Ultrasound Imaging for Cancer

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Overseen ByMarkeela Lipscomb
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: UNC Lineberger Comprehensive Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to refine and test a new ultrasound imaging technique to better identify cancer in the breast, liver, and kidney. The goal is to determine if this method can more accurately distinguish between malignant (cancerous) and benign (non-cancerous) lesions compared to traditional ultrasound. The study will use Perflutren Lipid, a contrast agent for ultrasound imaging. Healthy volunteers will help optimize the imaging system, while patients with known lesions will undergo sensitivity and specificity tests. Ideal candidates have had an ultrasound at the University of North Carolina, are scheduled for a biopsy, and have visible lesions on ultrasound. As a Phase 2 trial, this research measures how well the treatment works in an initial, smaller group, offering participants a chance to contribute to advancements in cancer detection.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this ultrasound imaging technique is safe?

Research has shown that Perflutren Lipid, the treatment under study, has a good safety record from previous uses. The FDA has approved it for improving heart ultrasound images, indicating it has already undergone safety testing in people.

Studies indicate that the treatment is generally well tolerated. Severe allergic reactions are rare, occurring in about 1 in 7,000 people. Although some serious heart or lung issues have been reported, these remain uncommon.

For imaging of the breast, kidney, and liver, Perflutren Lipid has been used to enhance image clarity, aiding doctors in better assessing known lesions. While considered safe, pregnant or nursing women should avoid it.

Overall, existing data suggest that Perflutren Lipid is safe when used as intended.12345

Why are researchers excited about this trial?

Researchers are excited about using ultrasound imaging with Perflutren Lipid for cancer detection because it offers a non-invasive way to visualize and assess tumors. Unlike traditional imaging techniques that might require radiation or invasive procedures, this method uses microbubbles that enhance ultrasound signals, potentially providing clearer images of tumors in the breast, kidney, and liver. This approach could lead to earlier and more accurate detection of cancers, which is crucial for successful treatment outcomes. Additionally, it avoids the side effects associated with more invasive diagnostic methods, making it a safer option for patients.

What evidence suggests that this trial's imaging techniques could be effective for evaluating breast, liver, and kidney lesions?

Research has shown that Contrast Enhanced Ultrasound (CEUS) effectively examines lumps or growths in the breast, kidney, and liver. In this trial, participants will undergo assessment using CEUS with Perflutren Lipid. For breast lumps, studies indicate that CEUS successfully highlights 71% of these, including cancerous ones. In kidney imaging, CEUS demonstrates a sensitivity of 96%, correctly identifying most cancerous growths. For liver growths, CEUS reliably distinguishes between non-cancerous and cancerous ones. These findings suggest that CEUS, using Perflutren Lipid, is a promising tool for evaluating growths in these organs.678910

Who Is on the Research Team?

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Yueh Lee, MD

Principal Investigator

UNC Lineberger Comprehensive Cancer Center

Are You a Good Fit for This Trial?

This trial is for individuals with known lesions in the breast, liver, or kidney from previous imaging studies. It also includes healthy volunteers to optimize the ultrasound system. Participants must be suitable for contrast agent use and willing to undergo CESR imaging.

Inclusion Criteria

Lesion visualized on ultrasound
Able to provide informed consent
I am 18 years old or older.
See 3 more

Exclusion Criteria

Institutionalized subject (prisoner or nursing home patient)
I am not critically ill or medically unstable.
Known hypersensitivity to sulfur hexafluoride or to any component of perflutren lipid (Definity®)
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Imaging Optimization

Healthy volunteers are imaged to optimize system parameters such as frame rate, power, depth of imaging, and linear translation rate.

Up to 2 months

Imaging Assessment

Patients with known lesions in the breast, liver, or kidney are imaged using CESR to assess sensitivity and specificity compared to traditional B-mode ultrasound.

Up to 2 months

Follow-up

Participants are monitored for safety and effectiveness after imaging assessments.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Perflutren Lipid
Trial Overview The study tests Contrast Enhanced Super-Resolution (CESR) imaging's ability to detect and specify lesions in the breast, liver, and kidney compared to traditional B-mode ultrasound. The trial involves 40 participants divided into four groups.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Arm 4: Liver Imaging PatientsExperimental Treatment2 Interventions
Group II: Arm 3: Kidney Imaging PatientsExperimental Treatment2 Interventions
Group III: Arm 2: Breast Imaging PatientsExperimental Treatment2 Interventions
Group IV: Arm 1: Healthy VolunteersExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

UNC Lineberger Comprehensive Cancer Center

Lead Sponsor

Trials
377
Recruited
95,900+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Citations

Contrast-Enhanced Ultrasound Imaging of Breast MassesThis pilot study evaluated use of contrast-enhanced ultrasound (CEUS) to reduce the number of benign breast masses recommended for biopsy.
Contrast‐Enhanced Ultrasound Imaging of Breast Masses ...Of 131 masses, 93 (71%) enhanced on CEUS imaging, including 73 of 109 (67%) benign, 6 of 6 (100%) high-risk, and 14 of 16 (87.5%) malignant.
Characterizing breast lesions using quantitative parametric ...Earlier detection of breast cancer can yield better treatment outcomes. Currently,. 6 mammography is the primary imaging modality for breast cancer screening in ...
Ultrasound imaging of breast tumor perfusion and ...In this paper, a novel image processing strategy is detailed for simultaneous measurement of tumor perfusion and neovascular morphology parameters from a ...
Enhancing Targeted Therapy in Breast Cancer by ...In this review, we will discuss the current classification and standard of care for breast cancer, the application of nanomedicine, and ultrasound-responsive ...
SAFETY DATA SHEETPregnant or nursing women should avoid exposure. Medical Surveillance. Employees, who are pregnant, are breast-feeding, or who are concerned ...
Definity (perflutren) injection label - accessdata.fda.govActivated DEFINITY® (Perflutren Lipid Microsphere) Injectable Suspension is indicated for use in patients with suboptimal echocardiograms to opacify the left ...
Perflutren - Drugs and Lactation Database (LactMed®) - NCBINo information is available on the clinical use of perflutren during breastfeeding. Because of the extremely short elimination half-life of perflutren (<2 ...
Perflutren Lipid Microspheres InformationWarning. Very bad heart or lung problems have rarely happened during or after infusion of this medicine (perflutren lipid microspheres).
Definity - accessdata.fda.govThe perflutren lipid microspheres are composed of octafluoropropane encapsulated in an outer lipid shell consisting of (R) – hexadecanoic acid, 1 ...
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