HX-4: Non-Invasive Imaging of [18F]HX4 With Positron-Emission-Tomography (PET)
Study Details
Study Description
Brief Summary
Non invasive imaging of hypoxia with the aid of PET-scans could help to select the patients having a hypoxic tumour who could be treated with specific anti-hypoxic treatments such as bio-reductive drugs or hypoxic radio-sensitizers. Several 2-nitroimidazoles to which the compound to be tested, HX-4, belongs, labelled with Fluor-18 have already been used in patients. However, bad image quality and unpredictable kinetics limit their use. In extensive pre-clinical models, the combination of HX-4 labelled with Fluor-18 is a promising non-toxic new probe to determine hypoxia.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Detailed Description
To determine the toxicity of the hypoxia PET-tracer [18F]-HX4 in cancer patients in two dose-steps:
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Step 1 (3-6 patients): a single dose of maximum 6 mCi (222 MBq) dose of [18F]HX4 (which contains a maximum of 15 μg HX-4) via a bolus IV injection.
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Step 2 (3-6 patients): a single dose of maximum 12 mCi (444 MBq) dose of [18F]HX4 (which contains a maximum of 27 μg HX-4) via a bolus IV injection.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: 1
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Procedure: Injection of HX-4
In step 1: 1 injection of HX-4 (max.6mCi (222MBq)) In step 2: 1 injection of HX-4 (max.12mCi 444MBq)
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Outcome Measures
Primary Outcome Measures
- Toxicity (CTCAE 3.0) [9 months]
Secondary Outcome Measures
- Image Quality at different time points (Tumour-to-Background Ratio determined by PET-CT scan) [9 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histological or cytological confirmed solid tumour, primary or secondary stage IV and/ or tumours with no curative treatment options.
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Normal white blood cell count and neutrophils
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Normal platelet count
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No anaemia requiring blood transfusion or erythropoietin
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Adequate hepatic function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN) for the institution; ALT, AST, and alkaline phosphatase ≤ 2.5 x ULN for the institution).
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Calculated Creatinin clearance at least 60 ml/min
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No administration of Fluor-18 in the previous 24 hours
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Capable of complying with study procedures
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Maastricht Radiation Oncology (MAASTRO clinic) | Maastricht | Netherlands | 6229 ET |
Sponsors and Collaborators
- Maastricht Radiation Oncology
- Amsterdam UMC, location VUmc
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 08-3-040