per bed position may be adjusted after the first patient is imaged, and his/her scans evaluated.
Additional low dose CT scans will be performed at the image session for attenuation correction and image registration.
PET study may be done on a PET-MR scanner for ease.
Venous blood and urine samples will be obtained at approximately 0.5 hours post injection at the end of each scan
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
distribution within these high-grade gliomas
Time Frame: 2 years
|
using serial PET imaging and/or correlative histologyFollowing tumor biopsy or surgical resection, histologic assessments will be performed using autoradiography to visualize the distribution of this agent within tumor tissue specimens.
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Nelson Moss, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neoplasms by Site
- Neoplasms
- Endocrine Gland Neoplasms
- Nervous System Neoplasms
- Central Nervous System Neoplasms
- Hypothalamic Diseases
- Hypothalamic Neoplasms
- Supratentorial Neoplasms
- Pituitary Diseases
- Brain Neoplasms
- Pituitary Neoplasms
- Investigative Techniques
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Punctures
- Surgical Procedures, Operative
- Blood Specimen Collection
Other Study ID Numbers
Other Study ID Numbers
- 17-599
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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