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CompletedNCT00041028Updated May 1, 2015

EF5 in Assessing Tumor Response to Anticancer Therapy in Patients With Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer

A Phase 2 interventional study of EF5 and flow cytometry in Lung Cancer, sponsored by Duke University. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-05-01.

Sponsored by Duke University · Phase 2, Interventional, and Diagnostic

Phase
Phase 2
Study type
Interventional
Enrollment
60
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Knowing the level of oxygen in tumor tissue may help predict the effectiveness of anticancer therapy. EF5 is a drug used in the measurement of oxygen in tumor tissue.

PURPOSE: Phase II trial to study the effectiveness of EF5 in assessing tumor response to anticancer therapy in patients who have stage I, stage II, or stage III non-small cell lung cancer.

Read the detailed description

OBJECTIVES:

  • Assess the frequency and degree of hypoxia as measured by etanidazole derivative EF5 binding in patients with stage I, II, or III non-small cell lung cancer.
  • Correlate hypoxia as measured by EF5 binding with potential serum/plasma markers and tissue markers of hypoxia in these patients.
  • Correlate hypoxia as measured by EF5 binding with tumor angiogenesis and apoptosis in these patients.
  • Correlate tumor perfusion with hypoxia in these patients.
  • Correlate tumor perfusion with microvessel density in tumor samples in these patients.
  • Determine the longevity of EF5 adducts in human lung tumors.

OUTLINE: Patients are stratified according to disease stage (stage I or II vs stage III vs no stage I-III determined after pathologic staging).

Within 24-48 hours prior to the planned surgical procedure, patients receive etanidazole derivative EF5 IV over 1-2.5 hours. Tumor hypoxia is then measured using an intraoperative Eppendorf needle electrode during surgical biopsy or resection. Tumor specimens are tested for EF5 binding using immunohistochemistry and flow cytometry.

Patients are followed at 4-6 weeks.

PROJECTED ACCRUAL: A total of 40-60 patients (20 with stage I/II disease, 20 with stage III disease, and 20 without stage I-III disease) will be accrued for this study.

02

Conditions studied

  • Lung Cancer

Keywords

  • stage I non-small cell lung cancer
  • stage II non-small cell lung cancer
  • stage IIIA non-small cell lung cancer
  • stage IIIB non-small cell lung cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's planned enrollment of 60 is close to the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed or suspected non-small cell lung cancer (NSCLC)

    • If there is no histological or cytological documentation of NSCLC, must have at least a 75% probability of having NSCLC
    • Clinical or pathological stage I-III

      • Patients in whom pre-surgical staging has not definitively established stage IV disease are allowed
  • Tumor mass of ≥ 1.5 cm in maximum diameter must be present on CT scan and must be included in the planned surgical biopsy or resection
  • Must be planning to undergo a surgical staging or treatment procedure (including mediastinoscopy, wedge resection, lobectomy, or pneumonectomy)

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • WBC > 2,000/mm\^3
  • Platelet count > 100,000/mm\^3

Hepatic:

  • Bilirubin normal

Renal:

  • Creatinine normal OR
  • Creatinine clearance ≥ 60 mL/min

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 1 month after study participation
  • Able to hold breath for 27 seconds
  • No allergy to IV contrast dye
  • No history of grade III or IV peripheral neuropathy

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • See Disease Characteristics
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Enrollment
60 participants (estimated)

Interventions

  • DrugEF5
  • Otherflow cytometry
  • Otherimmunohistochemistry staining method
06

What researchers measure

Primary outcomes

  1. Frequency and degree of hypoxia as measured by EF5 binding at 24 to 48 hrs. after study drug infusion

Secondary outcomes

  1. Correlation of hypoxia with serum/plasma markers of hypoxia, tissue markers of hypoxia, tumor angiogenesis, apoptosis, tumor perfusion, and microvessel density at 24 to 48 hrs. after study drug infusion

  2. Longevity of EF5 adducts as measured by EF5 binding

07

Study locations

2 sites
  • Duke Comprehensive Cancer Center
    Durham, North Carolina 27705, United States
  • Veterans Affairs Medical Center - Durham
    Durham, North Carolina 27705, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00041028
Lead sponsor
Duke University
Collaborators
National Cancer Institute (NCI)
First posted
Jan 27, 2003
Start date
May 2002
Primary completion
Sep 2007
Completion
Apr 2014
Last update
May 1, 2015

Study contacts

Michael J. Kelley, MD
study chair · Duke Cancer Institute
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2006. You cannot join it, but the record below documents what was studied.

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