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| ID | Type | Description | Link |
|---|---|---|---|
| VAR0032 | Other Identifier | OnCore |
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Logistical
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Hypoxia, meaning a lack of oxygen, has been associated strongly with a wide range of human cancers. Hypoxia occurs when tumor growth exceeds the ability of blood vessels to supply the tumor with oxygenated blood. It is currently understood that hypoxic tumors are more aggressive. Current methods for measuring hypoxia include invasive procedures such as tissue biopsy, or insertion of an electrode into the tumor. EF5-PET may be a non-invasive way to measure tumor hypoxia.
To establish PET imaging with the tracer EF5 as an accurate and reliable method for measuring the oxygen content of a tumor and to establish the measurement of secreted markers in blood as an accurate and reliable method for measuring the oxygen content of a tumor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Carbogen arm | Experimental |
| |
| DCA arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PET Scan | Procedure | radiation calculated per patient |
|
| Measure | Description | Time Frame |
|---|---|---|
| 18F-EF5 uptake (tumor: blood ratio) before and after carbogen breathing for a subset of subjects. | 1-5 days | |
| 18F-EF5 uptake (tumor: blood ratio) before and after administration of DCA for a subset of subjects. | 1-5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Levels of secreted hypoxia markers in plasma. | 1-5 days | |
| Hypoxia gene and protein expression scores in patients undergoing biopsy or surgical resection. | 1-5 days |
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INCLUSION CRITERIA
EXCLUSION CRITERIA
• Pregnant or nursing
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| Name | Affiliation | Role |
|---|---|---|
| Dr. Billy W. Loo Jr. M.D. Ph.D. | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University School of Medicine | Stanford | California | 94305 | United States |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D009682 | Magnetic Resonance Spectroscopy |
| C011700 | carbogen |
| D003999 | Dichloroacetic Acid |
| ID | Term |
|---|---|
| D013057 | Spectrum Analysis |
| D002623 | Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
| D062845 | Chloroacetates |
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| EF5 | Drug | 10 mCi, IV |
|
|
| Carbogen | Drug | Calculated per patient |
|
|
| Dichloroacetate | Drug |
|
|
| D000085 | Acetates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D006843 | Hydrocarbons, Chlorinated |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |