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A Phase I Study of MLN6907 in Patients With Metastatic Colorectal

Primary Purpose

Imaging of Solid Gastrointestinal Tumors

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
[68Ga]MLN6907
Sponsored by
Millennium Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Imaging of Solid Gastrointestinal Tumors

Eligibility Criteria

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

Inclusion Criteria

Each patient must meet all of the following inclusion criteria to be enrolled in the study:

  • Male or female patients 18 years or older.
  • Must be diagnosed with colorectal cancer (CRC) with liver metastasis and eligible and scheduled for resection of liver metastases as part of their standard of care treatment plan. The planned surgery must occur greater than 14 days after the day of imaging.
  • Patients must consent to provide the sponsor with tumor tissue samples from their resected liver metastases.
  • Easter Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • Female patients who are post menopausal, surgically sterile, or agree to practice effective methods of contraception from the time of signing the informed consent form through 60 days after the dose of [68Ga]MLN6907 or agree to practice true abstinence.
  • Male patients who agree to practice effective barrier contraception during the entire study treatment period and through 4 months after the dose of [68Ga]MLN6907 or agree to practice true abstinence.
  • Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care.
  • Suitable venous access for the study-required, blood sampling (ie, including PK sampling)
  • Adequate hepatic function as defined in the protocol.
  • Adequate renal function as defined in the protocol.
  • Hemoglobin ≥ 9 g/dL.
  • Recovery from all adverse effects from prior antitumor therapy to at least Common Terminology Criteria for Adverse Events (CTCAE) (V4.03) Grade 1.

Exclusion Criteria

Patients meeting any of the following exclusion criteria are not to be enrolled in the study.

  • Female patients who are lactating and breastfeeding or have a positive serum pregnancy test during the screening period or a positive urine pregnancy test on Day 1 before the first dose of [68Ga]MLN6907.
  • Any serious medical or psychiatric illness, condition, or personal circumstance, including severe claustrophobia, severe dyspnea, severe back pain, etc., that, in the judgment of the investigator or project clinician, might potentially interfere with the procedures required in this study.
  • Involvement in an investigative radioactive or other research procedure within 4 weeks prior to administration of [68Ga]MLN6907.
  • Major surgery within 14 days prior to administration of [68Ga]MLN6907 5. Serious infection (viral, bacterial, or fungal) within 14 days before administration of [68Ga]MLN6907 or evidence of active infection during screening.
  • Life-threatening illness unrelated to cancer.
  • Clinically significant central nervous system (CNS) metastases.
  • Known inflammatory bowel disease.
  • Known hepatitis B surface antigen-positive or known or suspected active hepatitis C infection (testing not required).
  • History of any hypersensitivity to any component of [68Ga]MLN6907.
  • Symptomatic cardiac disease, including ventricular dysfunction, coronary artery disease, or arrhythmias, if this would, in the opinion of the investigator or project clinician, interfere with assessment of efficacy or safety of [68Ga]MLN6907.
  • Admission or evidence of addictive disorders (eg, illicit drug use, drug abuse, or alcohol abuse) that would limit compliance with study requirements.
  • Inability to lie flat for the duration of image acquisition.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

[68Ga]MLN6907

Arm Description

Outcomes

Primary Outcome Measures

Adverse events (AEs), serious AEs (SAEs), assessments of clinical laboratory values, and vital sign measurements
Human organ and whole body absorbed dose values from organ kinetic quantification of [68Ga]MLN6907 uptake and clearance

Secondary Outcome Measures

Expert visual rating of [68Ga]MLN6907 liver tumor uptake and quantitative measurement of tumor-to-background (normal liver, muscle, etc.) ratio for each liver tumor
Time-activity curves for each liver tumor region of interest (ROI) and kinetic curves of the ratio of each liver tumor to background (including for normal liver, muscle, and blood); determination of the time for the maximum ratio for each tumor lesion
Plasma [68Ga]MLN6907 and MLN6907 drug substance precursor PK parameters and quantification of GCC levels in liver metastases
PK parameters include single-dose maximum (peak) concentration (Cmax), single-dose time to reach maximum (peak) concentration (Tmax), terminal disposition half-life (t1/2), and area under the plasma concentration versus time curve (AUC).
Correlate tumor uptake of [68Ga]MLN6907 measured by PET and the level of guanylyl cyclase C (GCC) expression in tumor lesions from surgical specimens , for tumors in individual patients and for aggregated liver tumors across patients

Full Information

First Posted
February 4, 2014
Last Updated
January 3, 2017
Sponsor
Millennium Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02056015
Brief Title
A Phase I Study of MLN6907 in Patients With Metastatic Colorectal
Official Title
A Phase 1, First-in-Human, Single-Dose, Open-Label, Positron Emission Tomography (PET) Imaging Study of [68Ga]MLN6907 in Patients With Metastatic Colorectal Carcinoma.
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
September 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Millennium Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a first-in-human (FIH), single-dose, open-label, phase 1 study designed to assess the safety, pharmacokinetics (PK), distribution, and radiation dosimetry of [68Ga]MLN6907 after a single intravenous (IV) administration. Patients with Metastatic Colorectal Carcinoma who are scheduled for resection of liver metastases as part of their treatment plan will be eligible for enrollment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Imaging of Solid Gastrointestinal Tumors

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
[68Ga]MLN6907
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
[68Ga]MLN6907
Intervention Description
IV Administration of [68Ga]MLN6907 on Day 1
Primary Outcome Measure Information:
Title
Adverse events (AEs), serious AEs (SAEs), assessments of clinical laboratory values, and vital sign measurements
Time Frame
Duration of study up to 26 months
Title
Human organ and whole body absorbed dose values from organ kinetic quantification of [68Ga]MLN6907 uptake and clearance
Time Frame
Day 1
Secondary Outcome Measure Information:
Title
Expert visual rating of [68Ga]MLN6907 liver tumor uptake and quantitative measurement of tumor-to-background (normal liver, muscle, etc.) ratio for each liver tumor
Time Frame
Duration of study up to 26 months
Title
Time-activity curves for each liver tumor region of interest (ROI) and kinetic curves of the ratio of each liver tumor to background (including for normal liver, muscle, and blood); determination of the time for the maximum ratio for each tumor lesion
Time Frame
Duration of study up to 26 months
Title
Plasma [68Ga]MLN6907 and MLN6907 drug substance precursor PK parameters and quantification of GCC levels in liver metastases
Description
PK parameters include single-dose maximum (peak) concentration (Cmax), single-dose time to reach maximum (peak) concentration (Tmax), terminal disposition half-life (t1/2), and area under the plasma concentration versus time curve (AUC).
Time Frame
Day 1
Title
Correlate tumor uptake of [68Ga]MLN6907 measured by PET and the level of guanylyl cyclase C (GCC) expression in tumor lesions from surgical specimens , for tumors in individual patients and for aggregated liver tumors across patients
Time Frame
Duration of study up to 26 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Each patient must meet all of the following inclusion criteria to be enrolled in the study: Male or female patients 18 years or older. Must be diagnosed with colorectal cancer (CRC) with liver metastasis and eligible and scheduled for resection of liver metastases as part of their standard of care treatment plan. The planned surgery must occur greater than 14 days after the day of imaging. Patients must consent to provide the sponsor with tumor tissue samples from their resected liver metastases. Easter Cooperative Oncology Group (ECOG) performance status of 0 to 1. Female patients who are post menopausal, surgically sterile, or agree to practice effective methods of contraception from the time of signing the informed consent form through 60 days after the dose of [68Ga]MLN6907 or agree to practice true abstinence. Male patients who agree to practice effective barrier contraception during the entire study treatment period and through 4 months after the dose of [68Ga]MLN6907 or agree to practice true abstinence. Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care. Suitable venous access for the study-required, blood sampling (ie, including PK sampling) Adequate hepatic function as defined in the protocol. Adequate renal function as defined in the protocol. Hemoglobin ≥ 9 g/dL. Recovery from all adverse effects from prior antitumor therapy to at least Common Terminology Criteria for Adverse Events (CTCAE) (V4.03) Grade 1. Exclusion Criteria Patients meeting any of the following exclusion criteria are not to be enrolled in the study. Female patients who are lactating and breastfeeding or have a positive serum pregnancy test during the screening period or a positive urine pregnancy test on Day 1 before the first dose of [68Ga]MLN6907. Any serious medical or psychiatric illness, condition, or personal circumstance, including severe claustrophobia, severe dyspnea, severe back pain, etc., that, in the judgment of the investigator or project clinician, might potentially interfere with the procedures required in this study. Involvement in an investigative radioactive or other research procedure within 4 weeks prior to administration of [68Ga]MLN6907. Major surgery within 14 days prior to administration of [68Ga]MLN6907 5. Serious infection (viral, bacterial, or fungal) within 14 days before administration of [68Ga]MLN6907 or evidence of active infection during screening. Life-threatening illness unrelated to cancer. Clinically significant central nervous system (CNS) metastases. Known inflammatory bowel disease. Known hepatitis B surface antigen-positive or known or suspected active hepatitis C infection (testing not required). History of any hypersensitivity to any component of [68Ga]MLN6907. Symptomatic cardiac disease, including ventricular dysfunction, coronary artery disease, or arrhythmias, if this would, in the opinion of the investigator or project clinician, interfere with assessment of efficacy or safety of [68Ga]MLN6907. Admission or evidence of addictive disorders (eg, illicit drug use, drug abuse, or alcohol abuse) that would limit compliance with study requirements. Inability to lie flat for the duration of image acquisition.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Millennium Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
City
Iowa City
State/Province
Iowa
Country
United States
City
Albuquerque
State/Province
New Mexico
Country
Mexico

12. IPD Sharing Statement

Learn more about this trial

A Phase I Study of MLN6907 in Patients With Metastatic Colorectal

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