Positron Emission Tomography Using Fluorine F 18 EF5 to Find Oxygen in Tumor Cells of Patients Who Are Undergoing Surgery or Biopsy for Newly Diagnosed Brain Tumors

NCT ID: NCT00110032

Last Updated: 2013-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Brief Summary

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This phase I trial is studying the side effects of fluorine F18 EF5 when given during positron emission tomography to find oxygen in tumor cells of patients who are undergoing surgery or biopsy for newly diagnosed brain tumors. Diagnostic procedures using fluorine F 18 EF5 and positron emission tomography to detect tumor hypoxia may help in planning cancer treatment

Detailed Description

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PRIMARY OBJECTIVES:

I. Determine the safety of fluorine F 18 EF5 (\^18F-EF5) in patients with newly diagnosed brain tumors undergoing surgery or biopsy.

Secondary I. Determine the pharmacokinetics and biodistribution of \^18F-EF5 administered before and after nonradioactive EF5 in these patients.

II. Determine the ability of positron emission tomography (PET) scanning using \^18F-EF5 to detect tumor hypoxia in these patients.

III. Determine the presence and pattern of nonradioactive EF5 binding by immunohistochemistry (IHC) and/or flow cytometry in these patients.

IV. Correlate tumor hypoxia, as measured by PET scanning using \^18F-EF5, with EF5 staining by IHC and/or flow cytometry and recurrence-free survival of these patients.

OUTLINE: Patients are assigned to 1 of 3 groups.

Group 1: Patients receive fluorine F 18 EF5 (\^18F-EF5) IV followed by whole brain and whole body positron emission tomography (PET) scanning OR whole body PET scanning only. Patients then receive nonradioactive EF5 IV over 1-2 ½ hours.

Group 2: Patients receive nonradioactive EF5 IV over 1-2½ hours followed by \^18F-EF5 IV. Patients then undergo whole brain and whole body PET scanning.

Group 3: Patients receive nonradioactive EF5 and \^18F-EF5 as in group 2. Patients then undergo whole brain PET scanning. Approximately one day after EF5 administration, all patients undergo surgery or biopsy of the tumor AND biopsy of normal skin adjacent to the incision.

Patients are followed at 2-4 weeks and 4-6 weeks after EF5 administration and then every 3 months for 1 year, every 4 months for 1 year, every 6 months for 1 year, and then annually thereafter.

Conditions

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Adult Anaplastic Astrocytoma Adult Anaplastic Ependymoma Adult Anaplastic Oligodendroglioma Adult Brain Stem Glioma Adult Central Nervous System Germ Cell Tumor Adult Choroid Plexus Tumor Adult Craniopharyngioma Adult Diffuse Astrocytoma Adult Ependymoblastoma Adult Ependymoma Adult Giant Cell Glioblastoma Adult Glioblastoma Adult Gliosarcoma Adult Grade I Meningioma Adult Grade II Meningioma Adult Grade III Meningioma Adult Medulloblastoma Adult Meningeal Hemangiopericytoma Adult Mixed Glioma Adult Myxopapillary Ependymoma Adult Oligodendroglioma Adult Pilocytic Astrocytoma Adult Pineoblastoma Adult Pineocytoma Adult Subependymoma Adult Supratentorial Primitive Neuroectodermal Tumor (PNET) Meningeal Melanocytoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group 1 (fluorine F 18 EF5, PET)

Patients receive fluorine F 18 EF5 (\^18F-EF5) IV followed by whole brain and whole body PET scanning OR whole body PET scanning only. Patients then receive nonradioactive EF5 IV over 1-2 ½ hours.

Group Type EXPERIMENTAL

conventional surgery

Intervention Type PROCEDURE

Undergo surgery

positron emission tomography

Intervention Type PROCEDURE

Undergo PET

fluorine F 18 EF5

Intervention Type RADIATION

Given IV

pharmacological study

Intervention Type OTHER

Correlative studies

Group 2 (EF5, PET)

Patients receive nonradioactive EF5 IV over 1-2½ hours followed by \^18F-EF5 IV. Patients then undergo whole brain and whole body PET scanning.

Group Type EXPERIMENTAL

EF5

Intervention Type DRUG

Given IV

conventional surgery

Intervention Type PROCEDURE

Undergo surgery

positron emission tomography

Intervention Type PROCEDURE

Undergo PET

pharmacological study

Intervention Type OTHER

Correlative studies

Group 3 (EF5, PET)

Patients receive nonradioactive EF5 and \^18F-EF5 as in group 2. Patients then undergo whole brain PET scanning.

Group Type EXPERIMENTAL

EF5

Intervention Type DRUG

Given IV

conventional surgery

Intervention Type PROCEDURE

Undergo surgery

positron emission tomography

Intervention Type PROCEDURE

Undergo PET

fluorine F 18 EF5

Intervention Type RADIATION

Given IV

pharmacological study

Intervention Type OTHER

Correlative studies

Interventions

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EF5

Given IV

Intervention Type DRUG

conventional surgery

Undergo surgery

Intervention Type PROCEDURE

positron emission tomography

Undergo PET

Intervention Type PROCEDURE

fluorine F 18 EF5

Given IV

Intervention Type RADIATION

pharmacological study

Correlative studies

Intervention Type OTHER

Other Intervention Names

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surgery, conventional FDG-PET PET PET scan tomography, emission computed 18F-EF5 pharmacological studies

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed and/or clinical and imaging evidence of a de novo mass that is likely to be a brain tumor
* Amenable to debulking surgery or surgical resection or biopsy as standard initial therapy for the tumor
* Performance status - Karnofsky 70-100%
* At least 3 months
* WBC count ≥ 2,000/mm\^3
* Platelet count ≥ 100,000/mm\^3
* Bilirubin \< 1.2 mg/dL
* Creatinine \< 1.3 mg/dL
* No symptomatic congestive heart failure
* No unstable angina pectoris
* No cardiac arrhythmia
* No other significant cardiac condition that would preclude study participation
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 1 month after study participation
* Weight ≤ 130 kg
* No peripheral neuropathy ≥ grade 3
* No history of allergic reaction attributed to metronidazole
* No other uncontrolled illness
* No psychiatric illness or social situation that would preclude study compliance
* No other medical condition that would preclude study participation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephen Michael Hahn

Role: PRINCIPAL_INVESTIGATOR

Abramson Cancer Center at Penn Medicine

Locations

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Abramson Cancer Center of The University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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UPCC 01304

Identifier Type: -

Identifier Source: secondary_id

CDR0000423313

Identifier Type: REGISTRY

Identifier Source: secondary_id

NCI-2012-02651

Identifier Type: -

Identifier Source: org_study_id

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