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Zr-Panitumumab Imaging for Head and Neck Cancer
Phase 2
Waitlist Available
Led By Judy Nguyen, MD
Research Sponsored by Andrei Iagaru
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age ≥ 19 years
Have acceptable hematological status, coagulation status, kidney function, and liver function including the following clinical results: Hemoglobin ≥ 9gm/dL, White blood cell count > 3000/mm3, Platelet count ≥ 100,000/mm3, Serum creatinine ≤ 1.5 times upper reference range, PTT = 11.5 - 14.4 seconds, INR = 0.9 - 1.2
Must not have
Severe renal disease or anuria
Subjects receiving Class IA (quinidine, procainamide) or Class III (dofetilide, amiodarone, sotalol) antiarrhythmic agents
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights
All Individual Drugs Already Approved
No Placebo-Only Group
Summary
This trial will test if 89Zr-panitumumab can help find metastatic HNSCC lesions.
Who is the study for?
Adults over 19 with a confirmed diagnosis of head and neck squamous cell carcinoma, including those with recurrent disease or new primary. They must have had a PET/CT scan within the last 30 days showing suspected metastatic lesions and meet certain blood, kidney, and liver function criteria. Excluded are pregnant/breastfeeding individuals, those with low magnesium/potassium levels, severe renal issues, known allergies to similar drugs, lung conditions like interstitial pneumonitis or pulmonary fibrosis, or recent significant cardiovascular events.
What is being tested?
The trial is testing the effectiveness of an intravenous drug called Zr-Panitumumab in detecting metastatic cancer lesions in patients with head and neck cancers when used alongside standard PET/CT scans.
What are the potential side effects?
Potential side effects may include allergic reactions to the monoclonal antibody therapy (Zr-Panitumumab), which could manifest as infusion reactions. There's also a risk for individuals with sensitivities to deferoxamine or its components.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 19 years old or older.
Select...
My blood, kidney, and liver tests are within the required ranges.
Select...
I have been diagnosed with squamous cell carcinoma in my head or neck.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have severe kidney problems or cannot produce urine.
Select...
I am taking medication for heart rhythm problems.
Select...
I haven't had a heart attack, stroke, severe heart failure, liver disease, or chest pain in the last 6 months.
Select...
I have had or currently have lung scarring or inflammation.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Sensitivity and Specificity of 89Zr-panitumumab
Secondary study objectives
Sensitivity and Specificity 89Zr-panitumumab compared to standard of care 18F-FDG PET/CT imaging
Side effects data
From 2020 Phase 1 & 2 trial • 166 Patients • NCT0175091869%
Dermatitis acneiform
61%
Nausea
58%
Diarrhoea
56%
Dry skin
50%
Fatigue
44%
Pyrexia
44%
Vomiting
39%
Paronychia
39%
Pruritus
36%
Decreased appetite
31%
Constipation
28%
Oedema peripheral
25%
Erythema
25%
Skin fissures
22%
Stomatitis
22%
Rash maculo-papular
22%
Rash
22%
Anaemia
22%
Hypomagnesaemia
19%
Dysgeusia
19%
Weight decreased
17%
Abdominal pain upper
17%
Asthenia
17%
Chills
17%
Mucosal inflammation
17%
Hypoalbuminaemia
14%
Hypocalcaemia
14%
Hypertrichosis
14%
Aspartate aminotransferase increased
14%
Dyspepsia
14%
Back pain
14%
Dyspnoea
11%
Haematuria
11%
Abdominal pain
11%
Folliculitis
11%
Alanine aminotransferase increased
11%
Hyponatraemia
11%
Hypophosphataemia
11%
Dry eye
11%
Dry mouth
11%
Hypokalaemia
11%
Muscle spasms
11%
Insomnia
11%
Cough
8%
Abdominal distension
8%
Urinary tract infection
8%
Hypertension
8%
Malaise
8%
Arthralgia
8%
Hypotension
6%
Renal failure
6%
Palpitations
6%
C-reactive protein increased
6%
Xerosis
6%
Pustule
6%
Oedema
6%
Peripheral swelling
6%
Skin infection
6%
Limb injury
6%
Skin laceration
6%
Blood creatinine increased
6%
Blood lactate dehydrogenase increased
6%
Papule
6%
Dehydration
6%
Lacrimation increased
6%
Ocular hyperaemia
6%
Trichomegaly
6%
Vision blurred
6%
Cheilitis
6%
Flatulence
6%
Gastrooesophageal reflux disease
6%
Erysipelas
6%
Tinea pedis
6%
Upper respiratory tract infection
6%
Flank pain
6%
Hirsutism
6%
Syncope
6%
Taste disorder
6%
Hyperkeratosis
6%
Productive cough
6%
Rhinorrhoea
6%
Onycholysis
6%
Pain of skin
6%
Palmar-plantar erythrodysaesthesia syndrome
6%
Orthostatic hypotension
6%
Myalgia
6%
Pain in extremity
3%
Sepsis
3%
Protein total decreased
3%
Anal haemorrhage
3%
Pulmonary embolism
3%
Gamma-glutamyltransferase increased
3%
Hyperkalaemia
3%
Hair growth abnormal
3%
Supraventricular tachycardia
3%
Basal cell carcinoma
3%
Herpes zoster
3%
Nasopharyngitis
3%
Rash pustular
3%
Respiratory tract infection
3%
Dermatitis
3%
Hand dermatitis
3%
Hot flush
3%
Headache
3%
Blood alkaline phosphatase increased
3%
Body temperature increased
3%
Colitis
3%
Enteritis
3%
Large intestinal stenosis
3%
Pancreatitis
3%
Small intestinal perforation
3%
Non-cardiac chest pain
3%
Escherichia urinary tract infection
3%
Staphylococcal sepsis
3%
Urinary tract infection bacterial
3%
Subdural haematoma
3%
Lung disorder
3%
Stevens-Johnson syndrome
3%
Influenza like illness
3%
Nail infection
3%
Oral candidiasis
3%
Oral herpes
3%
Hyperglycaemia
3%
Dizziness
3%
Epistaxis
3%
Eczema
3%
Skin papilloma
100%
80%
60%
40%
20%
0%
Study treatment Arm
Part 1+2A+2B - Triple Combination (T+D+P): DAB 150MG BID, TRA 2MG QD, PAN 4.8MG/KG Q2W
Part 1+2A+2B - Triple Combination (T+D+P): DAB 150MG BID, TRA 2MG QD, PAN 6MG/KG Q2W
Part 4A+4B - Double Combination (T+P): TRA 2MG QD, PAN 6MG/KG Q2W
Part 4A+4B - Double Combination (T+P): TRA 1.5MG QD, PAN 6MG/KG Q2W
Part 4A+4B - Double Combination (T+P): TRA 2MG QD, PAN 4.8MG/KG Q2W
Part 1+2A - Double Combination (D+P): DAB 150MG BID, PAN 6MG/KG Q2W
Part 1+2A+2B - Triple Combination (T+D+P): DAB 150MG BID, TRA 1.5MG QD, PAN 4.8MG/KG Q2W
Part 1+2A+2B - Triple Combination (T+D+P): DAB 150MG BID, TRA 1.5MG QD, PAN 6MG/KG Q2W
Awards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: 89Zr-panitumumab IVExperimental Treatment1 Intervention
Subjects will be given 89Zr-panitumumab IV
Group II: panitumumab 30 mgActive Control1 Intervention
Subjects will be given a 30mg of panitumumab
Find a Location
Who is running the clinical trial?
Andrei IagaruLead Sponsor
15 Previous Clinical Trials
536 Total Patients Enrolled
Judy Nguyen, MDPrincipal InvestigatorStanford Cancer Institute
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My blood, kidney, and liver tests are within the required ranges.I have severe kidney problems or cannot produce urine.I am taking medication for heart rhythm problems.I haven't had a heart attack, stroke, severe heart failure, liver disease, or chest pain in the last 6 months.I have had or currently have lung scarring or inflammation.I am 19 years old or older.I have been diagnosed with head and neck cancer, regardless of its stage or if it has returned.I had a PET/CT scan within the last 30 days showing possible cancer spread.I have been diagnosed with squamous cell carcinoma in my head or neck.
Research Study Groups:
This trial has the following groups:- Group 1: panitumumab 30 mg
- Group 2: 89Zr-panitumumab IV
Awards:
This trial has 2 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.