- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT02293954
CEA 양성 암을 가진 환자를 진단하는 구리 Cu 64 항-CEA 단클론 항체 M5A PET
파일럿 연구: CEA(Carcinoembryonic Antigen)에 대한 64Cu 표지 M5A 항체를 사용한 암종 검출
This pilot clinical trial studies copper Cu 64 anti-carcinoembryonic antigen (CEA) monoclonal antibody M5A positron emission tomography (PET) in diagnosing patients with CEA positive cancer. Diagnostic procedures, such as copper Cu 64 anti-CEA monoclonal antibody M5A PET, may help find and diagnose CEA positive cancer that may not be detected by standard diagnostic methods.
연구 개요
상태
상세 설명
PRIMARY OBJECTIVES:
I. To determine the ability of 64Cu labeled M5A antibody (copper Cu 64 anti-CEA monoclonal antibody M5A) to localize CEA positive cancers (such as gastrointestinal, lung, medullary thyroid and breast cancers), as determined by PET imaging.
SECONDARY OBJECTIVES:
I. To characterize the frequency of titer of the human anti-human antibody (HAHA) response to 64Cu labeled M5A antibody.
II. To determine the safety of administration of 64Cu labeled M5A antibody.
OUTLINE:
Patients receive copper Cu 64 anti-CEA monoclonal antibody M5A intravenously (IV) on day 0 and then undergo PET on day 1 and day 2.
After completion of study, patients are followed up at 1 and 3 months.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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California
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Duarte, California, 미국, 91010
- City of Hope Medical Center
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patients must have histologically confirmed primary or metastatic cancer; if biopsies were performed at an outside facility, the histology must be reviewed and confirmed by the Department of Pathology at the City of Hope
- Patients must have tumors that produce CEA as documented by a current or past history of an elevated serum CEA above the institutional limit of normal, or by immunohistochemical methods; NOTE: Patients with colorectal cancer are exempt from this requirement since > 95% are CEA positive
- Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control or abstinence) prior to study entry and for six months following duration of study participation; should a woman become pregnant or suspect that she is pregnant while participating on the trial, she should inform her treating physician immediately
- Patients must have a known site of disease; please note, for patients undergoing neoadjuvant therapy, this requirement must be met retrospectively prior to the start of neoadjuvant therapy; patients who are in radiological/clinical remission after neoadjuvant therapy, prior to infusion of radiolabeled antibody, are still eligible
- Although not mandated by the protocol, the results of the CT scan and labs (complete blood count [CBC], comprehensive metabolic panel [CMP]) that are performed as part of the standard work up should be available and should have been done within 2 months prior to study entry
- All subjects must have the ability to understand and the willingness to sign a written informed consent
- Prior therapy (chemotherapy, immunotherapy, radiotherapy) must be completed at least 2 weeks prior to infusion of radiolabeled antibody
Exclusion Criteria:
- Patients should not have any uncontrolled illness including ongoing or active infection
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to copper Cu 64 anti-CEA monoclonal antibody M5A (64Cu-M5A)
- Patients must not have received prior chemotherapy or radiation for >= 2 weeks before study enrollment
- Pregnant women are excluded from this study; breastfeeding should be discontinued is the mother is treated with 54Cu-m5A
- Any patient who has had exposure to mouse or chimeric (human/mouse) immunoglobulin and has antibody to the M5A
- Subjects, who in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 특수 증상
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: Diagnostic (copper Cu 64 anti-CEA monoclonal antibody M5A PET)
Patients receive copper Cu 64 anti-CEA monoclonal antibody M5A IV on day 0 and then undergo PET on day 1 and day 2. |
Given copper Cu 64 anti-CEA monoclonal antibody M5A IV
다른 이름들:
Undergo PET
다른 이름들:
Correlative studies Correlative studies
다른 이름들:
Cu 64 anti-CEA monoclonal antibody M5A IV |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Tumor Uptake of 64Cu-DOTA-hT4.66-M5A at Day 1
기간: At day 1
|
Tumor uptake measured by SUVmax of 64Cu-DOTA-hT4.66-M5A at day1 for hottest lesion from each patient. For tumors of at least 2 cm in diameter SUV (=tumor activity concentration/injected activity per unit body weight). |
At day 1
|
|
Tumor Uptake of 64Cu-DOTA-hT4.66-M5A at Day 2
기간: At day 2
|
Tumor uptake measured by SUVmax of 64Cu-DOTA-hT4.66-M5A at day 2 for hottest lesion from each patient. For tumors of at least 2 cm in diameter SUV (=tumor activity concentration/injected activity per unit body weight). |
At day 2
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Number of Participants With Human Anti-human Antibody (HAHA) Positive Response to 64Cu Labeled M5A Antibody
기간: At 1 and 3 months post study drug infusion
|
Approximately 5 ml (1 teaspoon) of blood in a red top tube will be drawn at 1 month post study drug infusion and 3 months post study drug infusion. Response at either 1 or 3 months post study drug infusion constitutes a positive response. |
At 1 and 3 months post study drug infusion
|
|
The Average Increase of Tumor-to-blood (T:B) Ratio From Day 1 to Day 2
기간: At day 1 and day 2
|
Scan results were compared to known sites of disease as defined by sites identified on CT scans, MRI scans, FDG PET scans, or sites identified at surgery that were histologically positive for cancer. The 64Cu SUVs on both day 1 and 2 scans were evaluated in tumors and selected nontumor organs and tissues (blood pool, liver, spleen, and kidney). Tumor uptake was measured in terms of SUVmax values, while organ uptake to assess biodistribution was measured in terms of SUVmean values. Ratios of tumor-to-blood activity concentration (T:B) were calculated as the ratio of tumor SUVmax to average SUV (SUVmean) measured in the blood pool. |
At day 1 and day 2
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Jeffrey Wong, City of Hope Medical Center
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정된)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
- 내분비계 질환
- 병리학적 과정
- 부위별 신생물
- 신생물
- 장 질환
- 호흡기 질환
- 조직학적 유형에 따른 신생물
- 소화계 신생물
- 소화기계 질환
- 위장병
- 대장 신생물
- 장 신생물
- 직장 질환
- 폐 질환
- 내분비샘 신생물
- 췌장 질환
- 담도 질환
- 간 질환
- 신생물, 선상 및 상피
- 선암종
- 간 신생물
- 호흡기 신생물
- 흉부 신생물
- 결장 질환
- 종양 과정
- 피부병
- 유방 질환
- 암종
- 신경외배엽 종양
- 신생물, 생식 세포 및 배아
- 신생물, 신경 조직
- 신경내분비종양
- 담관 질환
- 담낭 질환
- 신생물, 유관, 소엽 및 수질
- 암종, 신경내분비선
- 담도 신생물
- 병리학적 상태, 징후 및 증상
- 피부 및 결합 조직 질환
- 직장 신생물
- 암종, 간세포
- 폐 신생물
- 대장 신생물
- 유방 신생물
- 신생물 전이
- 췌장 신생물
- 위장관 신생물
- 담관 신생물
- 담낭 신생물
- 암종, 수질
- 조사 기술
- 화학 기술, 분석
- 스펙트럼 분석
- 자기 공명 분광법
- 2- 페닐 -6- (2 '-(4'-(에 톡시 카르 보닐) 티아 졸릴)) 티아 졸로 (3,2-B) (1,2,4) 트리아 졸
기타 연구 ID 번호
- 14238
- 14238 (기타 식별자: City of Hope Medical Center)
- NCI-2014-02079 (레지스트리 식별자: CTRP (Clinical Trial Reporting Program))
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