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Clinical Evaluation of the New Hypoxia Imaging Agent HX4

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赞助商
Siemens Molecular Imaging
合作者
Fudan University

关键词

抽象

Positron Emission Tomography (PET) with fluorine-18 fluoromisonidazole (FMISO) has been used for several years as a non invasive imaging technique to study tumor hypoxia. Several experimental and clinical studies have indicated that FMISO uptake of tissues is correlated with tissue oxygen tension and that FMSO PET allows non-invasive differentiation between hypoxic and normoxic tumors. Currently, FMISO-PET represents the best characterized and validated noninvasive hypoxia imaging technique. Nevertheless, clinical studies have also shown the limitations of FMISO PET. Accumulation of FMISO in hypoxic tumors is relatively low, resulting in a low contrast between hypoxic tumors and surrounding normal tissues. In addition, imaging needs to be started relatively late after tracer injection (about 3 hours post-injection), when a significant percentage of the fluorine-18 label has already decayed and the count statistics of the PET images are relatively low. Because of these limitations, FMISO PET is still only used at a few research centers, despite high clinical interest in hypoxia imaging.

描述

Objective of the study

The aim of this study is to:

- evaluate a hypoxia imaging agent, HX4, in patients with solitary tumors (i.e., locally advanced head and neck cancer)

- gain information on bio-distribution of [F-18]HX4

- compare the PET images of [F-18] FMISO to [F-18]HX4 for resolution, signal to background ratio, and tumor/blood ratio

日期

最后验证: 08/31/2012
首次提交: 08/13/2009
提交的预估入学人数: 09/28/2010
首次发布: 09/30/2010
上次提交的更新: 09/19/2012
最近更新发布: 09/24/2012
实际学习开始日期: 05/31/2009
预计主要完成日期: 12/31/2009
预计完成日期: 04/30/2010

状况或疾病

Head and Neck Cancer
Lung Cancer
Liver Cancer

干预/治疗

Drug: 10 mCi FMISO

Drug: 10 mCi HX4

相 1/相 2

手臂组

干预/治疗
Active Comparator: 10 mCi HX4
Patient will be injected with [F-18] FMISO
Drug: 10 mCi HX4
10 mCi [F18] HX4 and 10 mCi [F-18] FMISO within 7 days of each other regardless of sequence
Active Comparator: 10 mCi FMISO
Patient will be injected with [F-18] HX4
Drug: 10 mCi FMISO
10 mCi [F18] HX4 and 10 mCi [F-18] FMISO within 7 days of each other regardless of sequence

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Patient may be male or female and of any race / ethnicity

- Patient is > 18 years old at the time of investigational product administration

- Patient or patient's legally acceptable representative provides written informed consent

- Patient is capable of complying with study procedures

- Patient is capable of communicating with study personnel

- Patient must have histologically confirmed stage III, or IV squamous cell carcinoma of the head and neck whose primary origin was from the oral cavity, oropharynx, hypopharynx, or larynx.

- According to the Karnofsky Performance Status Scale, the patient has a value of ≥ 60% at time of screening

- Patient must have normal organ and renal function as defined:

- total bilirubin within normal institutional limits

- AST(SGOT)/ALT(SGPT) less than or equal to 2.5 x institutional upper limits of normal

- creatinine within normal institutional limits

- BUN within normal institutional limits

- PT and PTT < 2.0 x institutional upper limits of normal

Exclusion Criteria:

- Patient is younger than 18 years old at the time of investigational product administration

- Female patient is pregnant or has a positive serum pregnancy test

- Patient is unable to remain still for duration of imaging procedure

- Patient has a history of significant renal disease

- Patient has previously received [F-18]HX4 at any time, or any other investigational product in the past thirty days.

- Patient has been involved in an investigative, radioactive research procedure within the past year

- Inadequate tumor sites or volume to allow for biopsy

- Patient has any other condition or personal circumstance that, in the judgment of the investigator, might interfere with the collection of complete and good quality data

结果

主要结果指标

1. Efficacy of a hypoxia imaging agent, HX4, in patients with solitary tumors (i.e., locally advanced head and neck cancer) [6 months]

次要成果指标

1. Resolution, signal to background ratio, and tumor/blood ratio of PET images with [F-18] FMISO and [F-18]HX4 [6 months]

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