- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07659678
CCR2 PET Imaging Head and Neck Squamous Cell Carcinoma
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Geschätzt)
Phase
- Phase 2
Kontakte und Standorte
Studienkontakt
- Name: Farrokh Dehdashti, MD
- Telefonnummer: 314-362-1474
- E-Mail: dehdashtif@wustl.edu
Studienorte
-
-
Missouri
-
St Louis, Missouri, Vereinigte Staaten, 63110
- Washington University School of Medicine
-
Kontakt:
- Farrokh Dehdashti, MD
- Telefonnummer: 314-362-1474
- E-Mail: dehdashtif@wustl.edu
-
Unterermittler:
- Ningying Wu, MD, PhD
-
Unterermittler:
- Douglas Adkins, MD
-
Unterermittler:
- Yongjian Liu, PhD
-
Unterermittler:
- Ryan Jackson, MD
-
Unterermittler:
- Sidharth Puram, MD, PhD
-
Unterermittler:
- Chieh-Yu Lin, MD, PhD
-
Unterermittler:
- Richard Laforest, PhD
-
Unterermittler:
- Ying Hwey Nai, PhD
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-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Adult patient 18 years of age or older
- Cohort 1: Newly diagnosed locally advanced T3-T4a, N0-3 and M0 squamous cell head and neck cancer scheduled to undergo standard of care surgery with or without neoadjuvant therapy OR Cohort 2: Suspected or biopsy proven recurrent/metastatic squamous cell head and neck cancer scheduled to undergo first-line anti-PD1 therapy. HPV status does not need to be known and both HPV+ and HPV- subjects are eligible to enroll
- Lesion size of at least 1.0 cm in longest dimension by conventional imaging.
- Able to give informed consent
- Not currently pregnant or nursing: Female subjects must be surgically sterile (has had a documented bilateral oophorectomy and/or documented hysterectomy), post- menopausal (cessation of menses for more than 1 year), non-lactating, or of childbearing potential for whom a urine pregnancy test (with the test performed within the 24 hour period immediately prior to administration of Cu-DOTA-ECL1i is negative
Exclusion Criteria:
- Patients with other invasive malignancies, with the exception of non-melanoma skin cancer, who had (or have) any evidence of the other cancer present within the last 2 years
- Unable to tolerate approximately 60 min (total time) of PET/CT imaging
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Diagnose
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: Cohort 1: Newly Diagnosed HNSCC who are scheduled to undergo surgical resection
Cohort 1 will undergo 64Cu-DOTA-ECL1i positron emission tomography-computed tomography (PET/CT) once prior to scheduled standard of care (SOC) surgery and prior to any neoadjuvant therapy. Participants will be followed up via a phone call or in-person visit 24 hours - 14 days after 64Cu-DOTA-ECL1i administration to assess for adverse events. Participants will be followed via medical chart review for standard of care clinical and radiological appointments. |
64Cu-DOTA-ECL1i a novel PET imaging tracer that will be provided intravenously (IV) while participants will be positioned supine on the on the scanning table.
The injection will be followed with saline flush.
Andere Namen:
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Experimental: Cohort 2: Recurrent/metastatic HNSCC who are candidates for first-line anti-PD1 therapy
Cohort 2 subjects will undergo 64Cu-DOTA-ECL1i PET imaging twice, once at baseline prior to the start of anti-PD1 therapy and after 3 cycles of therapy (within 14 days of cycle 4 day 1). Participants will be followed up via a phone call or in-person visit 24 hours - 14 days after baseline 64Cu-DOTA-ECL1i administration to assess for adverse events. Participants will be followed via medical chart review for standard of care clinical and radiological appointments. |
64Cu-DOTA-ECL1i a novel PET imaging tracer that will be provided intravenously (IV) while participants will be positioned supine on the on the scanning table.
The injection will be followed with saline flush.
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Cohort 1 only: Semiquantitative 64Cu-DOTA-ECL1i PET/CT uptake
Zeitfenster: At baseline prior to scheduled surgery (estimated time frame: 1 day)
|
64Cu-DOTA-ECL1i PET uptake will be assessed using standardized update value maximum (SUVmax).
SUV is a decay-corrected measurement of activity per volume of tissue (µCi/mL) divided by the average activity per unit mass in the entire body and/or tumor-to-normal-tissue-ratio.
SUVmax is the highest measured uptake of a tracer of a lesion on a PET scan.
|
At baseline prior to scheduled surgery (estimated time frame: 1 day)
|
|
Cohort 1 only: Quantitative 64Cu-DOTA-ECL1i PET/CT uptake
Zeitfenster: At time of surgery (total estimated time up to 14 days)
|
Quantitative 64Cu-DOTA-ECL1i PET uptake will be assessed via a Logan/Patlak analysis to characterize the pharmacokinetics of the tumor.
Logan/Patlak is a graphical analysis which uses linear regression to analyze the pharmacokinetics of tracers involving reversible uptake.
|
At time of surgery (total estimated time up to 14 days)
|
|
Cohort 2 only: Semiquantitative 64Cu-DOTA-ECL1i PET/CT uptake
Zeitfenster: At baseline (estimated time frame: 1 day)
|
64Cu-DOTA-ECL1i PET uptake will be assessed using standardized update value maximum (SUVmax).
SUV is a decay-corrected measurement of activity per volume of tissue (µCi/mL) divided by the average activity per unit mass in the entire body) and/or tumor-to-normal-tissue-ratio.
SUVmax is the highest measured uptake of a tracer of a lesion on a PET scan
|
At baseline (estimated time frame: 1 day)
|
|
Cohort 2 only: Quantitative 64Cu-DOTA-ECL1i PET/CT uptake
Zeitfenster: At time of surgery (total estimated time up to 14 days)
|
Quantitative 64Cu-DOTA-ECL1i PET uptake will be assessed via a Logan/Patlak analysis to characterize the pharmacokinetics of the tumor.
Logan/Patlak is a graphical analysis which uses linear regression to analyze the pharmacokinetics of tracers involving reversible uptake.
|
At time of surgery (total estimated time up to 14 days)
|
|
Cohort 1 only: CCR2 expression in tumor tissue
Zeitfenster: At time of surgery (total estimated time up to 14 days)
|
CCR2 expression will be analyzed in tumor tissue specimens obtained from surgical specimens collected at resection and from archival biopsy specimens obtained prior to neoadjuvant therapy.
CCR2 expression will be examined using flow cytometry and RT-PCR.
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At time of surgery (total estimated time up to 14 days)
|
|
Cohort 2 only: Change in 64Cu-DOTA-ECL1i PET uptake from baseline to post-cycle 3 imaging
Zeitfenster: At baseline and post cycle 3 imaging (estimated time frame up to 9 weeks)
|
64Cu-DOTA-ECL1i PET uptake will be assessed using standardized update value maximum (SUVmax).
SUV is a decay-corrected measurement of activity per volume of tissue (µCi/mL) divided by the average activity per unit mass in the entire body and/or tumor-to-normal-tissue-ratio.
SUVmax is the highest measured uptake of a tracer of a lesion on a PET scan.
|
At baseline and post cycle 3 imaging (estimated time frame up to 9 weeks)
|
|
Cohort 2 only: Objective response
Zeitfenster: Enrollment until date of completion of follow-up, date of disease progression, or time of death, whichever occurs first (estimated total time to be 12 months)
|
Objective response will be assessed according to RECIST 1.1.
Objective response is defined as categorized as responder versus non-responder based on best overall response.
Responder is defined as best overall response as complete or partial response.
Non-responder is defined as best overall response as stable disease or progressive disease.
|
Enrollment until date of completion of follow-up, date of disease progression, or time of death, whichever occurs first (estimated total time to be 12 months)
|
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Cohort 2 only: Progression-free survival (PFS)
Zeitfenster: Start of anti-PD1 treatment to date of disease progression or death from any cause (total estimated time to be 12 months)
|
PFS is defined from anti-PD1 treatment start date to date of progression or date of death due to any cause.
PFS will be analyzed by the Kaplan-Meier method.
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Start of anti-PD1 treatment to date of disease progression or death from any cause (total estimated time to be 12 months)
|
|
Cohort 2 only: Overall survival (OS)
Zeitfenster: Start of anti-PD1 treatment to date of death from any cause (total estimated time to be 12 months)
|
OS is defined from start of treatment to death due to any cause or last date of follow up.
Alive patients are censored at the last follow-up otherwise.
OS will be analyzed by the Kaplan-Meier method.
|
Start of anti-PD1 treatment to date of death from any cause (total estimated time to be 12 months)
|
Mitarbeiter und Ermittler
Mitarbeiter
Ermittler
- Hauptermittler: Farrokh Dehdashti, MD, Washington University School of Medicine
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Pathologische Prozesse
- Neubildungen nach Standort
- Neubildungen
- Krankheitsattribute
- Neubildungen nach histologischem Typ
- Neubildungen, Drüsen und Epithelien
- Neoplastische Prozesse
- Karzinom
- Karzinom, Plattenepithel
- Pathologische Zustände, Anzeichen und Symptome
- Plattenepithelkarzinom von Kopf und Hals
- Wiederauftreten
- Neoplasma Metastasierung
- Kopf-Hals-Neubildungen
Andere Studien-ID-Nummern
- 202605001
- R01CA311209 (US NIH Stipendium/Vertrag)
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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