Fluorescence Detection of Adult Primary Central Nervous System Tumors With Tozuleristide and the Canvas System
2상
완료
NCT04743310
| 대상 질환 | Central Nervous System Tumor |
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| 임상 단계 | 2상 |
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| 스폰서 | John Yu |
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| 상태 | 완료 |
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| 참여자 수 | 50 명 |
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| 중재(약물) | tozuleristide, Canvas imaging system, Surgical resection of tumor |
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| 시작일 | 2021년 9월 30일 |
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| 완료일 | 2025년 3월 6일 |
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| 결과 공개일 | 2026년 7월 10일 |
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요약
The purpose of this study is to examine the use of a single dose of tozuleristide (24 or 36 mg) and the Canvas imaging system during surgical resection of primary central nervous system (CNS) tumors: Primary gadolinium enhancing (high grade) CNS tumors, primary non-gadolinium enhancing CNS tumors, and primary vestibular schwannoma. The primary objectives of the study is to see how well tozuleristide and the Canvas imaging system during surgical resection will show fluorescence among primary enhancing/high grade CNS tumors; and among the tumors that demonstrate tozuleristide fluorescence, to estimate the true positive rate and true negative rate of fluorescence in tissue biopsies, as well as sensitivity and specificity of tozuleristide fluorescence for distinguishing tumor from non-tumoral tissue. The secondary objectives of the study include evaluating the safety of tozuleristide and the Canvas imaging system, and to determine if the presence of remaining fluorescence at the time of surgery corresponds to remaining tumor evident on post-operative MRI images, or if the absence of fluorescence corresponds to evidence of no gross residual tumor on post-operative magnetic resonance ima
Percentage of Patients With Fluorescence-positive Primary Tumor Biopsy
At the time of surgery · percentage of participants
| Cohort 1: Enhancing (High Grade) CNS Tumors | 82.35 percentage of participants |
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| Cohort 2: Non-enhancing CNS Tumors | 14.29 percentage of participants |
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| Cohort 3: Vestibular Schwannomas | 100 percentage of participants |
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True Positive Rate of Fluorescence, Defined as the Percentage of Tumor-positive and Fluorescence-positive Tissue Biopsies Among All Tumor-positive Tissue Biopsies
At the time of surgery · % tumor+ & fluor + / Tumor+ biopsies
| Cohort 1: Enhancing (High Grade) CNS Tumors | 83.97 % tumor+ & fluor + / Tumor+ biopsies |
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| Cohort 2: Non-enhancing CNS Tumors | 20 % tumor+ & fluor + / Tumor+ biopsies |
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| Cohort 3: Vestibular Schwannomas | 100 % tumor+ & fluor + / Tumor+ biopsies |
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True Negative Rate of Fluorescence, Defined as the Percentage of Tumor-negative and Fluorescence-negative Tissue Biopsies Among All Tumor-negative Tissue Biopsies
At the time of surgery · % tumor- & fluor - /Tumor- biopsies
| Cohort 1: Enhancing (High Grade) CNS Tumors | 21.43 % tumor- & fluor - /Tumor- biopsies |
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| Cohort 3: Vestibular Schwannomas | 0 % tumor- & fluor - /Tumor- biopsies |
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