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

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

NCT ID: NCT06540443

Condition: Head and Neck Squamous Cell Carcinoma
Lymph Node Metastasis

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell
Squamous Cell Carcinoma of Head and Neck
Lymphatic Metastasis

Study type: Interventional

Study phase: Phase 1

Overall status: Not yet recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Diagnostic

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: MPB-2043 of 0.5 mg/kg
Description: Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.
Arm group label: Dose cohort 1

Other name: MPB-2043 enhanced MRI

Intervention type: Drug
Intervention name: MPB-2043 of 1.0 mg/kg
Description: Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.
Arm group label: Dose cohort 2

Other name: MPB-2043 enhanced MRI

Intervention type: Drug
Intervention name: MPB-2043 of 2.0 mg/kg
Description: Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.
Arm group label: Dose cohort 3

Other name: MPB-2043 enhanced MRI

Intervention type: Drug
Intervention name: MPB-2043 of 3.0 mg/kg
Description: Participants will undergo MRI scans without the administration of a contrast agent (unenhanced MRI) and IV-infused MPB-2043 for 1 hour.
Arm group label: Dose cohort 4

Other name: MPB-2043 enhanced MRI

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.

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.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Subjects aged 20 years and above - Subjects with histologically proven head and neck squamous cell carcinomas or with suspicious metastatic 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 informed consent document. - Subjects must be able to comply with the study protocol. Exclusion Criteria: - Subjects with contraindications 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 clinically significant cardiac diseases, active gastrointestinal ulcers, or medical conditions that may significantly affect action, adequate absorption, and elimination of investigational 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 hepatitis B or hepatitis C infection. - Subjects with bone marrow disorders or a history of a bone marrow transplant.

Gender: All

Minimum age: 20 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: National Taiwan University Hospital

Address:
City: Taipei
Zip: 100
Country: Taiwan

Start date: September 2024

Completion date: May 2025

Lead sponsor:
Agency: MegaPro Biomedical Co. Ltd.
Agency class: Industry

Source: MegaPro Biomedical Co. Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06540443