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Cancer Imaging Agent

Pafolacianine Imaging for Gastrointestinal Cancer

Phase < 1
Waitlist Available
Led By Maheswari Senthil, MD
Research Sponsored by University of California, Irvine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Female patients must have a negative serum pregnancy test at screening, followed by a negative urine pregnancy test on the day of scheduled study drug infusion, or day of surgery
Have a primary diagnosis of primary gastrointestinal cancer (of adenocarcinoma), planned for cytoreductive surgery
Must not have
Impaired liver function defined as values >3x the upper limit of normal (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or total bilirubin
Impaired renal function defined as eGFR <50 mL/min/1.73m2
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights
No Placebo-Only Group

Summary

This trial aims to test if CYTALUX™ can help surgeons identify cancerous lesions in patients with certain types of cancers during surgery.

Who is the study for?
This trial is for individuals with gastrointestinal cancers and peritoneal carcinomatosis. Participants should be candidates for cytoreductive surgery, which aims to remove visible tumors from the abdomen.
What is being tested?
The study tests CYTALUX (pafolacianine) used during surgery to see if it can better highlight cancerous tissues using a special camera that detects its fluorescent glow under near-infrared light.
What are the potential side effects?
Potential side effects of CYTALUX may include allergic reactions, changes in liver enzymes, nausea, or other infusion-related reactions. The imaging process itself is unlikely to cause side effects.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am a woman and have had negative pregnancy tests before receiving study treatment or surgery.
Select...
My cancer originates in the gastrointestinal tract and I am scheduled for surgery to remove it.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
My liver tests are more than three times the normal limit.
Select...
My kidney function is reduced with an eGFR below 50.
Select...
My gastrointestinal cancer with carcinomatosis is considered inoperable.
Select...
I have been treated with CYTALUX before.
Select...
I am allergic to CYTALUX or its components, including folic acid.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 year for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Accuracy
Negative Predictive Value (NPV)
Positive Predictive Value (PPV)
+2 more
Secondary study objectives
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Pafolacianine (CYTALUX)Experimental Treatment1 Intervention
All subjects will receive one single intravenous infusion of 0.025 mg/kg of pafolacianine (CYTALUX) injection prior to anticipated intraoperative imaging planned for cytoreductive surgery.

Find a Location

Who is running the clinical trial?

University of California, IrvineLead Sponsor
563 Previous Clinical Trials
1,932,552 Total Patients Enrolled
On Target LaboratoriesUNKNOWN
1 Previous Clinical Trials
15 Total Patients Enrolled
Maheswari Senthil, MDPrincipal InvestigatorChao Family Comprehensive Cancer Center
2 Previous Clinical Trials
39 Total Patients Enrolled
~7 spots leftby Oct 2025