Evaluation of Hypoxia in Primary Melanoma
NCT06831071 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2025-05-08
Summary
When controlling for tumor present in the Sentinel lymph node (SLN), intranodal hypoxia, as measured by Carbonic Anhydrase IX (CAIX IHC), is associated with worse PFS. This suggests that melanoma tumors may be utilizing deregulated metabolism as a means of propagating themselves to the next station of metastasis. This study aims to prospectively validate previous findings. Patients who are to undergo WLE and SLNB per standard of care (SOC) will be evaluable. It is hypothesized that SLN(s) with increased hypoxia, as measured by pimonidazole staining, will be associated with worse Progression-free Survival (PFS).
Conditions
Interventions
- DRUG
-
Pimonidazole
Drug: Pimonidazole Pimonidazole is not used with therapeutic intent, and has a non-hazardous designation. It has been widely used for in vivo evaluation of intratumor hypoxia, and patients will take PO pimonidazole before the scheduled biopsy. Patients receive an oral dose of pimonidazole, a safe chemical tracer up to 24 hours prior to biopsy. Pimonidazole allows for true hypoxia staining; pimonidazole binds hypoxic proteins covalently, creating an antigen that facilitates the imaging, flow cytometry, and scRNA-seq experiments proposed. Pimonidazole has been previously used in patients and is safe and well tolerated, without anticipated adverse events.
Sponsors & Collaborators
-
Hypoxyprobe
collaborator UNKNOWN -
Yana Najjar
lead OTHER
Principal Investigators
-
Yana M Najjar, MD · UPMC Hillman Cancer Center
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-09
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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