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PMRR-NO: Pulmonary Metabolic Radiation Response Versus Exhaled Nitric Oxide
This study is currently recruiting participants.
Verified by M.D. Anderson Cancer Center, March 2009
First Received: March 20, 2009   No Changes Posted
Sponsored by: M.D. Anderson Cancer Center
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00867477
  Purpose

Objectives:

  • To determine the correlation between the pulmonary metabolic radiation response (PMRR) and the fraction of exhaled alveolar nitric oxice (NO).
  • To evaluate the reproducibility of the fraction of exhaled alveolar NO in a single setting.

Condition Intervention Phase
Gastrointestinal Disease
Esophageal Cancer
Procedure: Breathing Test
Behavioral: Respiratory Symptoms Questionnaire
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Efficacy Study
Official Title: A Biomarker Study Comparing the Pulmonary Metabolic Radiation Response Versus Exhaled Nitric Oxide in Patients Who Receive Thoracic Radiotherapy

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Use of new breathing test measuring amount of nitric oxide (NO) exhaled, compared to amount of inflammation in lungs, measured using PET scan reading and respiratory symptoms questionnaire. [ Time Frame: 4 Years ] [ Designated as safety issue: No ]

Estimated Enrollment: 38
Study Start Date: March 2009
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Breathing Test + Respiratory Symptoms Questionnaire
Procedure: Breathing Test
Exhale into NO breath analyzer for 10 seconds, repeated 3 times (before radiation therapy starts, after completing radiation therapy, and after scheduled PET scan).
Behavioral: Respiratory Symptoms Questionnaire
3 page questionnaire about breathing and any symptoms experienced, at each of 2 NO breathing tests.

Detailed Description:

Breathing Test:

If you agree to take part in this study, you will have a breathing test performed before starting radiation therapy, after radiation therapy is complete, as well as after your scheduled PET scan. The breathing test measures how much NO you exhale while breathing. To complete this test, you will exhale into the NO breath analyzer for 10 seconds. You will repeat this test 3 times.

The results of these test will give researchers information about possible inflammation in your lungs. The results of these tests will be compared to the results of your PET scan.

Respiratory Symptoms Questionnaire:

At each of the 2 NO breathing tests, you will be asked to complete a 3 page questionnaire about your breathing and any symptoms you may be experiencing. This is an standardized questionnaire, a research assistant will be present to help you with completing the questionnaire.

Length of Study:

After you have completed the breathing test, your participation on this study will be over.

This is an investigational study. The device (called NO breath analyzer) used in this study is FDA approved and commercially available for measuring exhaled NO levels in patients with lung cancer.

Up to 38 patients will take part in this study. All will be enrolled at M. D. Anderson.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients with pathologic diagnosis of esophagus cancer.
  2. Patients must sign informed consent.
  3. Patients who have received radiation therapy and are between 25 and 75 days after radio therapy and are undergoing PET-scan for restaging.

Exclusion Criteria:

  1. Significant pleural effusion as evaluated by the attending Radiation Oncologist is excluded.
  2. Patients who did not receive their thoracic radiotherapy at M. D. Anderson within 25 to 75 days prior to the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00867477

Contacts
Contact: Thomas Guerrero, MD, PhD 713-563-2300

Locations
United States, Texas
UT MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Principal Investigator: Thomas Guerrero, MD, PhD            
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Thomas Guerrero, MD, PhD UT MD Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: UT MD Anderson Cancer Center ( Thomas Guerrero, MD, PhD / Associate Professor )
Study ID Numbers: 2008-0632
Study First Received: March 20, 2009
Last Updated: March 20, 2009
ClinicalTrials.gov Identifier: NCT00867477     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Cancer of esophagus
Gastrointestine
esophagus cancer
Positron emission tomography
PET scan
Nitric oxide
NO
NO Breathing Test
Respiratory symptoms questionnaire

Study placed in the following topic categories:
Vasodilator Agents
Neurotransmitter Agents
Antioxidants
Digestive System Neoplasms
Gastrointestinal Diseases
Esophageal Neoplasms
Anti-Asthmatic Agents
Esophageal Cancer
Cardiovascular Agents
Nitric Oxide
Digestive System Diseases
Esophageal Disorder
Head and Neck Neoplasms
Signs and Symptoms, Respiratory
Gastrointestinal Neoplasms
Esophageal Diseases
Peripheral Nervous System Agents
Bronchodilator Agents

Additional relevant MeSH terms:
Respiratory System Agents
Neurotransmitter Agents
Vasodilator Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Esophageal Neoplasms
Physiological Effects of Drugs
Neoplasms by Site
Therapeutic Uses
Free Radical Scavengers
Endothelium-Dependent Relaxing Factors
Digestive System Neoplasms
Anti-Asthmatic Agents
Cardiovascular Agents
Protective Agents
Pharmacologic Actions
Nitric Oxide
Neoplasms
Digestive System Diseases
Autonomic Agents
Head and Neck Neoplasms
Gastrointestinal Neoplasms
Peripheral Nervous System Agents
Esophageal Diseases
Bronchodilator Agents

ClinicalTrials.gov processed this record on August 25, 2009