Correlation of FAZA PET Hypoxia Imaging To 3D Histology in Oral Tongue Cancer (FAITH)
Tongue Cancer
About this trial
This is an interventional diagnostic trial for Tongue Cancer focused on measuring Oral Tongue Cancer, Tumor Hypoxia
Eligibility Criteria
Inclusion Criteria:
- Biopsy proven Stage II-III oral tongue squamous cell carcinoma
- Naïve to treatment for resectable disease
- Surgical resection as definitive treatment modality
- Ability to participate and willingness to give written informed consent prior to performance of any study-related procedures and to comply with the study protocol
Adequate hematologic, renal and liver function as defined by the following laboratory values up to 30 days prior to commencement of dosing (administration of FAZA):
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- Platelet count ≥ 50 ×109/L
- Hemoglobin ≥ 9 g/dL
- Bilirubin ≤ 1.5 × upper limit of normal (ULN) (20.0 µmol)
- Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), and alkaline phosphatase ≤ 2.5 × the ULN (37 U/L, 40 U/L, 120 U/L)
- Serum creatinine ≤ 1.5 × the ULN (106 µmol/L) or creatinine clearance ≥ 50 mL/min on the basis of the Cockroft-Gault glomerular filtration rate estimation: [(140-age) × (weight in kg × (0.85 if female)]/[72 × (serum creatinine in mg/dL)]
- Prothrombin time (PT), international normalized ratio (INR), partial thromboblastin time (PTT) ≤ 1.5 × the ULN (respectively 1.1, 14 sec, 35 sec)
- Negative serum pregnancy test within 14 days prior to commencement of dosing in women of childbearing potential. Women of non-childbearing potential need not undergo pregnancy testing. Female participants of childbearing potential agree to use adequate methods of contraception from the time of enrollment until 28 days after surgery. Clinically acceptable methods of birth control for this study include intrauterine devices (IUD), birth control pills, hormonal implants, injectable contraceptives, and using barrier methods such as condoms, vaginal diaphragm with spermicide, or sponge.
Exclusion Criteria:
- Patients who have received prior chemotherapy or radiation therapy for their oral tongue carcinoma
- Stage I, Stage III T1/N1/M0, and Stage IV disease
- Pregnant or breastfeeding at the time of consent
Sites / Locations
- Odette Cancer Centre, Sunnybrook Health Sciences CentreRecruiting
Arms of the Study
Arm 1
Experimental
FAZA and pimonidazole
(18)F-Fluoroazomycin arabinoside (FAZA) will be administered via intravenous injection at a dose of 5.2 MBq/kg with a minimum dose of 200 Megabecquerel (MBq) (5.4 Millicurie (mCi)) and a maximum dose of 600 MBq (16.2 mCi) prior to positron emission tomography (PET) imaging. A single dose of oral pimonidazole capsules at a dose of 0.5 g/m2, will be taken by participants 16-20 hours prior to tumor resection surgery.