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DysplasiaEarly Phase 1NCT02790853

Multimodal Imaging for Surveillance in Patients With Oral Potentially Malignant Disorders

A Early Phase 1 study testing Biopsy, Fluorescence Imaging and High-Resolution Microendoscopy in people with Dysplasia and Lip and Oral Cavity Carcinoma, run by M.D. Anderson Cancer Center at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

This early phase I trial studies how well multimodal imaging works for surveillance in patients with oral potentially malignant disorders. New types of imaging devices may help doctors decide if a lesion in the mouth is pre-cancerous or cancerous. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Biopsy, Fluorescence Imaging and High-Resolution Microendoscopy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
63 participants
Where
1 siteUnited States
Study dates
25 May 2016to 31 May 2028
Phase
Early Phase 1

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who are willing to participate.
  • Adult subjects with: a. clinically evident oral premalignant lesion (OPL) or suspicious oral mucosal lesion. or b. pathologic diagnosis of dysplasia or c. history of resected oral cancer or d. oral potentially malignant disorder (OPMD) or e. history of tobacco and/or alcohol exposure.
  • Ability to understand and willingness to sign a written informed consent document (ICD).

Who cannot join

  • Known allergy to proflavine or acriflavine.
  • Pregnant females.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • M D Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Multimodal Imaging for Surveillance of Patients With Oral Potentially Malignant Disorders

This early phase I trial studies how well multimodal imaging works for surveillance in patients with oral potentially malignant disorders. New types of imaging devices may help doctors decide if a lesion in the mouth is pre-cancerous or cancerous.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To compare standard white light examination to multimodal imaging for detection of high grade dysplasia and carcinoma during follow-up examinations of patients with oral potentially malignant disorders (OPMD).

SECONDARY OBJECTIVES:

  1. To determine qualitative and quantitative diagnostic assessment of patients who agree to undergo imaging and have images of sufficient quality.

II. To compare expression of molecular biomarkers to results from white light examination, multimodal imaging and pathologic assessment in a subset of patients who have invasive biopsies or resection.

III. To compare cytologic results from brush biopsy specimens to white light examination and multimodal imaging results.

OUTLINE:

Participants undergo PS2.1/PS3 imaging and high-resolution microendoscope imaging with proflavine hemisulfate applied to the mucosa. Patients also undergo brush biopsy and incisional biopsy. Procedures are repeated every 3-4 months for 2 years.

After completion of study treatment, patients are followed up at 30 days.

Being tested
Biopsy, Fluorescence Imaging, High-Resolution Microendoscopy, Proflavine Hemisulfate
Medical subject headings
Mouth Neoplasms, Mouth Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BiopsyProcedure or surgery

    Also called Bx

    Undergo brush biopsy and incisional biopsy

  • Fluorescence ImagingProcedure or surgery

    Undergo PS2.1/PS3 imaging

  • High-Resolution MicroendoscopyProcedure or surgery

    Also called HRME

    Undergo HRME imaging

  • Proflavine HemisulfateDrug

    Applied on mucosa

Study groups in NCT02790853
Study groupRoleWhat they receive
Diagnostic (multimodal imaging, biopsy)ExperimentalParticipants undergo PS2.1/PS3 imaging and high-resolution microendoscope imaging with proflavine hemisulfate applied to the mucosa. Patients also undergo brush biopsy and incisional biopsy. Procedures are repeated every 3-4 months for 2 years.
Receives: Procedure: Biopsy; Procedure: Fluorescence Imaging; Procedure: High-Resolution Microendoscopy; Drug: Proflavine Hemisulfate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Detection of high grade dysplasia and carcinoma

    Will compare standard white light examination to multimodal imaging for detection of high grade dysplasia and carcinoma during follow-up examinations of patients with oral potentially malignant disorders (OPMD).

    Measured: Up to 2 years

Secondary outcomes (3)
  1. Diagnostic assessment

    Will determine qualitative and quantitative diagnostic assessment of patients who agree to undergo imaging and have images of sufficient quality.

    Measured: Up to 2 years

  2. Biomarker analysis

    Will compare expression of molecular biomarkers to results from white light examination, multimodal imaging and pathologic assessment in a subset of patients who have invasive biopsies or resection.

    Measured: Up to 2 years

  3. Cytologic results

    Will compare cytologic results from brush biopsy specimens to white light examination and multimodal imaging results.

    Measured: Up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jun 2016 (estimated)
  2. Study start25 May 2016
  3. Primary completion31 May 2028 (estimated)
  4. Study completion31 May 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
63 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02790853
Sponsor's protocol ID
2014-0831
Other IDs
NCI-2018-02554, 2014-0831, P30CA016672
Status last verified
Oct 2026
First submitted
26 May 2016
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

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