MedPath

An imaging study investigating a new magnetic resonance imaging tracer for cancer detection and cancer treatment monitoring

Not Applicable
Conditions
Cancer
Registration Number
ISRCTN49119680
Lead Sponsor
Cambridge University Hospitals NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
90
Inclusion Criteria

All participants:
1. Over 18 years old
2. Able to and provide written informed consent to participate
3. If female, postmenopausal or if women of childbearing potential (WOCBP) using a suitable contraception
4. If male, using a suitable contraceptive method for the duration of the study

Healthy volunteers (Stage 1):
Not on any regular medications (except the oral contraceptive pill) that may impact the study results as determined by the researcher

Cancer patients (Stage 2):
1. Radiologically evaluable disease as established by clinical imaging
2. Capable of undergoing repeat study visits

Exclusion Criteria

The presence of any of the following will preclude participation as determined by the delegated investigator:
1. Contraindication or inability to tolerate MRI
2. Pregnant or actively breast-feeding woman
3. If using an intrauterine contraceptive device (IUCD) as a method of contraception the device should be MRI-safe at 3 T (researcher to confirm)
4. Clinically significant cardiac, pulmonary or neurological diseases as determined by the investigators
5. Laboratory abnormalities that may impact the study results
6. Any other significant medical or psychiatric history rendering the subject ineligible as deemed by the investigators

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
MRI signal of hyperpolarised 13C-fumarate and its metabolite 13C-malate measured using dynamic MRI to study fumarate metabolism in normal tissue and in tumours at one timepoint
Secondary Outcome Measures
NameTimeMethod
1. Optimal dose of injected hyperpolarised 13C-fumarate to enable the detection of hyperpolarised 13C-malate formation in tumours measured using dynamic MRI at one timepoint<br>2. Optimise 13C-MRI parameters to provide the optimal hyperpolarised 13C-fumarate and 13C-malate signal-to-noise ratios (SNR) measured using dynamic MRI at one timepoint<br>3. Correlations between serum fumarate, serum malate, fumarate hydratase (FH) and the MR signal acquired from the dynamic 13C-malate/13C-fumarate MRI data at one timepoint<br>4. Correlations between tissue expression (archival or fresh tissue) of metabolic and other markers (such as FH) and the MR signal acquired from the dynamic 13C malate/13C fumarate MRI data at one timepoint<br>
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