- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT07659678
CCR2 PET Imaging Head and Neck Squamous Cell Carcinoma
Обзор исследования
Статус
Условия
Вмешательство/лечение
Тип исследования
Регистрация (Оцененный)
Фаза
- Фаза 2
Контакты и местонахождение
Контакты исследования
- Имя: Farrokh Dehdashti, MD
- Номер телефона: 314-362-1474
- Электронная почта: dehdashtif@wustl.edu
Места учебы
-
-
Missouri
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St Louis, Missouri, Соединенные Штаты, 63110
- Washington University School of Medicine
-
Контакт:
- Farrokh Dehdashti, MD
- Номер телефона: 314-362-1474
- Электронная почта: dehdashtif@wustl.edu
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Младший исследователь:
- Ningying Wu, MD, PhD
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Младший исследователь:
- Douglas Adkins, MD
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Младший исследователь:
- Yongjian Liu, PhD
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Младший исследователь:
- Ryan Jackson, MD
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Младший исследователь:
- Sidharth Puram, MD, PhD
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Младший исследователь:
- Chieh-Yu Lin, MD, PhD
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Младший исследователь:
- Richard Laforest, PhD
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Младший исследователь:
- Ying Hwey Nai, PhD
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Описание
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
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Диагностика
- Распределение: Нерандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: 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.
Другие имена:
|
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Экспериментальный: 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.
Другие имена:
|
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Cohort 1 only: Semiquantitative 64Cu-DOTA-ECL1i PET/CT uptake
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: At time of surgery (total estimated time up to 14 days)
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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
Временное ограничение: 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
Временное ограничение: 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)
|
|
Cohort 2 only: Progression-free survival (PFS)
Временное ограничение: 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)
Временное ограничение: 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.
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Start of anti-PD1 treatment to date of death from any cause (total estimated time to be 12 months)
|
Соавторы и исследователи
Соавторы
Следователи
- Главный следователь: Farrokh Dehdashti, MD, Washington University School of Medicine
Публикации и полезные ссылки
Даты записи исследования
Изучение основных дат
Начало исследования (Оцененный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
- Патологические процессы
- Новообразования по локализации
- Новообразования
- Атрибуты болезни
- Новообразования по гистологическому типу
- Новообразования железистые и эпителиальные
- Неопластические процессы
- Карцинома
- Карцинома, плоскоклеточный рак
- Патологические состояния, признаки и симптомы
- Плоскоклеточный рак головы и шеи
- Повторение
- Метастаз новообразования
- Новообразования головы и шеи
Другие идентификационные номера исследования
- 202605001
- R01CA311209 (Грант/контракт NIH США)
Планирование данных отдельных участников (IPD)
Планируете делиться данными об отдельных участниках (IPD)?
Описание плана IPD
Сроки обмена IPD
Совместное использование IPD Поддерживающий тип информации
- STUDY_PROTOCOL
- САП
- МКФ
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .