Stage 4 Cancer
Conditions
Keywords
stage IV cancer with no treatment options, non-curative
Brief summary
The purpose of this study is to determine the toxicity of the hypoxia PET-tracer \[18F\]-VM4-037 in cancer patients in two dose-steps: * Step 1 (3-6 patients): a single dose of maximum 8 mCi (296 MBq) dose of \[18F\]VM4-037 via a bolus IV injection. * Step 2 (3-6 patients): a single dose of maximum 12 mCi (444 MBq) dose of \[18F\]VM4-037 via a bolus IV injection
Interventions
Bolus IV injection of \[18F\]VM4-037
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological or cytological confirmed solid tumour, primary or secondary stage IV and/ or tumours with no curative treatment options * WHO performance status 0 to 1 * Normal white blood cell count and formula * Normal platelet count * No anaemia requiring blood transfusion or erythropoietin * Adequate hepatic function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN) for the institution; ALT, AST, and alkaline phosphatase ≤ 2.5 x ULN for the institution) * Calculated Creatinin clearance at least 60 ml/min * No administration of Fluor-18 in the previous 24 hours * The patient is capable of complying with study procedures * 18 years or older
Exclusion criteria
* Only visible tumor sites in the upper abdomen (because the uptake of VM4-037 in the liver, stomach and the kidneys would interfere with image quality of the tumor) * Known hypersensitivity for sulfonamides * Recent (\< 3 months) myocardial infarction * Uncontrolled infectious disease * Less than 18 years old * Pregnancy * No concurrent anti-cancer agents or radiotherapy allowed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Toxicity (CTCAE 3.0) | 1 week |
Secondary
| Measure | Time frame |
|---|---|
| Image Quality | 1 week |
| Correlation with circulating biomarkers of hypoxia | 1 week |
| Correlation with [18F]-FDG on PET scans | 1 week |