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Transabdominal Ultrasound With BR55 for Characterization of Pancreatic Lesions

Primary Purpose

Pancreatic Ductal Adenocarcinoma

Status
Active
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
BR55
Sponsored by
Bracco Diagnostics, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Pancreatic Ductal Adenocarcinoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Enroll a subject in this study if the subject meets the following inclusion criteria:

  • Is at least 18 years of age;
  • Has at least one solid pancreatic lesion;
  • Is scheduled to undergo surgical resection for suspected PDAC not earlier than 24 hours and not later than 30 days following BR55 administration;
  • Provides written Informed Consent and is willing to comply with protocol requirements.

Exclusion Criteria:

Exclude a subject from this study if the subject does not fulfill the inclusion criteria, or if any of the following conditions are observed:

  • Is a pregnant or lactating female. Exclude the possibility of pregnancy:

    • by testing on site at the institution (serum βHCG) within 24 hours prior to the start of IP administration,
    • by surgical history (e.g., tubal ligation or hysterectomy),
    • by post-menopausal status with a minimum 1 year without menses;
  • Has undergone prior systemic therapy for pancreatic cancer;
  • Has history of any concurrent malignancy;
  • Has history of any clinically unstable cardiac condition including class III/IV congestive heart failure;
  • Has had any severe cardiac rhythm disorders within 7 days prior to enrolment;
  • Has severe pulmonary hypertension (pulmonary artery pressure > 90mmHg) or uncontrolled systemic hypertension and/or respiratory distress syndrome;
  • Has open and/or non-healing wounds in the chest, abdomen and pelvis;
  • Has other systemic vascular abnormalities associated with neovascularization, such as macular degeneration, that in the opinion of the investigator could significantly affect the ability to evaluate the effects of BR55;
  • Is participating in a clinical trial or has participated in another trial with an investigational compound within the past 30 days prior to enrolment;
  • Has previously been enrolled in and completed this study;
  • Has any known allergy to one or more of the ingredients of the IP or to any other contrast media;
  • Is determined by the Investigator that the subject is clinically unsuitable for the study;
  • Has had major surgery, including laparoscopic surgery within 3 months prior to enrolment;
  • Has history of pancreatic surgery (e.g., cyst removal);
  • Has acute pancreatic abnormalities (acute pancreatitis or trauma).

Sites / Locations

  • Stanford University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

0.03mL/kg Dose Group

0.05mL/kg Dose Group

0.08mL/kg Dose Group

Arm Description

A group of up to 8 subjects to receive a single dose of BR55 at 0.03mL/kg.

A group of up to 8 subjects to receive a single dose of BR55 at 0.05mL/kg.

A group of 8 subjects to receive a single dose of BR55 at 0.08mL/kg.

Outcomes

Primary Outcome Measures

1. Visual assessment of enhancement
BR55-enhanced images will be visually assessed using a 3-point scale (no enhancement, weak enhancement, strong enhancement).
2. Adverse Events
Number of participants who received the contrast agent and experienced an adverse event.

Secondary Outcome Measures

Full Information

First Posted
March 2, 2018
Last Updated
August 8, 2023
Sponsor
Bracco Diagnostics, Inc
Collaborators
National Institutes of Health (NIH)
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1. Study Identification

Unique Protocol Identification Number
NCT03486327
Brief Title
Transabdominal Ultrasound With BR55 for Characterization of Pancreatic Lesions
Official Title
Transabdominal Ultrasound With BR55 for Characterization of Pancreatic Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 19, 2018 (Actual)
Primary Completion Date
October 31, 2021 (Actual)
Study Completion Date
March 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bracco Diagnostics, Inc
Collaborators
National Institutes of Health (NIH)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an exploratory, single center, open label, parallel-dose, and prospective study of BR55 CEUS for characterization of solid pancreatic lesions in subjects with suspected PDAC using transabdominal US.
Detailed Description
Approximately twenty-four (24) subjects with suspected PDAC and scheduled to undergo surgical resection within 30 days (but not before 24 hours) after the transabdominal BR55 CEUS examination will be enrolled into 3 dose groups, 0.03, 0.05, and 0.08 mL/kg, with a maximum of 8 patients in each dose group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Ductal Adenocarcinoma

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Up to 24 subjects will be enrolled into 3 dose groups starting with the lowest dose group as follows: Dose group 0.03mL/kg, dose group 0.05mL/kg and dose group 0.08mL/kg/, with a maximum of 8 patients in each dose group.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
4 (Actual)

8. Arms, Groups, and Interventions

Arm Title
0.03mL/kg Dose Group
Arm Type
Experimental
Arm Description
A group of up to 8 subjects to receive a single dose of BR55 at 0.03mL/kg.
Arm Title
0.05mL/kg Dose Group
Arm Type
Experimental
Arm Description
A group of up to 8 subjects to receive a single dose of BR55 at 0.05mL/kg.
Arm Title
0.08mL/kg Dose Group
Arm Type
Experimental
Arm Description
A group of 8 subjects to receive a single dose of BR55 at 0.08mL/kg.
Intervention Type
Drug
Intervention Name(s)
BR55
Intervention Description
A novel targeted ultrasound contrast agent
Primary Outcome Measure Information:
Title
1. Visual assessment of enhancement
Description
BR55-enhanced images will be visually assessed using a 3-point scale (no enhancement, weak enhancement, strong enhancement).
Time Frame
1 Day
Title
2. Adverse Events
Description
Number of participants who received the contrast agent and experienced an adverse event.
Time Frame
2 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Enroll a subject in this study if the subject meets the following inclusion criteria: Is at least 18 years of age; Has at least one solid pancreatic lesion; Is scheduled to undergo surgical resection for suspected PDAC not earlier than 24 hours and not later than 30 days following BR55 administration; Provides written Informed Consent and is willing to comply with protocol requirements. Exclusion Criteria: Exclude a subject from this study if the subject does not fulfill the inclusion criteria, or if any of the following conditions are observed: Is a pregnant or lactating female. Exclude the possibility of pregnancy: by testing on site at the institution (serum βHCG) within 24 hours prior to the start of IP administration, by surgical history (e.g., tubal ligation or hysterectomy), by post-menopausal status with a minimum 1 year without menses; Has undergone prior systemic therapy for pancreatic cancer; Has history of any concurrent malignancy; Has history of any clinically unstable cardiac condition including class III/IV congestive heart failure; Has had any severe cardiac rhythm disorders within 7 days prior to enrolment; Has severe pulmonary hypertension (pulmonary artery pressure > 90mmHg) or uncontrolled systemic hypertension and/or respiratory distress syndrome; Has open and/or non-healing wounds in the chest, abdomen and pelvis; Has other systemic vascular abnormalities associated with neovascularization, such as macular degeneration, that in the opinion of the investigator could significantly affect the ability to evaluate the effects of BR55; Is participating in a clinical trial or has participated in another trial with an investigational compound within the past 30 days prior to enrolment; Has previously been enrolled in and completed this study; Has any known allergy to one or more of the ingredients of the IP or to any other contrast media; Is determined by the Investigator that the subject is clinically unsuitable for the study; Has had major surgery, including laparoscopic surgery within 3 months prior to enrolment; Has history of pancreatic surgery (e.g., cyst removal); Has acute pancreatic abnormalities (acute pancreatitis or trauma).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maria Luigia Storto, MD
Organizational Affiliation
Bracco Diagnostics, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Stanford University Medical Center
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Transabdominal Ultrasound With BR55 for Characterization of Pancreatic Lesions

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