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Study Summary
No. 2007-0290:.......Advanced Cancers......Homer Macapinlac......Nuclear Medicine
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Study Summary Title
Study Summary
Number:
2007-0290
Study Title:A Phase 2, Open-label, Proof-of-concept Study to Assess the Ability to Detect
Tumours and Angiogenesis via the Expression of Alpha v Beta 3 Integrin
Receptors by (18F)AH111585 PET Imaging
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Physician New Patient Referral
Name:Homer MacapinlacPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Nuclear MedicineReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2924
Contact us about clinical trials
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General Information
Disease Group:Advanced CancersSupported By:GE Heatlhcare Ltd.
Phase of Study:Phase IIReturn
Visit:
Participants are required to return to physician for two more blood samples
three weeks after being given the study agent and again at six weeks. The
entire participation in the study is approximately 10 weeks.
Treatment
Agents:
[18F]AH-111585Home Care:None known
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
For general safety, participants will be monitored overnight for at least 24
hours past the study drug administration.
Description/
Intervention:
The goal of this clinical research study is to see how well an experimental
"imaging" solution, [18F]AH111585, can help researchers detect a tumor and the
cells that may grow around it. In addition, the safety of this imaging
solution will be studied. Researchers also want to see if positron emission
tomography / computed tomography (PET/CT) imaging can help to detect the
possible spreading of the disease.
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Study Objectives / Outcomes
The primary and secondary objectives of the study are as follows:

Primary:
To correlate the magnitude of[18F]AH111585 uptake and retention with quantitative
measurement of the levels of ávâ3 integrin expression in tumours.

Secondary:
(1) To correlate tumour perfusion and vascular permeability in tumour tissue [as measured by DCE-CT] with the magnitude of uptake and retention of [18F]AH111585 (note: DCE-CT is optional and will only be acquired at site 001 [MDACC]).
(2) To correlate [18F]AH111585 accumulation in tumours obtained from PET images to
the expression of vascular endothelial growth factor (VEGF); vascular endothelial growth factor receptor (VEGFr); protein kinase B (AKT) and phosphorylated AKT(p-AKT); mitogen-activated protein kinase (MAPK) and phosphorylated MAPK (p-MAPK); and MVD in tumours (microvessels and tumour cells) by means of immunohistologic analysis of tumour tissue samples.
(3) To obtain preliminary data on the feasibility of detection of both primary and metastatic tumour lesions in particular tumour types using [18F]AH111585 PET as compared to standard of care modalities (e.g. [18F]-fluorodeoxyglucose [FDG]-PET, contrast enhanced [CE] static computed tomography [CT], magnetic resonance imaging [MRI],bone scintigraphy).
(4) To assess the safety of a single intravenous administration of a maximum activity of 370 MBq [18F]AH111585 in subjects with solid tumours.
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Study Status Information
Study Activation / Registration Date:10/19/2007
IRB Review and Approval Date:10/19/2007
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Closed
Projected Accrual:30
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) The subject is >/= 18 years old.

2) The subject has been diagnostically imaged and is suspected of having a primary or metastatic tumour lesion of one of the following types: a) High-grade glioma, including glioblastoma multiforme, anaplastic astrocytoma, and anaplastic oligodendroglioma b) Lung cancer, including SCLC and NSCLC c) H&N tumours, including laryngeal squamous cell carcinoma, and well differentiated thyroid and oral cavity carcinoma d) Sarcoma e) Melanoma f) Renal Cell Carcinoma

3) The subject is scheduled to undergo resection or biopsy of the target tumour as a result of routine clinical treatment.

4) The subject is scheduled to undergo or has received standard of care diagnostic imaging work-up (following the study centre's routine procedures), e.g. CT with or without contrast, MRI with or without contrast, bone scintigraphy, X-ray, or FDG-PET.

5) Female subjects need to be either surgically sterile (has had a documented bilateral oophorectomy and/or documented hysterectomy), post-menopausal (cessation of menses for more than 1 year), or if of childbearing potential the results of a serum pregnancy test performed within 24 hours must be negative and with the result known before administration of AH111585 (18F) Injection. Female subjects of reproductive potential should also employ an effective method of birth control. Barrier contraceptives must be used throughout the study in both sexes.

6) The subject is able and willing to comply with study procedures, and signed and dated informed consent is obtained.

7) The subject has a blood urea nitrogen value and serum creatinine value of </= 1.5 of the upper normal limit.

8) The subject has a platelet count of >150,000 x 10^6/L.

9) The subject has a haemoglobin value of >9 g/dL.

10) The subject has a prothrombin time (PTT) and aPTT within normal limits

11) The subject has a clinically acceptable (as judged by the investigator) physical examination at screening and is capable of self-care, i.e. Eastern Cooperative Oncology Group performance status is 0 to 2, such that the subject has a high chance to completing the study.

12) The subject has not received any anti-angiogenic agents (e.g. bevacuzimab, sorafenib, sunitinib) within 60 days prior to PET imaging.

13) For subjects with suspected or previously diagnosed high-grade glioma, the subject is suspected of having supratentorial malignant primary glioma (by biopsy or presenting MRI characteristics as determined by the subject's clinician) requiring further surgical resection as part of the recommended treatment plan for their newly diagnosed disease. These gliomas include glioblastoma multiforme, anaplastic astrocytoma, and anaplastic oligodendroglioma.

14) For subjects with suspected or previously diagnosed high-grade glioma, the subject has undergone recent biopsy of newly diagnosed high-grade glioma, has recovered from the effects of surgical biopsy, and baseline on-study MRI/CT is performed within 28 days of entry into the study.

15) For subjects with suspected or previously diagnosed renal cell carcinoma (RCC), the subject has been diagnostically imaged and is suspected of having a primary or metastatic RCC tumour lesion

16) For subjects with suspected or previously diagnosed renal cell carcinoma (RCC), the subject is scheduled to undergo resection or biopsy of the target tumour as a result of routine clinical treatment.

17) The chosen target tumour is not within the liver.

18) The subject has had no open wounds within 10 days prior to study entry.

19) The subject's tumour is ³2.0cm in diameter except for thyroid carcinoma (³1.5 cm).

Exclusion Criteria:1) The subject is lactating.

2) The subject is being treated with heparin or coumadin.

3) The subject has received another IMP within 14 days before, or will receive an IMP within 1 week after administration of AH111585 (18F) Injection.

4) The subject was previously included in this study.

5) The subject experienced substantial changes in their medical status before all essential study procedures (including all imaging procedures and surgical excision or biopsy) are performed.

6) The subject has any contraindication to any of the study specified procedures, products used or its constituents (e.g. X-ray contrast media).

7) The subject has known hyper- or hypo-coagulation syndromes. Such coagulopathies include but are not limited to Von Willebrand disease, Protein C deficiency, Protein S deficiency, Haemophilia A/B/C, Factor-V Leiden, and Bernard-Soulier syndrome.

8) The subject is unable to lie down for 125 minutes.

9) The subject suffers from claustrophobia.

10) The subject has known diagnosis of human immunodeficiency virus (HIV) infection.

11) The subject has known diagnosis of hepatitis B or C infection.

12) The subject has known diagnosis of mental incapacitation and it affects their ability to consent.

13) The subject has a history of serious hypersensitivity reaction to iodinated contrast media (not applicable unless the subject is undergoing a study specified procedure requiring contrast media).

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Links
Registration Number: NCT00565721
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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