Colon Cancer Prevention Clinical Trial
Official title:
Phase IB Study of QRH-882260 Heptapeptide Application in the Colon
A Phase 1B study of the efficacy of a topically-administered 7-amino acid peptide labeled
with a near-infrared fluorophore Cy5 for detecting neoplastic areas of the colon is proposed.
The study will test the efficacy of administering this agent (QRH-882260 Heptapeptide) to
human subjects undergoing clinically-indicated colonoscopy for endoscopic resection of known
colonic adenomas or for surveillance biopsies of known dysplasia in the setting of irritable
bowel disease (IBD). Up to 120 evaluable subjects will be enrolled.
Subjects will be recruited around scheduled standard of care procedures. The endoscopists
performing the procedures are all endoscopists credentialed at the University of Michigan to
do these procedures. Urine for dipstick pregnancy testing (if applicable) will be collected
before the procedure, along with medical information. Vital signs are routinely monitored
throughout the clinical procedure and are available in the electronic medical record. The
endoscopy will proceed per the University of Michigan Health System (UMHS) standard of care.
The endoscopist performing the clinical procedure will evaluate the potential risk (if any)
for the subject to continue with the procedure or study. Five mL of the reconstituted
QRH-882260 Heptapeptide (~100 μM) will be sprayed onto the site of interest through a
catheter in the endoscope. Five minutes after QRH-882260 Heptapeptide application, the
unbound peptide will be washed off using the endogator irrigator and the residual liquid will
be suctioned. Pictures with white-light and fluorescence will be taken with the scanning
fiber based molecular imaging endoscopic probe inserted via the instrument channel of the
standard endoscope before the QRH-882260 Heptapeptide application, immediately after
application and then again after the QRH-882260 Heptapeptide will be washed off. The area of
interest identified will be resected/biopsied per discretion of the endoscopist per clinical
care. All specimens taken are for clinical care only (not research use) and will be sent for
routine histology per UMHS standard of care.
n/a
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