Early Phase 1
N=12
Contrast-Enhanced Subharmonic Ultrasound Imaging in Improving Characterization of Adnexal Masses in Patients Undergoing Surgery
Adnexal Mass
Bottom Line
View on ClinicalTrials.gov: NCT03297112 ↗Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Sep 2019
Primary outcome: Primary: Diagnostic Accuracy of Subharmonic Ultrasound Imaging Compared to Standard Ultrasound or Contrast Enhanced Magnetic Resonance Imaging (MRI) — 70; 56 percent accurate lesion identification
Study Design & Population
- Study type
- Interventional
- Phase
- Early Phase 1
- Interventions
- Perflutren Lipid Microspheres (Drug); Contrast-Enhanced Subharmonic Ultrasound Imaging (Procedure)
- Age
- Adult, Older Adult · 21+ yrs
- Sex
- Female
- Sponsor
- Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
- Primary completion
- Sep 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Diagnostic Accuracy of Subharmonic Ultrasound Imaging Compared to Standard Ultrasound or Contrast Enhanced Magnetic Resonance Imaging (MRI) |
70; 56 | — |
| PRIMARY Accuracy of SHI Characterization Compared to the Risk of Malignancy Index |
73 | — |
Summary
This pilot clinical trial studies how well contrast-enhanced subharmonic ultrasound imaging works in improving the characterization of adnexal masses in patients undergoing surgery. Contrast-enhanced subharmonic ultrasound imaging uses high-frequency sound waves to produce images of internal organs and when combined with an ultrasound agent such as perflutren lipid microspheres, may help improve imaging and management of adnexal masses.
Eligibility Criteria
Inclusion Criteria
- Be diagnosed with an adnexal mass
- Be scheduled for surgery to remove the adnexal mass
- Be clinically stable
- If a female of child-bearing potential, must have a negative pregnancy test
- Be conscious and able to comply with study procedures
- Have read and signed the Institutional Review Board (IRB)-approved informed consent form for participating in the study
Exclusion Criteria
- Females who are pregnant or nursing
- Patients who have received an investigational drug in the 30 days before study drug administration, or will receive one within 72 hours (h) afterwards
- Patients with known or suspected right-to-left, bi-directional, or transient right-to-left cardiac shunts
- Patients with pulmonary hypertension or unstable cardiopulmonary conditions
- Patients currently on chemotherapy or with other primary cancers requiring systemic or hepatic loco-regional treatment
- Patients who are clinically unstable, patients who are seriously or terminally ill with a life expectancy of less than 1 month, and patients whose clinical course are unpredictable; for example:
- Patients on life support or in a critical care unit
- Patients with unstable occlusive disease (e.g., crescendo angina)
- Patients with clinically unstable cardiac arrhythmias, such as recurrent ventricular tachycardia
- Patients with uncontrolled congestive heart failure (New York Heart Association [NYHA] class IV)
- Patients with recent cerebral hemorrhage
- Patients who have undergone surgery within 24 hours prior to the study sonographic examination
- Patients with a history of anaphylactic allergy to Definity, manifested by one or more of the following symptoms: generalized urticaria, difficulty in breathing, swelling of the mouth and throat, hypotension, or shock
- Patients with congenital heart defects
- Patients with severe emphysema, pulmonary vasculitis, or a history of pulmonary emboli
- Patients with respiratory distress syndrome
- Patients with thrombosis within the splenic vein
Data sourced from ClinicalTrials.gov (NCT03297112). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.