An Early Phase Clinical Trial to Evaluate the Feasibility of CEST MRI in Patients With Early Stage Breast Cancer

NCT ID: NCT02380209

Last Updated: 2016-10-27

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

EARLY_PHASE1

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-31

Study Completion Date

2016-08-31

Brief Summary

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Evaluate the feasibility of translating preclinical Chemical Exchange Saturation Transfer (CEST) MRI protocol designed to estimate tumor extracellular pH (pHe) to a clinical MRI scanner in women with early stage breast cancer. Assays are used to quantify tumor acidosis.

Detailed Description

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Those involved in the treatment of patients with breast cancer have pioneered the field of personalized cancer therapy through the use of targeted therapies and their associated biomarkers. Assays to quantify tumor acidosis and hypoxia are hypothesized to potentially represent such biomarkers. However there is currently no gold standard for measuring either.

This trial will evaluate the feasibility of translating preclinical Chemical Exchange Saturation Transfer (CEST) MRI protocol designed to estimate tumor extracellular pH (pHe), to a clinical MRI scanner in women with early stage breast cancer. This trial will generate preliminary data regarding the feasibility of this imaging technique. If successful, in future studies CEST MRI may serve as an imaging biomarker for acidosis and hypoxia.

Conditions

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Breast Cancer

Keywords

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breast cancer CEST MRI

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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Optimization

CEST MRI of the breast for estimation of tumor pH.

Group Type EXPERIMENTAL

CEST MRI

Intervention Type OTHER

CEST MRI will be performed on patients prior to surgical resection of their tumor

Interventions

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CEST MRI

CEST MRI will be performed on patients prior to surgical resection of their tumor

Intervention Type OTHER

Other Intervention Names

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iopromide Ultravist Isovue

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed infiltrating ductal carcinoma (IDC) of the breast
* \>= 1.0 cm primary tumor
* Calculated creatinine clearance \>= 50 mL/min
* Willing and able to provide informed consent
* Age ≥ 18 years
* ECOG performance status 0-2
* Informed of the investigational nature of this study

Exclusion Criteria

* Allergy to iodinated contrast agent
* Use of metformin, aminoglycosides, other nephrotoxic medications, or daily use of NSAIDs
* Diabetes mellitus
* History of severe claustrophobia
* Presence of electrically, magnetically, or mechanically activated implants including cardiac pacemakers, cochlear implants, magnetic surgical clips or prosthesis that would preclude MRI
* Use of \> 1 antihypertensive drug
* Pregnancy or breastfeeding
* Paraproteinemia syndromes or multiple myeloma
* Collagen vascular disease
* Active hyperthyroidism
* Active pharmaceutical treatments for cancer
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Arizona

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pavani Chalasani, MD

Role: PRINCIPAL_INVESTIGATOR

University of Arizona

Locations

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Arizona Cancer Center at UMC North

Tucson, Arizona, United States

Site Status

Countries

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United States

Other Identifiers

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1406349968

Identifier Type: -

Identifier Source: org_study_id