A fluorescent camera illuminates the tumor on a patient's tongue with the help of nanoparticles developed in the lab that light up when they detect the acidic environment produced by cancerous cells.
Our research team is conducting a Phase 2 clinical trial with a drug called pegsitacianine that is based on the fluorescent nanoparticles developed in our lab. This study is to investigate whether pegsitacianine can be used to image head and neck cancers as well as unknown primary cancers of the head and neck after it is given intravenously. More precise detection of unknown primary cancers and precise delineation of cancer margins can potentially assist physicians during surgery and allow more complete tumor resections. The study is divided into two parts:
Part 1
Patients with visible head and neck cancer will be given pegsitacianine before undergoing oncologic surgery, and imaging will help the surgeon detect the cancer margins.
Part 2
Patients with unknown primary cancer of the head and neck will be given pegsitacianine before undergoing an exam under anesthesia or laryngoscopy, and imaging will be used to identify their primary cancer.
For more details refer to the attached flyer and ClinicalTrials.gov, Identifier: NCT05576974. If you are interested in participating in the trial, please contact the Department of Otolaryngology by phone at 214-648-5051 or at OTOResearch@UTSouthwestern.edu.
Reference:
Selected publications:
- Wang Y, Zhou K, Huang G, Hensley C, Huang X, Ma X, Zhao T, Sumer BD, DeBerardinis RJ, Gao J. A Nanoparticle-based Strategy for the Imaging of a Broad Range of Tumours by Nonlinear Amplification of Microenvironment Signals. Nat. Mater. 2014, 13, 204-212. PDF
- Zhao T, Huang G,Yang S, Ramezani, S, Li Y, Wang Y, Ma X, Xie XJ, Thibodeaux J, Sun X, Sumer BD, Gao J. A Transistor-like pH Nanoprobe for Tumour Detection and Image-Guided Surgery. Nature Biomed. Eng. 2016, 1, 0006. (Featured by Science daily news, Dallas Morning News, NBC5, and CBS11) PDF
- Huang G, Zhao T, Wang C, Nham K, Xiong Y, Gao X, Wang Y, Hao G, Ge WP, Sun XK, Sumer BD, Gao J. PET Imaging of Occult Tumours by Temporal Integration of Tumour-Acidosis Signals. Nature Biomed. Eng. 2020, 4, 314. PDF
- Bennett ZT, Feng Q, Bishop JA, Huang G, Sumer BD, Gao J. Detection of Lymph Node Metastases by Ultra-pH-Sensitive Polymeric Nanoparticles. Theranostics. 2020, 10(7), 3340-3350. PDF
- Voskuil FJ, Steinkamp PJ, Zhao T, van der Begt B, Koller M, Doff JJ, Jayalakshmi Y, Hartung JP, Gao J, Sumer BD, Witjes MJH, van Dam GM. Exploiting metabolic acidosis in solid cancers using a tumor-agnostic pH-activatable nanoprobe for fluorescence-guided surgery. Nature Comm. 2020, 11, 3257. PDF
Baran Sumer, M.D. is cofounder and shareholder of OncoNano Medicine, Inc. which produces pegsitacianine the nanoparticle used for fluorescent guided surgery.