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Trial Title: Real-time Margin Assessment in Head and Neck Cancer

NCT ID: NCT05499065

Condition: Head and Neck Cancer
Head and Neck Squamous Cell Carcinoma

Conditions: Official terms:
Head and Neck Neoplasms
Squamous Cell Carcinoma of Head and Neck
Cetuximab

Conditions: Keywords:
Cetuximab-800CW
Fluorescence guided surgery

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Fluorescence guided detection of tumor positive margins
Description: To test if the fluorescence can guide the location for fresh frozen section sampling intra-operatively
Arm group label: 75mg cetuximab + 15mg cetuximab-800CW

Intervention type: Drug
Intervention name: Cetuximab-IRDye800
Description: Administrate 75mg cetuximab + 15mg cetuximab-800CW for fluorescence visualization
Arm group label: 75mg cetuximab + 15mg cetuximab-800CW

Summary: To investigate if the combination of fresh frozen sectioning based on cetuximab-800CW can enhance tumor-positive margin detection intra-operatively.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Cytology and/or histology-confirmed diagnosis of oral squamous cell carcinoma and scheduled to undergo surgical removal as decided by the multidisciplinary head and neck tumor board of the UMCG; - Age ≥ 18 years; - Written informed consent. Exclusion Criteria: - Medical or psychiatric conditions that compromise the patient's ability to give informed consent; - Concurrent uncontrolled medical conditions; - Received an investigational drug within 30 days prior to the dose of cetuximab-800CW; - History of myocardial infarction, cerebrovascular accident, uncontrolled cardiac heart failure, significant liver disease (ALT >3X upper limits of normal or increased total bilirubin) or unstable angina within 6 months prior to enrollment; - Inadequately controlled hypertension with or without current antihypertensive medications; - History of allergy or infusion reactions cetuximab or other monoclonal antibody therapies; - Pregnant or lactating women. Documentation of a negative pregnancy test must be available for women of childbearing potential. Moreover, the need to be willing to ensure that she or her partner uses effective contraception during the trial and for 6 months thereafter. Woman of childbearing potential are premenopausal women with intact reproductive organs and women less than two years after menopause; - Evidence of QT prolongation on pretreatment ECG (greater than 440 ms in males or greater than 450 ms in females) - Patients receiving Class 1a (quinidine, procainamide) or Class III (dofetilide, amiodarone, sotalol) antiarrhythmic agents. - Life expectancy < 12 weeks;

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University Medical Center Groningen

Address:
City: Groningen
Zip: 9713 GZ
Country: Netherlands

Status: Recruiting

Contact:
Last name: Max JH Witjes, MD, PhD

Phone: +31-50-3616161
Email: m.j.h.witjes@umcg.nl

Contact backup:
Last name: Floris J Voskuil, MD, PhD

Phone: +31-50-3616161
Email: f.j.voskuil@umcg.nl

Start date: March 1, 2023

Completion date: January 10, 2025

Lead sponsor:
Agency: University Medical Center Groningen
Agency class: Other

Source: University Medical Center Groningen

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05499065

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