Evaluation of Hypoxia in Primary Melanoma
Part of paid clinical trials in Pittsburgh, Pennsylvania.
- Sponsor
- Yana Najjar
- Study ID
- NCT06831071
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Pimonidazole — DRUGDrug: Pimonidazole Pimonidazole is not used with therapeutic intent, and has a non-hazardous designation. It has been widely used for in vivo evaluation of intratumor hypoxia, and patients will take PO pimonidazole before the scheduled biopsy. Patients receive an oral dose of pimonidazole, a safe chemical tracer up to 24 hours prior to biopsy. Pimonidazole allows for true hypoxia staining; pimonidazole binds hypoxic proteins covalently, creating an antigen that facilitates the imaging, flow cytometry, and scRNA-seq experiments proposed. Pimonidazole has been previously used in patients and is safe and well tolerated, without anticipated adverse events.
Study Details
When controlling for tumor present in the Sentinel lymph node (SLN), intranodal hypoxia, as measured by Carbonic Anhydrase IX (CAIX IHC), is associated with worse PFS. This suggests that melanoma tumors may be utilizing deregulated metabolism as a means of propagating themselves to the next station of metastasis. This study aims to prospectively validate previous findings. Patients who are to undergo WLE and SLNB per standard of care (SOC) will be evaluable. It is hypothesized that SLN(s) with increased hypoxia, as measured by pimonidazole staining, will be associated with worse Progression-free Survival (PFS).
Key Dates
- Start date
- Apr 9, 2025
- Status verified
- Jun 2026
- Primary completion
- Mar 31, 2029
- Completion
- Mar 31, 2029
Study Design
- Enrollment
- 50 participants (estimated)
Arms
- Arm: PimonidazoleSingle dose of 0.5 gm/m\^2 of pimonidazole (approximately 13 mg/kg)
Primary Outcome Measure
Tumor Hypoxia [ Time Frame: Day of surgery ]
Central Contacts
- Danielle L Bednarz, RN, BSN4126231191
- Amy Rose, RN, BSN412-647-8587
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| UPMC Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | Yana Najjar, MD (PRINCIPAL_INVESTIGATOR) |
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