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临床试验/NCT01479348
NCT01479348终止早期 1 期

Phase 0 Trial of [F-18]-5-Fluoro-2'-Deoxycytidine With Tetrahydrouridine

National Cancer Institute (NCI)1 个研究点 分布在 1 个国家目标入组 5 人开始时间: 2011年11月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
早期 1 期
状态
终止
入组人数
5
试验地点
1
主要终点
Frequency and Severity of Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v4.0

研究概览

简要总结

Background:

  • The drugs FdCyd (also called 5-fluoro-2'-deoxycytidine) and THU (also called tetrahydrouridine) are being used in a cancer treatment study. Not a lot is known about how FdCyd works in the body. Researchers want to look at a modified form of FdCyd using imaging studies to see how the drug reacts with the cancer. This study is not a treatment study. It is open only to people who are already on the FdCyd and THU cancer treatment study.

Objectives:

  • To study how FdCyd affects advanced cancer cells.

Eligibility:

  • Participants in National Cancer Institute study 09-C-0214.

Design:

  • Participants will have two imaging studies, one before starting FdCyd and THU treatment and one after starting treatment.
  • Participants will have the modified FdCyd, known as F-18 FdCyd, with a dose of THU. The doses will be followed by two imaging study scans and frequent blood samples.
  • This procedure will be repeated at a later date, during the FdCyd and THU treatment period.
  • Treatment will not be provided as part of this study. This is an imaging study protocol only....

详细描述

BACKGROUND:

  • In pre-clinical models, 5-fluoro-2-deoxycytidine (FdCyd), administered along with

tetrahydrouridine (THU; an inhibitor of cytidine/deoxycytidine deaminase), has shown superior anti-tumor activity as compared with 5-fluorouracil.

  • FdCyd can be phosphorylated to 5-fluoro-2-deoxycytidylate (FdCMP) by deoxycytidine

kinase and the nucleotide deaminated to FdUMP by deoxycytidylate (dCMP) deaminase.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 99 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

1/Intravenous (IV) Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: [F-18]-5-FLUORO-2'-DEOXYCYTIDINE (Drug)

1/Intravenous (IV) Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Tetrahydrouridine intravenous (IV) (Drug)

1/Intravenous (IV) Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Tetrahydrouridine (oral) (Drug)

1/Intravenous (IV) Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Positron emission tomography (PET)/Computed tomography (CT) (Diagnostic Test)

2/Oral Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: [F-18]-5-FLUORO-2'-DEOXYCYTIDINE (Drug)

2/Oral Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Tetrahydrouridine intravenous (IV) (Drug)

2/Oral Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Tetrahydrouridine (oral) (Drug)

2/Oral Tetrahydrouridine (THU)

Experimental

[F-18]-5-fluoro-2'-deoxycytidine plus Tetrahydrouridine

干预措施: Positron emission tomography (PET)/Computed tomography (CT) (Diagnostic Test)

结局指标

主要结局

Frequency and Severity of Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v4.0

时间窗: Within 5 days after interventions

\[F-18\]-5-fluoro-2'-deoxycytidine (FdCyd) was administered intravenously with administration of tetrahydrouridine (THU) and the frequency and severity of adverse events was observed. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 0 is normal, Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe or medically significant but not immediately life-threatening, Grade 4 is life-threatening consequences, and Grade 5 is death related to adverse event.

Radiation Dosimetry Estimates of 5-fluoro-2'-Deoxycytidine (FdCyd) in Humans

时间窗: 1 year

Radiation dosimetry was determined based on the first patients. This involved making region of interest measurements on the scan for each major organ and measuring the uptake. Using standard dosimetry software this is converted into mSv/MBq, a standard measure of dosimetry. The software is known as Organ Level INternal Dose Assessment/EXponential Modeling (OLINDA) and is commonly used to generate this kind of data.

次要结局

  • Tumor to Background Ratios (TBRs) of Target Lesions at 4 Time Points After Injection(9 minutes, 32 minutes, 56 minutes and 2 hours after injection)
  • Number of Participants With Serious and Non-Serious Adverse Events(Date treatment consent signed to date off study, approximately 20 months and 12 days.)

研究者

申办方类型
Nih
责任方
Principal Investigator
主要研究者

Peter Choyke, M.D.

Principal Investigator

National Cancer Institute (NCI)

研究点 (1)

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