Immunoscintigraphy Using Radiolabeled Monoclonal Antibody in Finding Tumor Cells in Patients With Colorectal Cancer

NCT ID: NCT00647153

Last Updated: 2017-11-06

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2012-10-31

Brief Summary

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RATIONALE: Diagnostic procedures, such as immunoscintigraphy, using a radiolabeled monoclonal antibody may help find and diagnose colorectal cancer.

PURPOSE: This clinical trial is studying how well immunoscintigraphy using a radiolabeled monoclonal antibody works in finding tumor cells in patients with colorectal cancer.

Detailed Description

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OBJECTIVES:

Primary

* To determine the ability of iodine I 123 anti-CEA recombinant diabody T84.66 to localize to colorectal cancer, as determined by quantitative radioimmunoscintigraphy in patients with colorectal cancer.

Secondary

* To evaluate the clinical pharmacokinetics of iodine I 123 anti-CEA recombinant diabody T84.66 clearance in these patients.
* To characterize the frequency and titer of the human anti-chimeric response to iodine I 123 anti-CEA recombinant diabody T84.66 in these patients.
* To determine the safety of iodine I 123 anti-CEA recombinant diabody T84.66 in these patients.

OUTLINE: Patients receive an infusion of iodine I 123 anti-CEA recombinant diabody T84.66. Patients undergo planar imaging every 5 minutes during the radiolabeled antibody infusion and then at 3-6 hrs, 12-24 hours, and, if indicated, 30-48 hours after the radiolabeled antibody infusion. Planar spot images of the head, chest, abdomen, and pelvis and whole body images (anterior and posterior) are taken. Patients also undergo SPECT scan of the abdomen and pelvis at 12 and 24 hours after the radiolabeled antibody infusion.

Blood samples are collected for pharmacokinetic analysis immediately after the radiolabeled antibody infusion and then at 15 minutes, 30 minutes, 1 hour, 2 hours, and 4 hours after the radiolabeled antibody infusion.

Patients are followed periodically for 6 months.

Conditions

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Colorectal Cancer

Keywords

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stage I colon cancer stage II colon cancer stage III colon cancer stage IV colon cancer stage I rectal cancer stage II rectal cancer stage III rectal cancer stage IV rectal cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Radiation: iodine I 123 anti-CEA recombinant diabody T84.66

Group Type EXPERIMENTAL

pharmacological study

Intervention Type OTHER

Pre-infusion and 30 min., 1h,2h, and 3-4h post start of infusion. Day 1 and 2 post infusion.

single photon emission computed tomography

Intervention Type PROCEDURE

One day post infusion

iodine I 123 anti-CEA recombinant diabody T84.66

Intervention Type RADIATION

10mCi/mg

Interventions

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pharmacological study

Pre-infusion and 30 min., 1h,2h, and 3-4h post start of infusion. Day 1 and 2 post infusion.

Intervention Type OTHER

single photon emission computed tomography

One day post infusion

Intervention Type PROCEDURE

iodine I 123 anti-CEA recombinant diabody T84.66

10mCi/mg

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed colorectal cancer

* Stage I-IV disease

PATIENT CHARACTERISTICS:

* Serum creatinine \< 2.0 mg/dL
* Total bilirubin \< 2.0 mg/dL
* Hemoglobin \> 9.0 g/dL
* cT84.66 antibody negative (if previously treated with mouse or chimeric immunoglobulins)
* Not pregnant
* No condition that, in the opinion of the investigator, would preclude study compliance
* No known allergy to iodine
* No known history of HIV, hepatitis B, or hepatitis C

PRIOR CONCURRENT THERAPY:

* No concurrent steroids
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeffrey Y. Wong, MD

Role: PRINCIPAL_INVESTIGATOR

City of Hope Comprehensive Cancer Center

Locations

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City of Hope Comprehensive Cancer Center

Duarte, California, United States

Site Status

Countries

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United States

Other Identifiers

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P30CA033572

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CHNMC-04085

Identifier Type: -

Identifier Source: secondary_id

CDR0000590136

Identifier Type: REGISTRY

Identifier Source: secondary_id

04085

Identifier Type: -

Identifier Source: org_study_id