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CompletedNCT01540513Updated Dec 2, 2019Results posted

PET/CT Evaluation of Primary and Metastatic Brain Tumors With a Novel Radioiodinated Phospholipid Ether Analogue I-NM404

An interventional study of NM404 and NM404 in Glioblastoma Multiforme and Brain Metastases, sponsored by University of Wisconsin, Madison. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-12-02.

Sponsored by University of Wisconsin, Madison · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate diagnostic imaging techniques using 124I-NM404 PET/CT in human brain tumors. This goal will be accomplished by quantifying tumor uptake and determining the optimal PET/CT protocol, comparing PET tumor uptake to MRI, and calculating tumor dosimetry. The long-term goals of this research are to improve the diagnosis and treatment of malignant brain tumors by using radioiodinated NM404

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Conditions studied

  • Glioblastoma Multiforme
  • Brain Metastases
03

In context

Glioblastoma

1,920 studies on the registry are indexed under Glioblastoma; 450 are open to participants now.

This study's enrollment of 12 is below the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,161 studies on the registry; 182 are open to participants now.

Of its 151 completed or terminated interventional studies of FDA-regulated products, 114 (75%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Participants will have a contrast enhanced brain MRI which documents evidence of primary or metastatic brain tumor or suspected tumor recurrence after therapy
  • Tumor size at least 1.5 cm in greatest axial dimension on MRI. MRI must be obtained within 2 months of study inclusion
  • Adult patients 18 or older
  • Female patients must not be pregnant or breast feeding and both women of childbearing potential, and men, must use appropriate means of contraception and must be maintained for at least 45 days after injection of 124I-NM404 Participants must not attempt to become pregnant during this time
  • Platelet count must be ≥ 160,000/µl, Hematocrit must be ≥ 22%, Leukocyte count must be ≥ 3,000/µL, Creatinine must be ≤ 2.5 mg/dL, ALT must be ≤ 130 U/L, AST must be ≤ 100 U/L, and urine or serum pregnancy test must be negative for pregnancy
  • Patient provides informed consent
  • Karnofsky score ≥ 60
  • For previously treated brain tumors, targeted brain therapy (radiation or drug) must have concluded ≥2 months prior to injection of 124I-NM404

Exclusion criteria

Exclusion Criteria:

  • Life expectancy of \< 3 months
  • Allergy to potassium iodide (SSKI or Thyroshield)
  • Unwilling or unable to complete 3 separate PET/CT imaging sessions of 90 minutes each over 3 days
  • Pregnancy or breast-feeding during time of study and/or anticipated breast feeding at any time for 45 days after injection of 124I-NM404.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    I124-NM404 brain metastases or GBM imaging

    injection of I-124NM404 for imaging

    Drug: NM404

Interventions

  • DrugNM404

    injection of 5.0mCi I-124 NM404 Arms: I124-NM404 brain metastases or GBM imaging Other Names: PET imaging with I-124 NM404

  • DrugNM404

    injection of an experimental imaging agent, 5mCi I-124NM404

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What researchers measure

Primary outcomes

  1. Tumor to Background Ratios (TBR) Post-imaging for All Lesions With PET Uptake

    TBR is calculated by using tumor/lesion SUVmax and dividing by contralateral normal brain background SUVmean value. Imaging performed at 24- and 48 hours post injection.

    Time frame: 24- and 48 hours post injection

  2. Tumor to Background Ratios (TBR) Post-imaging for Confirmed Malignant Tumors

    TBR is calculated by using tumor/lesion SUVmax and dividing by contralateral normal brain background SUVmean value. Imaging performed at 24-, and 48 hours post injection.

    Time frame: 24- and 48 hours post injection

  3. Tumor to Blood Pool Ratios Post-imaging for All Lesions With PET Uptake

    Tumor to blood pool ratio (tumor SUVmax to superior sinus SUVmean) was calculated at each time point. Tumor to blood pool is calculated by using tumor/lesion SUVmax and dividing by blood pool SUVmean from placing a region of interest in the posterior sagittal sinus near the confluence of sinuses. Imaging performed at 24- and 48 hours post injection.

    Time frame: 24- and 48 hours post injection

  4. Tumor to Blood Pool Ratios Post-imaging for Confirmed Malignant Tumors

    Tumor to blood pool ratio (tumor SUVmax to superior sinus SUVmean) was calculated at each time point. Tumor to blood pool is calculated by using tumor/lesion SUVmax and dividing by blood pool SUVmean from placing a region of interest in the posterior sagittal sinus near the confluence of sinuses. Imaging performed at 24-, and 48 hours post injection.

    Time frame: 24- and 48 hours post injection

07

Results

Posted Dec 11, 2017

Participant flow

Participants were enrolled from March 2012 to September 2014 at the University of Wisconsin Hospital and Clinics.

Participant flow — Overall Study
MilestoneI124-NM404 Brain Metastases or GBM Imaging
Started12
Completed12
Not completed0

Outcome measures

PrimaryTumor to Background Ratios (TBR) Post-imaging for All Lesions With PET Uptake

TBR is calculated by using tumor/lesion SUVmax and dividing by contralateral normal brain background SUVmean value. Imaging performed at 24- and 48 hours post injection.

Time frame:
24- and 48 hours post injection
Reported as:
Mean · Ratio of PET SUV
Tumor to Background Ratios (TBR) Post-imaging for All Lesions With PET Uptake
Ratio of PET SUVI124-NM404 Brain Metastases or GBM Imaging
24 hours8.25 ± 4.16
48 hours8.75 ± 3.60
PrimaryTumor to Background Ratios (TBR) Post-imaging for Confirmed Malignant Tumors

TBR is calculated by using tumor/lesion SUVmax and dividing by contralateral normal brain background SUVmean value. Imaging performed at 24-, and 48 hours post injection.

Time frame:
24- and 48 hours post injection
Reported as:
Mean · Ratio of PET SUV
Tumor to Background Ratios (TBR) Post-imaging for Confirmed Malignant Tumors
Ratio of PET SUVI124-NM404 Brain Metastases or GBM Imaging
24 hours9.32 ± 4.33
48 hours10.04 ± 3.15
PrimaryTumor to Blood Pool Ratios Post-imaging for All Lesions With PET Uptake

Tumor to blood pool ratio (tumor SUVmax to superior sinus SUVmean) was calculated at each time point. Tumor to blood pool is calculated by using tumor/lesion SUVmax and dividing by blood pool SUVmean from placing a region of interest in the posterior sagittal sinus near the confluence of sinuses. Imaging performed at 24- and 48 hours post injection.

Time frame:
24- and 48 hours post injection
Reported as:
Mean · Ratio of PET SUV
Tumor to Blood Pool Ratios Post-imaging for All Lesions With PET Uptake
Ratio of PET SUVI124-NM404 Brain Metastases or GBM Imaging
24 hours2.86 ± 1.77
48 hours2.93 ± 2.07
PrimaryTumor to Blood Pool Ratios Post-imaging for Confirmed Malignant Tumors

Tumor to blood pool ratio (tumor SUVmax to superior sinus SUVmean) was calculated at each time point. Tumor to blood pool is calculated by using tumor/lesion SUVmax and dividing by blood pool SUVmean from placing a region of interest in the posterior sagittal sinus near the confluence of sinuses. Imaging performed at 24-, and 48 hours post injection.

Time frame:
24- and 48 hours post injection
Reported as:
Mean · Ratio of PET SUV
Tumor to Blood Pool Ratios Post-imaging for Confirmed Malignant Tumors
Ratio of PET SUVI124-NM404 Brain Metastases or GBM Imaging
24 hours3.35 ± 1.75
48 hours3.45 ± 2.15

Adverse events

Collected over Adverse event data were collected for up to 48 hours (until the time of the final scan).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
I124-NM404 Brain Metastases or GBM Imaging0/12 (0%)0/12 (0%)0/12 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)I124-NM404 Brain Metastases or GBM Imaging
<=18 years0
Between 18 and 65 years11
>=65 years1
Age, Continuous
Age, Continuous(years)I124-NM404 Brain Metastases or GBM Imaging
Mean43.9 (23 to 66)
Sex: Female, Male
Sex: Female, Male(Participants)I124-NM404 Brain Metastases or GBM Imaging
Female4
Male8
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)I124-NM404 Brain Metastases or GBM Imaging
Hispanic or Latino0
Not Hispanic or Latino12
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)I124-NM404 Brain Metastases or GBM Imaging
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White12
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)I124-NM404 Brain Metastases or GBM Imaging
United States12
08

Study locations

1 site
  • University of Wisconsin Hospital and Clinics
    Madison, Wisconsin 53792, United States
09

References and documents

Publications

  • Hall LT, Titz B, Robins HI, Bednarz BP, Perlman SB, Weichert JP, Kuo JS. PET/CT imaging of the diapeutic alkylphosphocholine analog 124I-CLR1404 in high and low-grade brain tumors. Am J Nucl Med Mol Imaging. 2017 Sep 1;7(4):157-166. eCollection 2017. PubMed 28913154 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01540513
Lead sponsor
University of Wisconsin, Madison
Responsible party
Sponsor
First posted
Feb 28, 2012
Start date
Mar 2012
Primary completion
Oct 2014
Completion
Oct 2014
Results posted
Dec 11, 2017
Last update
Dec 2, 2019

Study contacts

Lance Hall, MD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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