Fluciclovine F18 PET/CT in Identifying the Origin of Head and Neck Squamous Cell Carcinoma in Patients With Metastatic Cervical Nodal Disease
This early phase I trial studies how well fluciclovine F18 positron emission tomography (PET)/computed tomography (CT) works in identifying the origin of head and neck squamous cell carcinoma in patients with cancer that has spread to the cervical lymph nodes. Fluciclovine F18 during a PET/CT scan may work better in helping doctors learn where the cancer started (called the site of origin) and directing treatment planning compared to standard fludeoxyglucose F-18 (FDG) PET-CT scans.
|Condition or Disease||Intervention/Treatment||Phase|
||Early Phase 1|
- To estimate positive predictive value with a corresponding 95% confidence interval for fluciclovine F18 (18F fluciclovine) positron emission tomography computed tomography (PET CT) to detect a primary site of disease in patients presenting with cervical metastatic nodal disease but a head and neck primary site not apparent on CT of the neck with contrast (contrast enhanced-computed tomography, CE-CT).
- To estimate positive predictive value with a corresponding 95% confidence interval for fludeoxyglucose F-18 (18F FDG) PET CT in the detection of a primary site of disease in patients presenting with cervical metastatic nodal disease but a head and neck primary site not apparent on CT of the neck with contrast.
To compare the lesion to background (L/B) ratios for nodal metastatic disease between 18F fluciclovine PET CT and 18F FDG PET CT.
To estimate the sensitivity of 18F fluciclovine PET CT and 18F FDG PET CT to detect nodal disease.
To evaluate for any trends in findings on 18F fluciclovine PET CT and human papillomavirus (HPV) status.
Patients receive fluciclovine F18 intravenously (IV) and undergo PET/CT scan over 20-30 minutes.
Arms and Interventions
|Experimental: Diagnostic (fluciclovine F18 PET/CT)
Patients receive fluciclovine F18 IV and undergo PET/CT scan over 20-30 minutes.
Procedure: Computed Tomography
Radiation: Fluciclovine F18
Procedure: Positron Emission Tomography
Primary Outcome Measures
- Proportion of the suspected lesions that are positive by the gold standard of pathology [Up to 2 years]
Positive predicative values will be estimated with a corresponding exact 95% confidence interval.
Other Outcome Measures
- Lesion to background (L/B) ratios for nodal metastatic disease [Up to 2 years]
L/B ratios for nodal metastatic disease will be compared between fluciclovine F18 (18F-flucivlovine) positron emission tomography computed tomography (PET CT) and fludeoxyglucose F-18 (18F FDG) PET CT. For lesions that are identified by both 18F FDG PET CT and 18F fluciclovine PET CT, paired t-tests will be used to compare the L/B ratios for primary sites. This analysis will be repeated for nodal metastatic disease sites that are identified by both methods.
- Sensitivity and specificity in detecting nodal disease [Up to 2 years]
For nodes that are biopsied, pathology will serve as the gold standard, and the sensitivity and specificity will be estimated separately for 18F FDG PET CT and for 18F fluciclovine PET CT. For nodes that are not, 18F FDG PET CT will serve as the gold standard, and the sensitivity and specificity of 18F-flucivlovine PET CT will be estimated.
Adults with biopsy proven metastatic cervical nodal squamous cell carcinoma
CT of the neck with contrast that does not confidently identify a primary oropharyngeal site of disease
Planned standard of care 18F-FDG PET CT examination
Planned standard of care exam under anesthesia with oropharyngeal surgical biopsy
Known allergy to FDG, fluciclovine, or iodine-based contrast agents
Severe renal dysfunction (glomerular filtrate rate [within 30 days] less than 30)
Inability to tolerate lying supine, relatively motionless for up to 1 hour
Contacts and Locations
|1||M D Anderson Cancer Center||Houston||Texas||United States||77030|
Sponsors and Collaborators
- M.D. Anderson Cancer Center
- National Cancer Institute (NCI)
- Principal Investigator: Maria K Gule-Monroe, M.D. Anderson Cancer Center
Study Documents (Full-Text)None provided.