Accuracy, Yield and Clinical Impact of a Low-Cost HRME in the Early Diagnosis of Esophageal Adenocarcinoma...
Barrett's EsophagusThe overall goal of the study is to determine whether imaging with the low-cost High Resolution Microendoscope(HRME) will increase the efficiency and yield of the current standard of endoscopic surveillance of Barrett's esophagus. We believe the HRME will provide an in-vivo "optical biopsy" that will be comparable to gold standard histopathology and allow the endoscopist to make a more informed decision about whether to obtain a biopsy or even perform endoscopic therapy (i.e. endoscopic mucosal resection, EMR).
Assessment of Response Before, During and After Neoadjuvant Chemoradiotherapy in Rectal Cancer Patients...
AdenocarcinomaRectal NeoplasmsRectal cancer is a frequent but curable malignancy in the Western world. The golden standard in treating these patients consists of neoadjuvant chemoradiotherapy (CRT) followed by extensive surgery regardless of tumor response. The main question is whether extensive surgery can be avoided holding in mind that already a significant amount of patients reach a pathological complete response after radiochemotherapy. The goal of this study is dual. First of all, the investigators want to investigate the value of DW-MRI and 18FDG-PET in the assessment of response after neoadjuvant CRT in 100 patients with rectal cancer, to select those patients eligible for less invasive surgery. In the same patient group, the investigators will examine the biomarker potential of molecular characteristics of the tumor in blood and tissue. Using both molecular and radiological findings, the investigators want to predict pathological response after chemoradiotherapy and to select patients who may benefit from treatment adjustments during chemoradiotherapy.
Optimum Timing for Surgery After Pre-operative Radiotherapy 6 vs 12 Weeks
Adenocarcinoma of the RectumAdenocarcinoma20 moreThe aim of this study is to determine whether greater rectal cancer downstaging and regression occurs when surgery is delayed to 12 weeks after completion of radiotherapy/chemotherapy compared to 6 weeks. Hypothesis: Greater downstaging and tumour regression is observed when surgery is delayed to 12 weeks after completion of CRT compared to 6 weeks.
School Response to Families Who Have Children With Cancer
CarcinomasSquamous Cell Carcinoma1 moreThe purpose of this research is to investigate school response to families who have children with cancer. It is anticipated that the results of this study will enhance the support that schools can give to the population of families who have a child with cancer. The study will involve the parents in these families, the principal and an educator in the school of the child with cancer. Measurement tools will include surveys, interviews, and other relevant educational and medical documents.
Feasibility of Biodynamic Imaging for Predicting Therapeutic Effect in Metastatic Adenocarcinoma...
Metastatic Pancreatic CancerThe purpose of this study is to determine if you can use an assay on tumor samples to see different patterns in response to the same chemotherapy treatment.
Novel MRI Techniques for Pancreatic Cancer
Pancreatic Ductal AdenocarcinomaThe purpose of this study is to optimize magnetic resonance imaging (MRI) sequences for imaging pancreatic ductal adenocarcinoma and correlate MRI biomarkers with the expression of the tumor suppressor gene SMAD4 and clinical outcomes with the goal of identifying which biomarkers are predictive of treatment response or non-response. This study will test magnetic resonance techniques on FDA approved clinical MRI machines in treatment-naïve patients with biopsy-proven PDAC.
International Expanded Access Program to Provide Ramucirumab for the Treatment of Metastatic Gastric...
Metastatic Gastric CancerMetastatic Adenocarcinoma of the Gastroesophageal JunctionThe treating physician/investigator contacts Lilly when, based on their medical opinion, a patient meets the criteria for inclusion in the compassionate use program.
F18 DCFPyL PET/CT in Imaging Participants With Recurrent Prostate Cancer
Prostate AdenocarcinomaPSA Level Greater Than 0.23 moreThis study provides fluorine F 18 DCFPyL positron emission tomography/computed tomography (PET/CT) to participants with prostate cancer that has come back. Diagnostic procedures, such as fluorine F 18 DCFPyL PET/CT, may help find and diagnose prostate cancer and find out how far the disease has spread.
Expanded Access Use of DKN-01 for the Treatment of Advanced Solid Tumors
Esophageal NeoplasmAdenocarcinoma of the Gastroesophageal Junction8 moreAn Expanded Access Protocol for use of DKN-01 for the treatment of advanced solid tumors.
MLN8237 for a Subject With Adenocarcinoma of the Prostate
Prostate CancerTo allow a patient continued access to MLN8237