A Fluorescent Tumor Marking Agent, Tozuleristide, for Imaging Oral Cavity Squamous Cell Cancer and High-Grade Oral Cavity Dysplasia During Surgery

Last updated: November 25, 2024
Sponsor: University of Washington
Overall Status: Active - Recruiting

Phase

1/2

Condition

Carcinoma

Head And Neck Cancer

Lung Cancer

Treatment

Therapeutic Conventional Surgery

Tozuleristide

Near Infrared Imaging

Clinical Study ID

NCT05316688
RG1122110
NCI-2022-01734
FHIRB0020096
  • Ages > 18
  • All Genders

Study Summary

This phase I/II trial studies the side effects of tozuleristide in imaging oral cavity squamous cell cancer and high-grade oral cavity dysplasia during surgery. Tozuleristide is an imaging agent that specifically binds to tumor cells. When exposed to near-infrared light, tozuleristide causes tumor cells to fluoresce (light up), so that surgeons may better distinguish tumor cells from healthy cells during surgery.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Adult subjects age >= 18 years (yr)

  • Subjects must have suspected or confirmed oral cavity dysplasia or cT1-4 squamouscell carcinoma for which surgical excision is deemed clinically indicated by thetreating physician. Histology confirmation not required prior to surgery

  • Able to provide written informed consent

  • If of child-bearing potential, agree to the continued use of 2 reliable forms ofcontraception from study enrollment through 30 days after receiving the studyproduct. Male subjects must agree to use 2 reliable methods of contraceptionsimultaneously for 30 days after receiving the study product if their partner is ofchild-bearing potential

  • Available for all study visits and able to comply with all study requirements

Exclusion

Exclusion Criteria:

  • Known or suspected sensitivity to indocyanine green

  • In the opinion of the treating physician, subject has received photosensitizingmedication that could interfere or confound study results

  • Any current medications with the potential to generate fluorescence or photochemicalreaction

  • Enrolled in any other ongoing study

  • Currently lactating or breastfeeding

  • Positive pregnancy test or planning to become pregnant within 30 days (d) ofreceiving tozuleristide

  • Any current condition, including psychological and social situations which, in theopinion of the investigator, would impact adversely on the subject or theinterpretation of the study data

  • Creatinine clearance < 60 mL/min

  • Aspartate aminotransferase (AST) > 1.5 x upper limit of normal (ULN)

  • Alanine aminotransferase (ALT) > 1.5 x ULN

  • Bilirubin > 1.5 x ULN

Study Design

Total Participants: 15
Treatment Group(s): 3
Primary Treatment: Therapeutic Conventional Surgery
Phase: 1/2
Study Start date:
April 17, 2024
Estimated Completion Date:
January 20, 2027

Study Description

OUTLINE:

Beginning 1 hour before surgery, patients receive tozuleristide intravenously (IV) over 1-5 minutes. Patients then surgical resection per standard of care and undergo near infrared (NIR) imaging with standard of care device.

Connect with a study center

  • Fred Hutch/University of Washington Cancer Consortium

    Seattle, Washington 98109
    United States

    Active - Recruiting

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