- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07659678
CCR2 PET Imaging Head and Neck Squamous Cell Carcinoma
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 2
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Farrokh Dehdashti, MD
- Puhelinnumero: 314-362-1474
- Sähköposti: dehdashtif@wustl.edu
Opiskelupaikat
-
-
Missouri
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St Louis, Missouri, Yhdysvallat, 63110
- Washington University School of Medicine
-
Ottaa yhteyttä:
- Farrokh Dehdashti, MD
- Puhelinnumero: 314-362-1474
- Sähköposti: dehdashtif@wustl.edu
-
Alatutkija:
- Ningying Wu, MD, PhD
-
Alatutkija:
- Douglas Adkins, MD
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Alatutkija:
- Yongjian Liu, PhD
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Alatutkija:
- Ryan Jackson, MD
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Alatutkija:
- Sidharth Puram, MD, PhD
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Alatutkija:
- Chieh-Yu Lin, MD, PhD
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Alatutkija:
- Richard Laforest, PhD
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Alatutkija:
- Ying Hwey Nai, PhD
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-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
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
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Diagnostiikka
- Jako: Ei satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: 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.
Muut nimet:
|
|
Kokeellinen: 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.
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Cohort 1 only: Semiquantitative 64Cu-DOTA-ECL1i PET/CT uptake
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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.
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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)
Aikaikkuna: Start of anti-PD1 treatment to date of disease progression or death from any cause (total estimated time to be 12 months)
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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)
|
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Cohort 2 only: Overall survival (OS)
Aikaikkuna: 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)
|
Yhteistyökumppanit ja tutkijat
Yhteistyökumppanit
Tutkijat
- Päätutkija: Farrokh Dehdashti, MD, Washington University School of Medicine
Julkaisuja ja hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Patologiset prosessit
- Neoplasmat sivustoittain
- Neoplasmat
- Sairauden ominaisuudet
- Neoplasmat histologisen tyypin mukaan
- Kasvaimet, rauhas- ja epiteelikasvaimet
- Neoplastiset prosessit
- Karsinooma
- Karsinooma, okasolusolu
- Patologiset tilat, merkit ja oireet
- Pään ja kaulan okasolusyöpä
- Toistuminen
- Neoplasman metastaasit
- Pään ja kaulan kasvaimet
Muut tutkimustunnusnumerot
- 202605001
- R01CA311209 (Yhdysvaltain NIH-apuraha/sopimus)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
IPD-jaon aikakehys
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
- ICF
Lääke- ja laitetiedot, tutkimusasiakirjat
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