What is the Purpose of this Study?
The purpose of this study is to evaluate a drug called pafolacianine that attaches to cancer cells and lights up when seen through a special camera system. The study focuses on patients who have gastrointestinal cancer (gastric, esophageal, or appendiceal) or whose study doctor suspects they may have gastrointestinal cancer, and who will be undergoing surgery as a part of treatment.
Participants will receive pafolacianine; during surgery, the study team will turn on the camera to evaluate whether the tumor is visible with the help of the study medication. Researchers will measure the location of the tumor before and after use of the special camera and document their findings. Pafolacianine could help the study doctor see the cancer better during the surgery, which may help her/him take out more of the cancer. The use of pafolacianine in this study is considered investigational.
Eligibility
- 1. Patients 18 years of age and older of any sex.
- 2. Have a primary diagnosis, or a high clinical suspicion, of gastroesophageal adenocarcinoma based on CT (computed tomography)/PET (positron emission tomography) or other imaging (Cohort 1) or diagnosis of appendiceal adenocarcinoma with a high clinical suspicion of peritoneal carcinomatosis (Cohort 2).
- 3. Have an indication for surgical intervention for gastroesophageal tumor resection or diagnostic laparoscopy for assessment of peritoneal disease burden.
- 4. Willingness to stop the use of folate, folic acid, or folate-containing supplements within 48 hours before administration of CYTALUX.
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Inclusion Criteria:
- 1. Patients 18 years of age and older of any sex.
- 2. Have a primary diagnosis, or a high clinical suspicion, of gastroesophageal adenocarcinoma based on CT (computed tomography)/PET (positron emission tomography) or other imaging (Cohort 1) or diagnosis of appendiceal adenocarcinoma with a high clinical suspicion of peritoneal carcinomatosis (Cohort 2).
- 3. Have an indication for surgical intervention for gastroesophageal tumor resection or diagnostic laparoscopy for assessment of peritoneal disease burden.
- 4. Willingness to stop the use of folate, folic acid, or folate-containing supplements within 48 hours before administration of CYTALUX.
- 5. Willingness of research participant to give written informed consent.
Exclusion Criteria:
- 1. Any medical condition that in the opinion of the investigators could potentially jeopardize the safety of the subject.
- 2. History of anaphylactic reactions to products containing indocyanine green for near infrared imaging. Subjects with a medical history of 'idiopathic anaphylaxis' will require evaluation.
- 3. History of allergy to any of the components of CYTALUX™ (pafolacianine) injection.
- 4. Presence of any psychological, familial, sociological condition or geographical challenges potentially hampering compliance with the study protocol or follow-up schedule.
- 5. Known sensitivity to fluorescent light.
- 6. Women of childbearing potential who are pregnant or plan to become pregnant during the study.
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Where can I participate?
Beverly
More about this Clinical Trial
What is the full name of this clinical trial?
Intraoperative Imaging of Gastrointestinal Malignancies Using Pafolacianine