Evaluation of 123I-Iodometomidate for Adrenal Scintigraphy
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Purpose
The improvement of conventional imaging techniques has led to an increased detection rate of different adrenal tumors. Since those tumors can belong to a variety of entities the therapeutic consequences also show considerable variation. In order to definitely determine the type of tumor, invasive procedures like CT guided biopsies are often required, which could be avoided by a tumor specific imaging method. The presently available scintigraphic procedures are either time consuming and lead to high radiation exposure or are technically demanding. The steroidogenic enzymes CYP11B1 (11ß-hydroxylase)and CYP11B2 (aldosterone synthase)are expressed exclusively in the adrenal cortex and therefore represent suitable targets for a specific imaging technique. In our project we evaluate 123I-Iodometomidate which binds to both CYP11B enzymes as radiotracer for adrenal scintigraphy.
| Condition | Intervention | Phase |
|---|---|---|
|
Adrenal Tumor Adrenocortical Carcinoma |
Drug: 123I-Iodometomidate |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
Eligibility| Ages Eligible for Study: | 30 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adrenal tumor seen by CT or MRT-scan with diameter of at least 2 cm or patient with adrenocortical carcinoma and suspected metastasis or local recurrence or patients with primary hyperaldosteronismus and adrenal tumour > 1 cm
- Hormonal work up of of the adrenal tumor according to ENS@T (European network for the study of adrenal tumours)-criteria
- Age ≥ 30 Jahre
- Effective contraception (pearl index <1%)
- Written informed consent
Exclusion Criteria:
- Pregnancy or breast feeding
- Renal insufficiency (serum creatinine > 2,0 mg/dl or MDRD < 60 ml/min)
- Known allergy to etomidate or constituents of the test drug
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00454103 History of Changes |
| Other Study ID Numbers: | Wue_123IMTO_100/05 |
| Study First Received: | March 28, 2007 |
| Last Updated: | August 17, 2010 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University of Wuerzburg:
|
adrenocortical carcinoma (ACC) adrenal tumor metastastic adrenocortical carcinoma |
Additional relevant MeSH terms:
|
Adrenal Gland Neoplasms Carcinoma Adrenocortical Carcinoma Endocrine Gland Neoplasms Neoplasms by Site Neoplasms Adrenal Gland Diseases |
Endocrine System Diseases Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Adenocarcinoma Adrenal Cortex Neoplasms Adrenal Cortex Diseases |
ClinicalTrials.gov processed this record on May 23, 2013