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89Zr-girentuximab for PET Imaging of CAIX Positive Solid Tumors

Primary Purpose

Cervical Cancer, Colorectal Cancer, Esophageal Cancer

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
89Zr-DFO-girentuximab
Sponsored by
Telix International Pty Ltd
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Cervical Cancer

Eligibility Criteria

18 Years - 95 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Written and voluntarily given Informed Consent.
  • Male or female โ‰ฅ18 years of age at time of consent.
  • Have the capacity to understand the study and be willing and able to comply with all protocol requirements.
  • Participants must have histologically or cytologically proven solid tumors of the following types, but not limited to:

    • cervical cancer
    • colorectal cancer
    • esophageal cancer (esophageal SCC and esophageal/esophagogastric junction adenocarcinoma)
    • gastric cancer (gastric adenocarcinoma)
    • glioblastoma multiforme
    • head and neck cancer (head and neck SCC and nasopharyngeal carcinoma)
    • liver cancer (cholangiocarcinoma and hepatocellular carcinoma)
    • lung cancer (non-smallcell and small cell)
    • ovarian cancer (epithelial ovarian carcinoma)
    • pancreatic cancer (pancreatic ductal adenocarcinoma)
    • soft tissue sarcoma
  • At least one non-CNS, measurable target lesion as per RECIST 1.1 documented at conventional imaging, performed within 30 days prior to Day 0.
  • Participant agrees not to participate in another interventional study while participating in the present study, defined as signing the informed consent form (ICF) until completion of the last study visit.
  • Negative serum pregnancy tests in female patients of childbearing potential at screening and confirmation of negative pregnancy test result from urine within24 hours prior to receiving investigational product. Female patients of non-child-bearing potential must provide evidence by fulfilling one of the following criteria at screening:

    • Post-menopausal defined as aged more than 50 years and amenorrheic for at least 12 months following cessation of all exogenous hormonal treatments.
    • Women under 50 years old would be consider postmenopausal if they have been amenorrheic for 12 months or more following cessation of exogenous hormonal treatments and with luteinizinghormone (LH) and follicle-stimulating hormone (FSH) levels in the post-menopausal range for the institution.
    • Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy, or bilateral salpingectomy but not tubal ligation
  • For all participants, consent to practice double-barrier contraception until a minimum of 42 days after 89Zr-girentuximab administration.

Exclusion Criteria:

  • Exposure to murine or chimeric antibodies within the last 5 years.
  • Previous administration of any radionuclide within 10 half-lives (of the radionuclide) prior to the intended administration of 89Zr-girentuximab(i.e., within 10 half-lives of Day0).
  • Exposure to any CAIX targeting compound (diagnostic/therapeutic) in the last 3 months
  • Serious non-malignant disease (e.g. psychiatric, infectious, autoimmune or metabolic) that may interfere with the objectives of the study or with the safety or compliance of the subject, as judged by the Investigator.
  • Any clinically significant abnormalities detected during screening laboratory tests or physical exam that in the opinion of the Investigator would adversely affect the participants ability to participate in the study. Principal Investigator to assess patient suitability for inclusion based on pathology and tumor type.
  • Mental impairment that may compromise the ability to give Informed Consent and comply with the requirements of the study.
  • Exposure to any antineoplastic treatment within 14 days from the date of planned administration of 89Zr-girentuximab(i.e. within 14 days of Day 0).
  • Women who are pregnant or breastfeeding.
  • Known allergy, hypersensitivity, or intolerance to girentuximab, DFO (desferrioxamine),or any of the components of the investigationalagent.10.Renal insufficiency with glomerular filtration rate (GFR) โ‰ค 45 millilitres/min/1.73m2
  • Vulnerable patients (e.g. being in detention).

Sites / Locations

  • Carilion ClinicRecruiting
  • Inland ImagingRecruiting

Outcomes

Primary Outcome Measures

Qualitative assessment of 89Zr-girentuximab uptake within individual tumor deposits
This outcome will be evaluated on all patients by using a PET/CT machine to qualitatively assess (yes / no) the uptake of the 89Zr-girentuximab uptake within individual tumor deposits.
Quantitative assessment of 89Zr-girentuximab uptake within individual tumor deposits
This outcome will be evaluated on all patients by using a PET/CT machine to quantitatively assess the uptake of the 89Zr-girentuximab uptake within individual tumor deposits.

Secondary Outcome Measures

To evaluate safety parameter of Heart rate in patients administered with 89Zr-girentuximab
This outcome will be measured as beats per minute on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria
To evaluate safety parameter of blood pressure in patients administered with 89Zr-girentuximab.
This outcome will be measured as mmHg on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria
To evaluate safety parameter related to Liver function in patients administered 89Zr-girentuximab
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.
To evaluate safety parameter related to Renal function in patients administered 89Zr-girentuximab
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.
To evaluate safety parameter related to Full Blood Count in patients administered 89Zr-girentuximab
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.

Full Information

First Posted
September 23, 2022
Last Updated
June 9, 2023
Sponsor
Telix International Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05563272
Brief Title
89Zr-girentuximab for PET Imaging of CAIX Positive Solid Tumors
Official Title
Study of 89Zr-girentuximab for PET Imaging of Solid Tumors Likely to Express High Levels of CAIX
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 6, 2023 (Anticipated)
Primary Completion Date
December 8, 2025 (Anticipated)
Study Completion Date
December 29, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Telix International Pty Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A prospective, open-label, phase 2 study to explore CAIX expression through 89Zirconium-labelled girentuximab deferoxamine (89Zr-girentuximab) PET/CT imaging in patients with solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Colorectal Cancer, Esophageal Cancer, Gastric Cancer, Glioblastoma Multiforme, Cholangiocarcinoma, Hepatocellular Carcinoma, Head and Neck Squamous Cell Carcinoma, Nasopharyngeal Carcinoma, Non Small Cell Lung Cancer, Small Cell Lung Cancer, Epithelial Ovarian Cancer, Pancreatic Ductal Adenocarcinoma, Soft Tissue Sarcoma

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
89Zr-DFO-girentuximab
Intervention Description
Single IV administration on Day 0, followed by diagnostic scan on Day 5 +/- 2 days.
Primary Outcome Measure Information:
Title
Qualitative assessment of 89Zr-girentuximab uptake within individual tumor deposits
Description
This outcome will be evaluated on all patients by using a PET/CT machine to qualitatively assess (yes / no) the uptake of the 89Zr-girentuximab uptake within individual tumor deposits.
Time Frame
Single diagnostic administration, followed by a diagnostic scan on Day 5 ยฑ 2 days. This assessment will be conducted throughout the patient dosing and imaging period, an average of 18 months
Title
Quantitative assessment of 89Zr-girentuximab uptake within individual tumor deposits
Description
This outcome will be evaluated on all patients by using a PET/CT machine to quantitatively assess the uptake of the 89Zr-girentuximab uptake within individual tumor deposits.
Time Frame
Single diagnostic administration, followed by a diagnostic scan on Day 5 ยฑ 2 days. This assessment will be conducted throughout the patient dosing and imaging period, an average of 18 months
Secondary Outcome Measure Information:
Title
To evaluate safety parameter of Heart rate in patients administered with 89Zr-girentuximab
Description
This outcome will be measured as beats per minute on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria
Time Frame
Patients will be evaluated for the period up to imaging following administration of 89Zr-girentuximab, at most 7 days.
Title
To evaluate safety parameter of blood pressure in patients administered with 89Zr-girentuximab.
Description
This outcome will be measured as mmHg on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria
Time Frame
Patients will be evaluated for the period up to imaging following administration of 89Zr-girentuximab, up to 7 days.
Title
To evaluate safety parameter related to Liver function in patients administered 89Zr-girentuximab
Description
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.
Time Frame
Patients will be evaluated for the period up to imaging following administration of 89Zr-girentuximab, up to 7 days.
Title
To evaluate safety parameter related to Renal function in patients administered 89Zr-girentuximab
Description
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.
Time Frame
Patients will be evaluated for the period up to imaging following administration of 89Zr-girentuximab, up to 7 days.
Title
To evaluate safety parameter related to Full Blood Count in patients administered 89Zr-girentuximab
Description
This outcome will be measured on all patients with treatment-related adverse events based on criteria as determined by the NCI CTCAE v 5.0 criteria. Results will be assessed by number of participants with abnormal laboratory values.
Time Frame
Patients will be evaluated for the period up to imaging following administration of 89Zr-girentuximab, up to 7 days.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
95 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written and voluntarily given Informed Consent. Male or female โ‰ฅ18 years of age at time of consent. Have the capacity to understand the study and be willing and able to comply with all protocol requirements. Participants must have histologically or cytologically proven solid tumors of the following types, but not limited to: cervical cancer colorectal cancer esophageal cancer (esophageal SCC and esophageal/esophagogastric junction adenocarcinoma) gastric cancer (gastric adenocarcinoma) glioblastoma multiforme head and neck cancer (head and neck SCC and nasopharyngeal carcinoma) liver cancer (cholangiocarcinoma and hepatocellular carcinoma) lung cancer (non-smallcell and small cell) ovarian cancer (epithelial ovarian carcinoma) pancreatic cancer (pancreatic ductal adenocarcinoma) soft tissue sarcoma At least one non-CNS, measurable target lesion as per RECIST 1.1 documented at conventional imaging, performed within 30 days prior to Day 0. Participant agrees not to participate in another interventional study while participating in the present study, defined as signing the informed consent form (ICF) until completion of the last study visit. Negative serum pregnancy tests in female patients of childbearing potential at screening and confirmation of negative pregnancy test result from urine within24 hours prior to receiving investigational product. Female patients of non-child-bearing potential must provide evidence by fulfilling one of the following criteria at screening: Post-menopausal defined as aged more than 50 years and amenorrheic for at least 12 months following cessation of all exogenous hormonal treatments. Women under 50 years old would be consider postmenopausal if they have been amenorrheic for 12 months or more following cessation of exogenous hormonal treatments and with luteinizinghormone (LH) and follicle-stimulating hormone (FSH) levels in the post-menopausal range for the institution. Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy, or bilateral salpingectomy but not tubal ligation For all participants, consent to practice double-barrier contraception until a minimum of 42 days after 89Zr-girentuximab administration. Exclusion Criteria: Exposure to murine or chimeric antibodies within the last 5 years. Previous administration of any radionuclide within 10 half-lives (of the radionuclide) prior to the intended administration of 89Zr-girentuximab(i.e., within 10 half-lives of Day0). Exposure to any CAIX targeting compound (diagnostic/therapeutic) in the last 3 months Serious non-malignant disease (e.g. psychiatric, infectious, autoimmune or metabolic) that may interfere with the objectives of the study or with the safety or compliance of the subject, as judged by the Investigator. Any clinically significant abnormalities detected during screening laboratory tests or physical exam that in the opinion of the Investigator would adversely affect the participants ability to participate in the study. Principal Investigator to assess patient suitability for inclusion based on pathology and tumor type. Mental impairment that may compromise the ability to give Informed Consent and comply with the requirements of the study. Exposure to any antineoplastic treatment within 14 days from the date of planned administration of 89Zr-girentuximab(i.e. within 14 days of Day 0). Women who are pregnant or breastfeeding. Known allergy, hypersensitivity, or intolerance to girentuximab, DFO (desferrioxamine),or any of the components of the investigationalagent.10.Renal insufficiency with glomerular filtration rate (GFR) โ‰ค 45 millilitres/min/1.73m2 Vulnerable patients (e.g. being in detention).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kavita Vadali
Phone
+61 3 9093 3808
Email
global-clinicaltrials@telixpharma.com
Facility Information:
Facility Name
Carilion Clinic
City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24018
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maryann Hollen
Facility Name
Inland Imaging
City
Spokane
State/Province
Washington
ZIP/Postal Code
99208
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kim Wolfer

12. IPD Sharing Statement

Learn more about this trial

89Zr-girentuximab for PET Imaging of CAIX Positive Solid Tumors

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