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Evaluation of 89Zr-TLX250 PET/CT in Chinese Patients With Indeterminate Renal Masses or Suspected Recurrent Renal Clear Cell Carcinoma (ZIRDOSE-CP)

Primary Purpose

Clear Cell Renal Cell Carcinoma, Suspected Recurrent Renal Clear Cell Carcinoma, Recurrent Renal Cell Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
89Zr-Girentuximab
Sponsored by
Telix International Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Clear Cell Renal Cell Carcinoma focused on measuring indeterminate renal masses, Suspected Recurrent Renal Clear Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria: Voluntarily signed written informed consent Chinese male or female≥18 years old. Have an indeterminate renal mass, suspected renal cell carcinoma, or previously diagnosed ccRCC, suspected recurrence on the pre-screening imaging from Day -90 to Day -1 Negative serum pregnancy test for female subjects of childbearing potential at screening. Confirmed negative urine pregnancy test within 24 hours prior to administration of investigational product. Expected survival ≥ 6 months. Agree to follow appropriate and highly effective contraception method for at least 35 days after the administration of 89Zr-TLX250. Exclusion Criteria: Renal mass is known to be a metastasis of another primary tumor. Have other malignancies that require treatment. Planned antineoplastic therapies (for the period between IV administration of 89Zr-TLX250 and imaging). Have received chemotherapy, radiotherapy, or immunotherapy within 4 weeks prior to the planned administration of 89Zr-TLX250 or such therapy resulted in a persistent adverse event (> Grade 1) (per National Cancer Institute-Common Toxicity Criteria version 5.0 [NCICTCAE v5.0]). Exposure to murine or chimeric antibodies within the last 5 years. Prior use of radionuclides with an interval of less than 10 halflives. Exposure to any investigational diagnostic or therapeutic agent within the first 4 weeks or 5 half-lives (whichever is longer) of the planned administration of 89Zr-TLX250. Renal insufficiency with glomerular filtration rate (GFR) ≤ 60 mL/min/1.73 m². Uncontrolled psychiatric disorders. Women who are pregnant or breastfeeding. Known hypersensitivity to girentuximab or DFO (deferoxamine). Have a serious non-malignant disease (e.g., infectious disease, autoimmune disease, or metabolic disease) that, in the opinion of the investigator, may interfere with the purpose of the study or subject safety or compliance. Vulnerable population (e.g., being in detention).

Sites / Locations

  • Peking University Cancer Hospital & InstituteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

89Zr-girentuximab

Arm Description

A single administration of 37 MBq (+/-10%) 89Zr-girentuximab, containing a mass dose of 10 mg of girentuximab

Outcomes

Primary Outcome Measures

Safety parameter Physical Examination
Frequency of occurrence and severity of abnormal findings in safety investigations regarding the physical examination.
Safety parameter Vital Signs
Frequency of occurrence and severity of abnormal findings in safety investigations regarding the Vital signs
Safety parameter Laboratory examinations
Frequency of occurrence and severity of abnormal findings in safety investigations regarding Laboratory examinations.
Safety parameter concomitant medications
Frequency of occurrence and severity of abnormal findings in safety investigations regarding concomitant medications.
Safety parameter ECG
Frequency of occurrence and severity of abnormal findings in the 12-lead ECG (ECG QT Interval)

Secondary Outcome Measures

Whole blood radioactivity PK parameters
This outcome will be measured by analysing the radioactivity present in the blood at baseline (pre-dose), 0.5h, 1h, 2h, 4h, 24h, 72h and Day 5+/-1 day. Assessments include: Cmax (maximum concentration)
Radiation dosimetry
whole body PET/CT scans will be acquired in supine position at 0.5, 4, 24, 72 and 168±24 h (Day 7±1) post injection, using low dose CT without contrast agent. Normalized Absorbed Dose = Absorbed Dose/ Administered Dose
Tumour dosimetry
Normalised whole body effective radiation dose (mSv/MBq)

Full Information

First Posted
April 5, 2023
Last Updated
June 28, 2023
Sponsor
Telix International Pty Ltd
Collaborators
Grand Pharmaceutical (China) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05861778
Brief Title
Evaluation of 89Zr-TLX250 PET/CT in Chinese Patients With Indeterminate Renal Masses or Suspected Recurrent Renal Clear Cell Carcinoma
Acronym
ZIRDOSE-CP
Official Title
An Open-label, Phase I Study to Evaluate the Safety, Radiation Dosimetry and Pharmacokinetics of 89Zr-TLX250 PET/CT in Patients With Indeterminate Renal Masses or Suspected Recurrent Renal Clear Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 26, 2023 (Actual)
Primary Completion Date
November 30, 2023 (Anticipated)
Study Completion Date
April 24, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Telix International Pty Ltd
Collaborators
Grand Pharmaceutical (China) Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The study is designed to evaluate the safety, tolerability, radiation dosimetry and pharmacokinetics 89Zr-TLX250 (also known as 89Zr-DFO-girentuximab) Positron Emission Tomography/Computed Tomography (PET/CT) in adult Chinese patients with indeterminate renal masses or Suspected Recurrent Renal Clear Cell Carcinoma

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Clear Cell Renal Cell Carcinoma, Suspected Recurrent Renal Clear Cell Carcinoma, Recurrent Renal Cell Cancer
Keywords
indeterminate renal masses, Suspected Recurrent Renal Clear Cell Carcinoma

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
89Zr-girentuximab
Arm Type
Experimental
Arm Description
A single administration of 37 MBq (+/-10%) 89Zr-girentuximab, containing a mass dose of 10 mg of girentuximab
Intervention Type
Drug
Intervention Name(s)
89Zr-Girentuximab
Other Intervention Name(s)
89Zr-DFO-girentuximab, 89Zr-TLX250, TLX250CDx
Intervention Description
A single administration of 37 MBq (±10%) 89Zr-TLX250, containing a mass dose of 10 mg of girentuximab, followed by whole body PET/CT scans were performed at 0.5h, 4h, 24h, 72 hours and 7±1 days post administration.
Primary Outcome Measure Information:
Title
Safety parameter Physical Examination
Description
Frequency of occurrence and severity of abnormal findings in safety investigations regarding the physical examination.
Time Frame
9 days
Title
Safety parameter Vital Signs
Description
Frequency of occurrence and severity of abnormal findings in safety investigations regarding the Vital signs
Time Frame
9 days
Title
Safety parameter Laboratory examinations
Description
Frequency of occurrence and severity of abnormal findings in safety investigations regarding Laboratory examinations.
Time Frame
9 days
Title
Safety parameter concomitant medications
Description
Frequency of occurrence and severity of abnormal findings in safety investigations regarding concomitant medications.
Time Frame
9 days
Title
Safety parameter ECG
Description
Frequency of occurrence and severity of abnormal findings in the 12-lead ECG (ECG QT Interval)
Time Frame
9 days
Secondary Outcome Measure Information:
Title
Whole blood radioactivity PK parameters
Description
This outcome will be measured by analysing the radioactivity present in the blood at baseline (pre-dose), 0.5h, 1h, 2h, 4h, 24h, 72h and Day 5+/-1 day. Assessments include: Cmax (maximum concentration)
Time Frame
6 days
Title
Radiation dosimetry
Description
whole body PET/CT scans will be acquired in supine position at 0.5, 4, 24, 72 and 168±24 h (Day 7±1) post injection, using low dose CT without contrast agent. Normalized Absorbed Dose = Absorbed Dose/ Administered Dose
Time Frame
8 days
Title
Tumour dosimetry
Description
Normalised whole body effective radiation dose (mSv/MBq)
Time Frame
Whole body PET/CT scans will be acquired in supine position at 0.5, 4, 24, 72 and 168±24 h (Day 7±1) post injection

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily signed written informed consent Chinese male or female≥18 years old. Have an indeterminate renal mass, suspected renal cell carcinoma, or previously diagnosed ccRCC, suspected recurrence on the pre-screening imaging from Day -90 to Day -1 Negative serum pregnancy test for female subjects of childbearing potential at screening. Confirmed negative urine pregnancy test within 24 hours prior to administration of investigational product. Expected survival ≥ 6 months. Agree to follow appropriate and highly effective contraception method for at least 35 days after the administration of 89Zr-TLX250. Exclusion Criteria: Renal mass is known to be a metastasis of another primary tumor. Have other malignancies that require treatment. Planned antineoplastic therapies (for the period between IV administration of 89Zr-TLX250 and imaging). Have received chemotherapy, radiotherapy, or immunotherapy within 4 weeks prior to the planned administration of 89Zr-TLX250 or such therapy resulted in a persistent adverse event (> Grade 1) (per National Cancer Institute-Common Toxicity Criteria version 5.0 [NCICTCAE v5.0]). Exposure to murine or chimeric antibodies within the last 5 years. Prior use of radionuclides with an interval of less than 10 halflives. Exposure to any investigational diagnostic or therapeutic agent within the first 4 weeks or 5 half-lives (whichever is longer) of the planned administration of 89Zr-TLX250. Renal insufficiency with glomerular filtration rate (GFR) ≤ 60 mL/min/1.73 m². Uncontrolled psychiatric disorders. Women who are pregnant or breastfeeding. Known hypersensitivity to girentuximab or DFO (deferoxamine). Have a serious non-malignant disease (e.g., infectious disease, autoimmune disease, or metabolic disease) that, in the opinion of the investigator, may interfere with the purpose of the study or subject safety or compliance. Vulnerable population (e.g., being in detention).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Principal Investigator
Phone
0000
Email
info@telixpharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhi Yang, MD
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking University Cancer Hospital & Institute
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Principal Investigator
Email
info@telixpharma.com
First Name & Middle Initial & Last Name & Degree
Zhi Yang

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of 89Zr-TLX250 PET/CT in Chinese Patients With Indeterminate Renal Masses or Suspected Recurrent Renal Clear Cell Carcinoma

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