- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02978885
Imaging of Peri-operative (periOP) Lung Injury
In Vivo Imaging of Peri-operative (periOP) Destructive Processes in the Lung
Study Overview
Status
Intervention / Treatment
Detailed Description
Lung injury is commonly not detected unless structural damage has occurred. SPECT-CT scanning using a specific tracer that lights up when it detects apoptosis (programmed cell death) has been used to detect even minor lung injury for example by smoke inhalation in animals and may be more sensitive to detect a less severe injury. The present study aims to study SPECT-CT scan using a tracer for apoptosis, 99mTc Annexin V-128 (AxV- 128/Tc), to detect lung injury after major surgery. Prolonged ventilation during surgery can cause minor lung injury but is usually not clinically detected. The investigators are planning to study 40 patients (20 patients with pre-existing lung disease-COPD and 20 patients with normal preoperative lung function) who are undergoing Whipple operations or other major surgery. The investigators will obtain SPECT-CT scans before and then 2-3 days after surgery and compare the uptake of a radioactive tracer with plasma markers of lung injury (Soluble Receptors for Advanced Glycation End Products (sRAGE), Interleukin 6 (IL-6), Clara-cell 16 and lung surfactant protein D (SP-D) among others). The investigators will ask the subjects to undergo spirometry testing, blood draws and urine collection. In addition, a SPECT-CT scan that lasts approximately 1 hour will be performed prior to surgery and 2-3 days post-operatively (while still hospitalized).
The total effective dose from the combined SPECT and CT scans is 6.2 millisievert (mSv). This effective dose is below what a patient receives during a standard 2 dose rest and stress cardiac nuclear imaging study and well within the range of current clinical nuclear imaging tests. The exact long term risk for development of cancer from diagnostic radiological procedures is currently under debate but all imaging procedures in this study are aimed to keep total radiation burden As Low As Reasonably Achievable (ALARA).
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
New York
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New York, New York, United States, 10032
- Columbia University Irving Medical Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with moderate COPD (Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage II: forced expiratory volume 1 (FEV1)/forced vital capacity (FVC) <0.70 and FEV1 50-79% normal) undergoing Whipple procedures or other major surgeries
- Patients with normal lung function undergoing Whipple procedures or other major abdominal surgeries
Exclusion Criteria:
- Age < 18 years
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Normal preoperative lung function
Patients with normal lung function undergoing Whipple procedures or other major surgeries will receive an injection of AxV-128 labeled with 99mTc followed by SPECT-CT (AxV-128/Tc SPECT-CT imaging).
|
Injection of AxV-128 labeled with 99mTc
Other Names:
Injection of AxV-128 labeled with 99mTc followed by SPECT CT
Other Names:
A Whipple procedure - also known as a pancreaticoduodenectomy - is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct. It is the most often used surgery to treat pancreatic cancer that's confined to the head of the pancreas. After performing the Whipple procedure, your surgeon reconnects the remaining organs to allow you to digest food normally after surgery. Standard of care.
Other Names:
Additional surgical procedure(s) that is clinically indicated.
Standard of care.
Other Names:
|
Other: Preoperative COPD
Patients with moderate COPD undergoing Whipple procedures or other major surgeries will receive an injection of AxV-128 labeled with 99mTc followed by SPECT-CT (AxV-128/Tc SPECT-CT imaging).
|
Injection of AxV-128 labeled with 99mTc
Other Names:
Injection of AxV-128 labeled with 99mTc followed by SPECT CT
Other Names:
A Whipple procedure - also known as a pancreaticoduodenectomy - is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct. It is the most often used surgery to treat pancreatic cancer that's confined to the head of the pancreas. After performing the Whipple procedure, your surgeon reconnects the remaining organs to allow you to digest food normally after surgery. Standard of care.
Other Names:
Additional surgical procedure(s) that is clinically indicated.
Standard of care.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation of AxV-128/Tc Uptake and Fibrinogen
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and C-Reactive Protein (CRP)
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and White Blood Cell (WBC) Count
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AxV-128/Tc Uptake
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and RAGE
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and IL-6
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and Clara-cell 16
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Correlation of AxV-128/Tc Uptake and SP-D
Time Frame: Up to 1 week from initial scan
|
To determine if peri-operative lung injury can be detected with in vivo imaging in patients with COPD
|
Up to 1 week from initial scan
|
Collaborators and Investigators
Sponsor
Collaborators
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAR0395
- 1R01HL131960-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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