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Phase 1B Study of KSP/QRH Dimer for Detection of Neoplasia in the Esophagus

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University of Michigan

Status and phase

Terminated
Phase 1

Conditions

Barrett Esophagus

Treatments

Drug: KSP/QRH dimer

Study type

Interventional

Funder types

Other

Identifiers

NCT03852576
HUM00158121

Details and patient eligibility

About

The overall aim of this feasibility study is to develop new technologies for improved detection of Barrett's neoplasia using the scanning fiber endoscope (SFE) imaging system. This study will combine the use of a fluorescent-labeled peptide dimer that bind specifically to pre-cancerous mucosa in the esophagus for use as a novel imaging agent to guide endoscopic biopsy or endoscopic mucosal resection (EMR). This Phase 1B study will be used to provide early evidence of efficacy for the topical application of a peptide dimer that binds to molecular targets, including EGFR and HER2, that are specific for esophageal dysplasia. A dimer is needed because cancer in the esophagus is genetically heterogeneous. QRH binds specifically to Epidermal Growth Factor Receptor (EGFR), and KSP binds specifically to Human Epithelial Growth Factor Receptor (HER2). The study will look at peptide binding in subjects with known or suspected Barrett's esophagus.

Enrollment

38 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Has known or suspected Barrett's esophagus
  • Scheduled for a clinically-indicated, upper endoscopy
  • Subject is medically cleared for the procedure (e.g. washout for anticoagulants, co-morbidities)
  • Age 18 to 100 years
  • Willing and able to sign informed consent

Exclusion criteria

  • Subjects with known allergy or negative reaction to the near infrared fluorophore IRDye800CW, or derivatives
  • Subjects on active chemotherapy or radiation treatment
  • Pregnant or trying to conceive

Trial design

Primary purpose

Diagnostic

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

38 participants in 1 patient group

Esophagus sprayed with KSP/QRH dimer
Experimental group
Description:
Area of interest in subject's esophagus sprayed with KSP/QRH dimer and imaged with the SFE probe
Treatment:
Drug: KSP/QRH dimer

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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