ClinicalTrials.gg
RecruitingNCT06540443Updated May 8, 2025

Pilot Study of MPB-2043 Enhanced MRI for Nodal Staging in Head and Neck Squamous Cell Carcinomas

A Phase 1 interventional study of MPB-2043 of 0.5 mg/kg and MPB-2043 of 1.0 mg/kg in Head and Neck Squamous Cell Carcinoma and Lymph Node Metastasis, sponsored by MegaPro Biomedical Co. Ltd.. Recruiting at 1 site in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2025-05-08.

Sponsored by MegaPro Biomedical Co. Ltd. · Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Non-randomized
Ages
20 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 112 studies in Squamous Cell Carcinoma of Head and Neck with a site in Taiwan — 30 open to participants now, 48 under way, 16 of them phase 3. Squamous Cell Carcinoma of Head and Neck · Taiwan.

Planned enrollment
93rd of 101
24 · median 205
Started
2024
with 14 others
Phase 1
24 of 112
5 open now
Primary completion
2026-06
later than 7 of 47 live
Registered
95th of 112
by date

Among the 112 studies in Squamous Cell Carcinoma of Head and Neck with a site in Taiwan, this one is the 93rd largest by planned enrollment of the 101 interventional ones, is one of 15 that started in 2024, is one of 24 in phase 1, reaches primary completion later than 7 of the 47 other live ones, and was the 95th registered.

By phase

112 studies; the count open now beside each. This study's row is marked.

Phase 228 · 3 open
Phase 1this study24 · 5 open
Phase 323 · 7 open
Phase 1/217 · 8 open
Observational11 · 3 open
No phase5 · 2 open
Phase 2/34 · 2 open

By the year they started

First in 2004; this study’s year is marked. 15 started in 2024.

Size and results

Median enrollment 205 across the 101 interventional studies, 100 across the 11 observational. Of the 52 that completed or were terminated, 30 (58%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 112 studies in Squamous Cell Carcinoma of Head and Neck with a site in Taiwan, or all of them as a file.
02

Study summary

This study evaluates the safety and effectiveness of MPB-2043, a superparamagnetic iron oxide (SPIO) contrast agent, for enhancing MRI in detecting metastatic lymph nodes in head and neck cancer. The study compares four doses of MPB-2043 (0.5 mg/kg, 1 mg/kg, 2 mg/kg, and 3 mg/kg) and assesses the optimal timing for post-dose imaging using T1/T2/T2*-weighted sequences to improve the accuracy of nodal staging.

Read the detailed description

The accurate detection of metastatic lymph nodes in subjects with head and neck squamous cell carcinomas is essential for appropriate staging and treatment planning. Traditional imaging techniques often struggle with detecting small nodal metastases due to limitations in resolution and contrast. Superparamagnetic iron oxide (SPIO) particles, such as MPB-2043, have shown promise as MRI contrast agents, particularly in the detection of metastatic lesions in the liver. This study extends the application of SPIO-enhanced MRI to the detection of metastatic cervical lymph nodes.

In this study, T1/T2/T2*-weighted MRI sequences will be used to assess signal intensity (SI) changes in lymph nodes after the administration of MPB-2043. The susceptibility effects of the iron oxide core cause tissue signal loss, which is more pronounced in normal lymph nodes taken up by the reticuloendothelial system, allowing for differentiation from malignant lymph nodes. The study will evaluate the safety and effectiveness of four different doses of MPB-2043 (0.5 mg/kg, 1 mg/kg, 2 mg/kg, and 3 mg/kg) in enhancing the visualization of cervical lymph nodes and will determine the most appropriate timing for post-dose imaging.

The primary objectives include determining the dose that provides optimal contrast enhancement without compromising safety and identifying the time points post-injection that offer the best differentiation between malignant and non-malignant lymph nodes. The results of this pilot feasibility study will inform the development of more extensive clinical trials aimed at improving the diagnostic accuracy of MRI in patients with head and neck squamous cell carcinomas.

03

Conditions studied

  • Head and Neck Squamous Cell Carcinoma
  • Lymph Node Metastasis
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects aged 20 years and above
  • Subjects with proven head and neck squamous cell carcinomas or with suspicious lymph nodes (≥ pathological T-stage 1 and 2) without previous treatment by surgery
  • Based on the site's clinical practice, subjects require lymphadenectomy treatment within 8 weeks.
  • Subjects must be nonlactating.
  • Subjects must be able to understand and be willing to sign a written document.
  • Subjects must be able to comply with the study protocol.

Exclusion criteria

Exclusion Criteria:

  • Subjects with to MRI
  • Subjects with a serious allergic history or known allergy to similar ingredients of the study contrast agent (i.e., Gd-based, SPIO particles, and iodinated contrast agents).
  • Subjects obtained gadolinium-enhanced MRI ≤ 7 days before the enrollment.
  • Subjects who participated in another imaging-related clinical trial 30 days prior to the study enrollment.
  • Subjects with active systemic infections, active and cardiac diseases, active gastrointestinal ulcers, or medical conditions that may significantly affect action, adequate absorption, and elimination of contrast agent.
  • Subjects with kidney disease or impairment.
  • Subjects with liver or spleen disease or impairment based on other clinical imaging, such as CT or gadolinium contrast MRI, and clinical laboratory results.
  • Subjects with active or infection.
  • Subjects with bone marrow disorders or a history of a bone marrow transplant.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 1
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Dose cohort 1

    pre- and post-enhanced MRI

    Drug: MPB-2043 of 0.5 mg/kg

  • Experimental
    Dose cohort 2

    pre- and post-enhanced MRI

    Drug: MPB-2043 of 1.0 mg/kg

  • Experimental
    Dose cohort 3

    pre- and post-enhanced MRI

    Drug: MPB-2043 of 2.0 mg/kg

  • Experimental
    Dose cohort 4

    pre- and post-enhanced MRI

    Drug: MPB-2043 of 3.0 mg/kg

Interventions

  • DrugMPB-2043 of 0.5 mg/kg

    Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.

    Also known as: MPB-2043 enhanced MRI

  • DrugMPB-2043 of 1.0 mg/kg

    Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.

    Also known as: MPB-2043 enhanced MRI

  • DrugMPB-2043 of 2.0 mg/kg

    Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.

    Also known as: MPB-2043 enhanced MRI

  • DrugMPB-2043 of 3.0 mg/kg

    Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.

    Also known as: MPB-2043 enhanced MRI

06

What researchers measure

Primary outcomes

  1. Sensitivity and Specificity of MPB-2043 Enhanced MRI in Detecting Lymph Node Metastasis

    1. Sensitivity is the proportion of true positive lymph nodes (those confirmed as metastatic by pathology) correctly identified by MPB-2043 enhanced MRI. A signal intensity change of 20% on T2\*-weighted sequences post-injection is considered indicative of metastasis. 2. Specificity is the proportion of true negative lymph nodes (those confirmed as non-metastatic by pathology) correctly identified by MPB-2043 enhanced MRI. A signal intensity change ≥ 50% on T2\*-weighted sequences post-injection is considered indicative of non-metastasis.

    Time frame: Measured at pre-injection (Baseline) and 24 hours post-injection.

Secondary outcomes

  1. Changes in Signal Intensity of Lymph Nodes in Head and Neck MRI

    This outcome measure will assess and compare the changes in signal intensity (SI) in MRI images of lymph nodes in the head and neck region taken before and after the administration of MPB-2043. The SI changes will be evaluated across T1, T2, and T2\*-weighted sequences.

    Time frame: From baseline to 10 minutes post-injection, and 24 hours post-injection.

  2. Number and Size of Lymph Nodes Detected in Head and Neck

    This outcome measure will record and evaluate the number and size of lymph nodes detected in the head and neck region/level via MRI post-administration of MPB-2043. The effectiveness of MPB-2043 in enhancing lymph node visibility and characterization will be determined by comparing these parameters before and after administration.

    Time frame: Measured at pre-injection (Baseline) and 24 hours post-injection.

  3. Determination of Optimal MPB-2043 Dosage for Lymph Node Imaging in Head and Neck MRI

    This outcome measure will determine the most suitable dosage of MPB-2043 (0.5 mg/kg, 1 mg/kg, 2 mg/kg, 3 mg/kg) for optimal MRI contrast enhancement of lymph nodes in the head and neck region. The assessment will be based on post-dose MRI results, specifically evaluating signal intensity changes at 24 hours post-administration.

    Time frame: Measured at pre-injection (Baseline) and 24 hours post-injection.

  4. Safety Variables of Adverse Events

    • The incidence of all adverse events * Treatment-emergent adverse events (AEs) * Serious AEs * Any AEs leading to withdrawal of study treatment * Any AEs leading to study discontinuation * Any AEs leading to death The data will be categorized and reported based on severity (mild, moderate, severe) and relatedness to the study drug, using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Time frame: From baseline to Day 28 post-MPB-2043 administration.

  5. Safety Variables of Clinical Laboratory Tests

    Clinical laboratory and vital sign data will be assessed for safety. This outcome measure evaluates the incidence of abnormal findings in clinical laboratory tests following the administration of MPB-2043. The tests include hematology (e.g., complete blood count), biochemistry (e.g., liver and kidney function tests), coagulation profiles (e.g., PT, INR, aPTT), and urinalysis. Results will be categorized as 'Normal,' 'Abnormal, Not Clinically Significant (NCS),' or 'Abnormal, Clinically Significant (CS).'

    Time frame: From baseline to Day 28 post-MPB-2043 administration.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2024 (actual). Primary completion is estimated for Jun 2026, 18 months after the start.

Of 154 industry-sponsored phase 1 interventional studies under Squamous Cell Carcinoma of Head and Neck, half reached primary completion within 52 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 72. This study's planned 18 months is below that.

Counting every sponsor, half of 267 studies reached it within 49 months; a quarter within 33 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 10, 2024
First posted
Aug 6, 2024
StartActual
Dec 19, 2024
Primary completionEst.
Jun 2026
CompletionEst.
Sep 2026
Last update
May 8, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06540443
Lead sponsor
MegaPro Biomedical Co. Ltd.
Responsible party
Sponsor
First posted
Aug 6, 2024
Start date
Dec 19, 2024
Primary completion
Jun 2026 (estimated)
Completion
Sep 2026 (estimated)
Last update
May 8, 2025

Study contacts

Jill Tsai, MD
Contact
jilltsai@megaprobio.com
+886-35910360
Pei-Jen Lou, MD., PhD
principal investigator · National Taiwan University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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