Actively Recruiting

Phase 1
Age: 19Years +
All Genders
ID05901545

Evaluating 111In Panitumumab for Nodal Staging in Head and Neck Cancer

Led by Vanderbilt-Ingram Cancer Center · Updated on 2026-03-05

30

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

V

Vanderbilt-Ingram Cancer Center

Lead Sponsor

A

American Cancer Society, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of indium In 111 panitumumab (111In-panitumumab) in identifying sentinel lymph nodes in patients with head and neck squamous cell carcinoma (HNSCC) undergoing surgery. This phase I trial focuses on detecting lymph node metastases, which greatly affect survival rates, by using a radioactive drug linked to an antibody that binds to tumor cells. The drug's uptake is visualized with SPECT/CT imaging to potentially improve lymph node detection compared to current methods. Participants receive a loading dose of panitumumab intravenously over 15 minutes, followed by an intravenous bolus of 111In-panitumumab on day 0. A SPECT/CT scan is performed between day 1 and the day of surgery (up to day 5). During standard surgery, patients receive a local injection of an optical dye and undergo intraoperative and near infrared imaging. Blood samples and electrocardiograms are collected at screening, on day 0, and on day 15 if needed. Throughout the study, researchers monitor safety by tracking adverse events up to 15 days after drug administration. They also compare the accuracy of 111In-panitumumab imaging with conventional local dye injection for sentinel lymph node detection. Participants are followed for safety and effectiveness assessments, including blood tests and imaging, until 15 days after the last dose. The total participation time is approximately two weeks.

CONDITIONS

Brief Title

Evaluating 111In Panitumumab for Nodal Staging in Head and Neck Cancer

Who Can Participate

Age: 19Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 19 years or older
  • Biopsy-confirmed squamous cell carcinoma of the head and neck
  • Clinically staged as node-negative or clinically suspicious nodes
  • Any T stage and any head and neck subsite scheduled for surgical resection
  • Planned standard of care elective neck dissection
  • Acceptable blood counts: hemoglobin at least 9 gm/dL, white blood cells over 3000/mm3, platelets at least 100,000/mm3
  • Kidney function with serum creatinine not exceeding 1.5 times upper normal range
Not Eligible

You will not qualify if you...

  • Heart attack, stroke, uncontrolled heart failure, significant liver disease, or unstable angina within 6 months
  • History of infusion reactions to monoclonal antibody therapies
  • Allergy to iodine
  • Pregnant or breastfeeding
  • Low magnesium or potassium levels below normal institutional values
  • Taking certain antiarrhythmic medications (Class IA or Class III)
  • History or signs of lung inflammation or fibrosis
  • Severe kidney disease or no urine production

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to 5 days

Participants receive a loading dose of panitumumab intravenously over 15 minutes followed by an intravenous bolus of 111In-panitumumab on day 0. They then undergo a SPECT/CT scan between day 1 and the day of their standard of care surgery (up to day 5). During surgery, participants receive a local injection of optical dye and undergo intraoperative and near infrared imaging.

1 treatment day and imaging visits prior to surgery, 1 surgery visit

Follow-up

Duration - Up to 15 days after treatment

Participants are followed for safety monitoring with blood sample collection and electrocardiography up to 15 days after the last dose of study medication.

1 to 2 follow-up visits depending on ECG requirements

Trial Site Locations

Total: 1 location

1

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, United States, 37232

Actively Recruiting

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Research Team

N

Nicole Jones

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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