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Imaging Colo-Rectal Cancer Using a Two Step Antibody Technique in Nuclear Imaging

This study is currently recruiting participants.
Study NCT00185081.   Last updated on February 28, 2007.   Information provided by Radboud University

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Descriptive Information Fields
Brief Title  Imaging Colo-Rectal Cancer Using a Two Step Antibody Technique in Nuclear Imaging
Official Title  Radioimmunodetection of CEA-Producing Tumors Using a Bispecific Antibody Pre-Targeting Method and an In-Labeled Peptide
Brief Summary

The purpose of this study is to test the safety of the peptide and antibody and at the same time evaluate the tumor imaging of a two step antibody technique in nuclear imaging.

Detailed Description

Colo-rectal cancer has an incidence of 8000 cases per year in The Netherlands. Eventually 50% of them will die as a consequence of this disease.

Treatment consists of resection of the primary tumor, followed by adjuvant chemotherapy in some patients. The chemotherapeutical agents, however, are only moderately effective with regard to increase of survival. New treatment modalities are therefore desirable.

Radioimmunotherapy using radioactive labelled antibodies have proven to be effective in hematologic malignancies. Due to slow absorption in solid tumors however an effective radiation dose is not yet achieved.

The aim of our study is to bypass this slow tumor uptake by the use of pre-targeting. We therefore use an unlabeled bispecific antibody infusion. This will be followed several days later by the infusion of a radiolabeled peptide that binds to the bispecific antibody.

We hypothesise that this small peptide will be readily absorbed by the tumor which is pre-saturated by the bispecific antibody. As a consequence a higher radiation dose can be given with a lower toxicity.

Study Phase Phase I
Study Type  Interventional
Study Design  Diagnostic, Non-Randomized, Open Label, Uncontrolled, Crossover Assignment, Pharmacokinetics/Dynamics Study
Primary Outcome Measure  Safety evaluation of intravenous injection of In-labeled IMP-205 and hMN-14xm734
Tumor targeting of In-IMP-205 in patients with colorectal carcinoma
Pharmacokinetics, biodistribution and dosimetry of In-IMP-205
Secondary Outcome Measure 
Condition  Colonic Neoplasms
Intervention  Drug: Indium labeled IMP-205xm734
MEDLINE PMIDs
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Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  42
Start Date  July 2005
Completion Date December 2007
Eligibility Criteria 

Inclusion Criteria:

  • > 18 years of age
  • Histologic or cytologic diagnosis of colorectal cancer
  • Karnofsky performance status >70%

Exclusion Criteria:

  • Pregnant or lactating women
  • Severe anorexia
  • Active second primary malignancy
  • Chemotherapy or radiotherapy within four weeks of study entry
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers Yes
Contacts ††
Contact: Frits Aarts, MD     +31243619097     f.aarts@chir.umcn.nl    
Contact: Manuel Koppe, MD         M.Koppe@chir.umcn.nl    
Location Countries  Netherlands
Administrative Information Fields
NCT ID  NCT00185081
Organization ID PRISCO
Secondary IDs ††
Study Sponsor  Radboud University
Collaborators †† Immunomedics, Inc.
Investigators 
Study Director:     Wim Oyen, MD PhD     Radboud University Medical Centre Nijmegen    
Information Provided By Radboud University
Verification Date February 2007
First Received Date  September 15, 2005
Last Updated Date February 28, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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