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Combidex USPIO - Ultra-Small Superparamagnetic Iron Oxide

This study has been completed.
Princess Margaret Hospital, Canada
Information provided by:
University Health Network, Toronto Identifier:
First received: September 12, 2005
Last updated: May 5, 2008
Last verified: April 2008
The purpose of this study is to test whether or not a new contrast agent called Combidex, a contrast agent formulated from ultra-small superparamagnetic iron oxide (USPIO) improves the ability of Magnetic Resonance Imaging (MRI) to see lymph nodes in the pelvis. It might also help doctors tell whether or not cancer has spread to these lymph nodes. It might allow radiotherapy to be delivered more accurately.

Condition Intervention Phase
Uterine Neoplasms
Cervix Neoplasms
Bladder Neoplasms
Prostatic Neoplasms
Procedure: MRI contrast agent Combidex (ferumoxtran-10)
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: A Pilot Study of MR Imaging With Ultra-Small Superparamagnetic Iron Oxide for Pelvic Lymph Node Target Definition

Resource links provided by NLM:

Further study details as provided by University Health Network, Toronto:

Primary Outcome Measures:
  • Improved delineation of normal pelvic lymph nodes in patients with uterine, cervical, bladder and prostate cancers. [ Time Frame: once at time of imaging ]
  • Improved clinical target volume (CTV) definition for the purpose of adjuvant irradiation of pelvic lymph nodes using intensity modulated radiotherapy (IMRT). [ Time Frame: once at time of imaging ]

Secondary Outcome Measures:
  • Comparison of target lymph node delineation between nodal imaging with USPIO and volume expansion of vascular anatomy. [ Time Frame: once at time of imaging ]
  • Demonstration of the pattern and distribution of pelvic nodal metastases in patients with uterine, cervical, bladder and prostate cancers. [ Time Frame: once at time of imaging ]

Enrollment: 61
Study Start Date: April 2004
Study Completion Date: June 2006
Primary Completion Date: June 2006 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: MRI contrast agent Combidex (ferumoxtran-10)
    Combidex as an MR-lymph node contrast agent for the detection of small lymph nodes and lymph metastases.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • histologically confirmed endometrial, cervix, prostate (cT1-cT3) or bladder cancer
  • no distant metastases
  • informed consent

Exclusion Criteria:

  • confirmed prostate carcinoma and PSA less than or equal to 4 or greater than 100
  • radical surgery or prior cryosurgery for prostate carcinoma, previous RT, hormonal manipulation or chemotherapy
  • biopsy-proven lymph node involvement
  • endometrium or cervix carcinoma who have undergone recent pelvic surgery with the exclusion of D&C or biopsy
  • bladder carcinoma with recent pelvic surgery with the exclusion of TURBT
  • previous or concurrent cancers other than superficial basal or squamous cell skin carcinoma unless disease-free for at least 5 yrs
  • contraindication to MR imaging
  • hip prosthesis
  • major medical or psychiatric illness
  • patients with known allergy to dextran or iron-containing compounds
  • patients with cirrhosis or hemochromatosis
  • patients receiving another MR contrast within 2 hrs prior to the ferumoxtran-10
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Please refer to this study by its identifier: NCT00188695

Canada, Ontario
Princess Margaret Hospital
Toronto, Ontario, Canada, M5G 2M9
Sponsors and Collaborators
University Health Network, Toronto
Princess Margaret Hospital, Canada
Principal Investigator: Michael Milosevic, MD Princess Margaret Hospital, Canada
  More Information

Responsible Party: Dr. Michael Milosevic, Principal Investigator, University Health Network Identifier: NCT00188695     History of Changes
Other Study ID Numbers: 03-0838-C
Study First Received: September 12, 2005
Last Updated: May 5, 2008

Additional relevant MeSH terms:
Prostatic Neoplasms
Uterine Neoplasms
Urinary Bladder Neoplasms
Uterine Cervical Neoplasms
Genital Neoplasms, Male
Urogenital Neoplasms
Neoplasms by Site
Genital Diseases, Male
Prostatic Diseases
Genital Neoplasms, Female
Uterine Diseases
Genital Diseases, Female
Urologic Neoplasms
Urinary Bladder Diseases
Urologic Diseases
Uterine Cervical Diseases
Plasma Substitutes
Blood Substitutes processed this record on April 28, 2017