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Exploratory, Phase 0 Study of Positron Emission Tomography (PET) Imaging Agent, F-18 RGD-K5 (K5)

Primary Purpose

Sarcoma, Melanoma, Lung Cancer

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
F-18 RGD-K5
Sponsored by
Siemens Molecular Imaging
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Sarcoma focused on measuring laryngeal, squamous cell, anaplastic astrocytoma, oligodendroglioma, glioblastoma multiforme

Eligibility Criteria

18 Days - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For Normal Volunteers

  • Subject is ≥ 18 years old at the time of investigational product administration (Subject is male or female of any race / ethnicity)
  • Subject or subject's legally acceptable representative provides informed consent
  • Subject is capable of complying with study procedures
  • Subject is capable of communicating with study personnel

For Cancer Subjects (same first four bullets as 'normals')

  • Subject must have had a diagnostic imaging study and is suspected of having a primary or metastatic tumor(s) ( > 2 cm, except breast tumor)-sarcoma; melanoma; lung cancer [including small cell and non-small cell lung cancer (NSCL)]; high grade glioma (including glioblastoma multi-forms), anaplastic astrocytoma, and anaplastic oligodendroglioma; breast carcinomas, and head and neck tumors, including laryngeal squamous cell carcinoma
  • Subject is scheduled to have a clinical [F-18]FDG PET scan within ± 7 days (with no interventions between the two PET scans) of the investigational, [F-18]RGD-K5 PET scan
  • Subject is scheduled to undergo resection or biopsy of the target tumor as a result of routine clinical treatment
  • Subject has not received any anti-angiogenic agents (e.g. bevacizumab, sorafenib, sunitinib) within 10 days prior to PET/CT imaging
  • Subject has laboratory test results within the following ranges:
  • AST(SGOT)/ALT(SGPT) ≤ 2.5 x institutional upper limits of normal
  • Serum creatinine ≤ 1.5 institutional upper limits of normal
  • Platelet count of > 75,000x106/L
  • Hemoglobin value of > 9 g/dL
  • ANC > 1.2 x 106 /mL

Exclusion Criteria 'Normals':

  • Subject is < 18 at the time of investigational product administration
  • Female subject is pregnant or nursing:
  • by testing on site at the institution (serum or urine ßHCG) within 24 hours prior to the investigational product administration
  • Subject is unable to remain still for duration of imaging procedure
  • Subject has a history of renal disease
  • Subject has previously received [F-18]RGD-K5 at any time, or any other investigational product in the past 30 days or will receive any other investigational product within 48 hours after the [F-18]RGD-K5 injection
  • Subject has not been involved in an investigative, radioactive research procedure or therapeutic procedure within the past 6 months
  • Subject has any other condition or personal circumstance including severe claustrophobia, severe dyspnea, severe back pain etc, that, in the judgment of the investigator, might interfere with the collection of complete good quality data
  • Subject has a history of significant prescription or non-prescription drug, or alcohol abuse, including but not limited to marijuana, cocaine, heroin or derivatives.

For Cancer Subjects (first three bullets the same as 'normals')

  • Subject is < 18 at the time of investigational product administration
  • Female subject is pregnant or nursing:
  • by testing on site at the institution (serum or urine ßHCG)
  • Subject is unable to remain still for duration of imaging procedure
  • Subject has known hyper or hypo-coagulation syndromes. (e.g., Protein C, S deficiency, Hemophilia A/B/C, Factor-V Leiden, etc.)
  • Subject has previously received [F-18]RGD-K5 at any time, or any other investigational product in the past 30 days or will receive any other investigational product within 48 hours after the [F-18]RGD-K5 injection.
  • Subject has inadequate tumor size (< 2 cm , except for breast tumor) or volume to allow for biopsy
  • Subject has any other condition or personal circumstance including severe claustrophobia, severe dyspnea, severe back pain etc, that, in the judgment of the investigator, might interfere with the collection of complete good quality data
  • Subject has a history of significant prescription or non-prescription drug, or alcohol abuse, including but not limited to marijuana, cocaine, heroin or derivatives.

Sites / Locations

  • Fox Chase Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

A

Arm Description

16 subjects to be enrolled; Study Drug F-18 RGD-K5 administered for diagnostic PET Imaging to be observed for a maximum of 4 hours, followed by 24 hour follow up

Outcomes

Primary Outcome Measures

To collect bio-distribution data to calculate dosimetry values in normals and obtain and evaluate PET images in cancer subjects for resolution of [F-18]RGD-K5

Secondary Outcome Measures

Full Information

First Posted
August 26, 2008
Last Updated
January 29, 2009
Sponsor
Siemens Molecular Imaging
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1. Study Identification

Unique Protocol Identification Number
NCT00743353
Brief Title
Exploratory, Phase 0 Study of Positron Emission Tomography (PET) Imaging Agent, F-18 RGD-K5
Acronym
K5
Official Title
An Exploratory, Multi-Center, Open Label, Non-Randomized Study of F-18 RGD-K5
Study Type
Interventional

2. Study Status

Record Verification Date
January 2009
Overall Recruitment Status
Completed
Study Start Date
August 2008 (undefined)
Primary Completion Date
January 2009 (Actual)
Study Completion Date
January 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Siemens Molecular Imaging

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this research study is to get information from volunteers without cancer and patients with cancer who have received a new investigational study agent called, "[F-18] RGDK5," to evaluate biodistribution and dosimetry for the study agent and determine F-18 RGD-K5 uptake in angiogenic tumor. the system.
Detailed Description
[F-18]RGD-K5 is being investigated as a diagnostic radiopharmaceutical for the detection and localization of angiogenesis tissue or lesions supporting the application and role of integrins in anti-angiogenic therapies to benefit patients with cancer and inflammatory diseases. The primary objectives of this exploratory study are: To gain information on biodistribution of [F-18]RGD-K5, and to evaluate the PET images with [F-18]RGD-K5 for resolution, signal to background ratio and for the detection and localization of angiogenesis tissue. This Exploratory Investigational New Drug (EIND) study is designed to obtain preliminary imaging and fundamental biodistribution, metabolism and safety information to demonstrate early proof of concept. The information collected under this study will not be used for diagnostic purposes, to assess the subject's response to therapy, or for clinical management for the subject.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcoma, Melanoma, Lung Cancer, Breast Cancer, High Grade Gliomas
Keywords
laryngeal, squamous cell, anaplastic astrocytoma, oligodendroglioma, glioblastoma multiforme

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Description
16 subjects to be enrolled; Study Drug F-18 RGD-K5 administered for diagnostic PET Imaging to be observed for a maximum of 4 hours, followed by 24 hour follow up
Intervention Type
Drug
Intervention Name(s)
F-18 RGD-K5
Intervention Description
Study Drug F-18 RGD-K5 administered for diagnostic PET Imaging to be observed for a maximum of 4 hours, followed by 24 hour follow up
Primary Outcome Measure Information:
Title
To collect bio-distribution data to calculate dosimetry values in normals and obtain and evaluate PET images in cancer subjects for resolution of [F-18]RGD-K5
Time Frame
imaging study-participation only days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For Normal Volunteers Subject is ≥ 18 years old at the time of investigational product administration (Subject is male or female of any race / ethnicity) Subject or subject's legally acceptable representative provides informed consent Subject is capable of complying with study procedures Subject is capable of communicating with study personnel For Cancer Subjects (same first four bullets as 'normals') Subject must have had a diagnostic imaging study and is suspected of having a primary or metastatic tumor(s) ( > 2 cm, except breast tumor)-sarcoma; melanoma; lung cancer [including small cell and non-small cell lung cancer (NSCL)]; high grade glioma (including glioblastoma multi-forms), anaplastic astrocytoma, and anaplastic oligodendroglioma; breast carcinomas, and head and neck tumors, including laryngeal squamous cell carcinoma Subject is scheduled to have a clinical [F-18]FDG PET scan within ± 7 days (with no interventions between the two PET scans) of the investigational, [F-18]RGD-K5 PET scan Subject is scheduled to undergo resection or biopsy of the target tumor as a result of routine clinical treatment Subject has not received any anti-angiogenic agents (e.g. bevacizumab, sorafenib, sunitinib) within 10 days prior to PET/CT imaging Subject has laboratory test results within the following ranges: AST(SGOT)/ALT(SGPT) ≤ 2.5 x institutional upper limits of normal Serum creatinine ≤ 1.5 institutional upper limits of normal Platelet count of > 75,000x106/L Hemoglobin value of > 9 g/dL ANC > 1.2 x 106 /mL Exclusion Criteria 'Normals': Subject is < 18 at the time of investigational product administration Female subject is pregnant or nursing: by testing on site at the institution (serum or urine ßHCG) within 24 hours prior to the investigational product administration Subject is unable to remain still for duration of imaging procedure Subject has a history of renal disease Subject has previously received [F-18]RGD-K5 at any time, or any other investigational product in the past 30 days or will receive any other investigational product within 48 hours after the [F-18]RGD-K5 injection Subject has not been involved in an investigative, radioactive research procedure or therapeutic procedure within the past 6 months Subject has any other condition or personal circumstance including severe claustrophobia, severe dyspnea, severe back pain etc, that, in the judgment of the investigator, might interfere with the collection of complete good quality data Subject has a history of significant prescription or non-prescription drug, or alcohol abuse, including but not limited to marijuana, cocaine, heroin or derivatives. For Cancer Subjects (first three bullets the same as 'normals') Subject is < 18 at the time of investigational product administration Female subject is pregnant or nursing: by testing on site at the institution (serum or urine ßHCG) Subject is unable to remain still for duration of imaging procedure Subject has known hyper or hypo-coagulation syndromes. (e.g., Protein C, S deficiency, Hemophilia A/B/C, Factor-V Leiden, etc.) Subject has previously received [F-18]RGD-K5 at any time, or any other investigational product in the past 30 days or will receive any other investigational product within 48 hours after the [F-18]RGD-K5 injection. Subject has inadequate tumor size (< 2 cm , except for breast tumor) or volume to allow for biopsy Subject has any other condition or personal circumstance including severe claustrophobia, severe dyspnea, severe back pain etc, that, in the judgment of the investigator, might interfere with the collection of complete good quality data Subject has a history of significant prescription or non-prescription drug, or alcohol abuse, including but not limited to marijuana, cocaine, heroin or derivatives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Yu, MD
Organizational Affiliation
Fox Chase Cancer Center, Dept of Nuclear Medicine, 333 Cottman Ave, Phila, PA 19111
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22499613
Citation
Doss M, Kolb HC, Zhang JJ, Belanger MJ, Stubbs JB, Stabin MG, Hostetler ED, Alpaugh RK, von Mehren M, Walsh JC, Haka M, Mocharla VP, Yu JQ. Biodistribution and radiation dosimetry of the integrin marker 18F-RGD-K5 determined from whole-body PET/CT in monkeys and humans. J Nucl Med. 2012 May;53(5):787-95. doi: 10.2967/jnumed.111.088955. Epub 2012 Apr 12.
Results Reference
derived

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Exploratory, Phase 0 Study of Positron Emission Tomography (PET) Imaging Agent, F-18 RGD-K5

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