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Trial Title: 89Zr-Bevacizumab PET/CT Imaging in NF2 Patients

NCT ID: NCT05685836

Condition: Neurofibromatosis 2

Conditions: Official terms:
Neurofibromatoses
Neurofibromatosis 1
Neurofibroma
Neurofibromatosis 2
Bevacizumab
89Zr-bevacizumab

Conditions: Keywords:
neurofibromatosis 2
NF2-related schwannomatosis
vestibular schwannoma
bevacizumab
89Zr-Bevacizumab
PET/CT imaging
hearing

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Drug
Intervention name: Bevacizumab Zirconium Zr-89
Description: See Arm description.
Arm group label: Bevacizumab

Other name: Avastin

Other name: 89Zr-Bevacizumab

Other name: Bevacizumab

Summary: Bevacizumab can be an effective treatment for individuals with NF2 and improve different nerve functions (like hearing, tinnitus or balance problems) and the quality of life of NF2 patients. However, bevacizumab is not effective in all patients or all tumors, at the cost of moderate toxicity and considerable financial burden. Therefore, this observational study will validate an imaging biomarker method to predict bevacizumab efficacy in order to avoid adverse effects and high costs in non-responders to bevacizumab treatment. Patients will undergo standard-of-care treatment with the sole addition of a pre-treatment 89Zr-Bevacizumab PET/CT-scan. Per standard-of-care bevacizumab therapy is administered every three weeks for six months. To monitor treatment effect, follow-up is performed at 3-month intervals.

Criteria for eligibility:

Study pop:
Adult patients with a confirmed diagnosis of NF2 and candidate for bevacizumab therapy.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Patients aged 18 years or older - Confirmed diagnosis of NF2 by revised Manchester criteria - Provided written informed consent - Patients must have measurable disease, defined as at least one VS > 0.4 ml (on volumetric analysis) that can be accurately measured by contrast-enhanced T1-weighted cranial MRI scan. - Eligible and planned for bevacizumab treatment Exclusion Criteria: - Patients with a contra-indication for PET and MRI, such as pregnancy and metal elements. - Patients with a known allergy to substances used in this study - Concurrent treatment with Everolimus

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Leiden University Medical Center

Address:
City: Leiden
Zip: 2333ZA
Country: Netherlands

Status: Recruiting

Contact:
Last name: Jules PJ Douwes, MD

Phone: 715269111

Phone ext: +31
Email: j.p.j.douwes@lumc.nl

Contact backup:
Last name: Hans AJ Gelderblom, MD, PhD

Phone: 715269111

Phone ext: +31
Email: a.j.gelderblom@lumc.nl

Start date: October 20, 2022

Completion date: December 31, 2024

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

Source: Leiden University Medical Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05685836

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