- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02645409
Intraoperative Folate Targeted Fluorescence in Renal Cell Carcinoma
Primary
• To explore the use of OTL38 and fluorescence imaging to detect RCC in partial nephrectomy at the margins of resection, and in lymph node(s) or other metastases during radical nephrectomy.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Indiana University Health Melvin and Bren Simon Cancer Center
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Indianapolis, Indiana, United States, 46202
- Indiana University Health Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria for localized RCC treated with partial nephrectomy
To be considered eligible to participate in this study, a patient must meet all the inclusion criteria listed below:
- ≥ 18 years of age.
- Have primary or suspected diagnosis of RCC, with presence of cT1-2 renal mass by diagnostic CT assessment.
- Scheduled for partial nephrectomy of renal mass.
- Expected survival of at least 3 months.
- Written informed consent available.
- ECOG ≤ 1 (Appendix G).
- Negative serum or urine pregnancy test within 24 hours for females of child bearing age
- Recovered from toxicity of any prior therapy to ≥ grade 1.
Inclusion criteria for advanced RCC treated with radical nephrectomy
To be considered eligible to participate in this study, a patient must meet all the inclusion criteria listed below:
- ≥ 18 years of age.
- Have pathologic or suspected diagnosis of RCC with presence of cT1-4 renal mass and evidence of nodal or metastatic involvement by diagnostic CT assessment
- Scheduled for radical nephrectomy and lymph node dissection.
- Expected survival of at least 3 months.
- ECOG ≤ 2.
- Negative serum or urine pregnancy test within 24 hours for females of child bearing age.
- Recovered from toxicity of any prior therapy to ≥ grade 1
- Written informed consent available.
Exclusion criteria for both localized and advanced RCC
- History of any anaphylactic reaction, any severe allergy, or any allergy to folate.
- Brain metastases
- Baseline GFR < 50 mL/min/1.73m2)
- Hepatic toxicity ≥ Grade 2 (using CTCAE version 4 standard definitions).
- Participation in another investigational drug trial either concurrently or 30 days prior to surgery
- Any medical condition that in the opinion of the investigators could potentially jeopardize the safety of the patient, limit the patient's ability to complete the study, and/or compromise the objectives of the study.
- Known sensitivity to fluorescent light
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Partial nephrectomy
OTL38 will be given approximately 2 hours before surgery.
Intraoperative fluorescent imaging will utilized in parallel with standard operating procedures for partial nephrectomy.
Photographs of the surgery field and tumor (ex-vivo) will be taken under normal light and fluorescent light.
|
OTL38 is a folate analog conjugated with a fluorescent dye that emits light in the near infrared spectrum.
This longer wavelength allows for deeper penetration of the fluorescent light through tissues with the potential to better image tumors beneath adipose tissue or deeper into organ parenchyma.
|
Experimental: Radical nephrectomy
OTL38 will be given approximately 2 hours before surgery.
Intraoperative fluorescent imaging will utilized in parallel with standard operating procedures for radical nephrectomy.
Photographs of the surgery field and tumor (ex-vivo) will be taken under normal light and fluorescent light.
|
OTL38 is a folate analog conjugated with a fluorescent dye that emits light in the near infrared spectrum.
This longer wavelength allows for deeper penetration of the fluorescent light through tissues with the potential to better image tumors beneath adipose tissue or deeper into organ parenchyma.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Presence of Fluorescence of cT1 RCC in Partial Nephrectomy Specimens
Time Frame: During procedure, an average of 2 hours
|
Pathology results will be compared with immunohistochemistry results for each patient.
Fluorescence will be looked for in the margins of resection for partial nephectomy and in regional lymph nodes and metastases for radical nephrectomy.
|
During procedure, an average of 2 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Chandru P. Sundaram, MD, Indiana University School of Medicine, Indiana University Simon Cancer Center
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IUSCC-0546
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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