Oral squamous cell cancer (OSCC) with and with out local metastasis Oropharyngeal squamous cell cancer (OPSCC) with and with out local metastasis MedDRA version: 21.1 Level: LLT Classification code 10073040 Term: Metastatic oropharyngeal cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 21.0 Level: LLT Classification code 10030961 Term: Oral cancer stage unspecified System Organ Class: 10029104 - Neoplasms benign, malignan
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Able to understand patient information and to give informed consent • Not previously irradiated or operated on neck OSCC or OPSCC referred to primary surgical treatment Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 35 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 55
Exclusion criteria
Exclusion criteria: • Pregnancy • Patients who are candidates for curative intentional radiation • Patients who have had surgery or radiation therapy to the neck as this may alter the lymph drainage. • Other diseases assessed by the investigator as basis for exclusion. • Age under 18 or over 85 years • Obesity> 140 kg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the diagnostic value of uPAR-PET/CT with the current imaging options (CT, MRI and ultrasound). The reference that will be used as "gold standard" is the pathological examination of the surgically removed tissues. ;Secondary Objective: Not applicable;Primary end point(s): 1. The number of lymph node metastases that can be identified by means of uPAR PET / CT compared with the histological findings.;Timepoint(s) of evaluation of this end point: The primary end point will be evaluated from the PET/scan and compared with the histological findings postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Evaluation of the correlation between uPAR PET signal (quantified as SUVmax) and the immunohistochemical expression of uPAR evaluated by an H-score (intensity x the percentage of stained tumor tissues throughout the tumor margin). 2. Evaluation of the correlation between tumor burden (assessed by TNM staging) uPAR-PET signal (assessed as SUVmax) and the amount of uPAR metabolites in plasma. 3. Determination of the lower detection limit of the amount of tumor tissue for uPAR-PET correlated with the histological H-score x tumor size (where tumor size is evaluated on the pathological preparation of pathologist);Timepoint(s) of evaluation of this end point: The secondary end points will be evaluated from the PET/scan and compared with the histological findings and blood sample postoperatively. | — |
Countries
Denmark
Contacts
Rigshospitalet, Department of otorhinolaryngology,