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A Study of 99mTc-MIP-1404 and 99mTc-MIP-1405 in Patients With Metastatic Prostate Adenocarcinoma and Healthy Volunteers

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
99mTc MIP 1404
99mTc MIP 1405
Sponsored by
Molecular Insight Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Prostate Cancer focused on measuring Metastatic Prostate Adenocarcinoma

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

Participants must meet all of the following criteria to be enrolled in this study.

  1. Male aged 21 years or older.
  2. Ability to provide signed informed consent and willingness to comply with protocol requirements.
  3. Participants must agree to use condoms for a period of seven days after each injection, if engaged in sexual activity.

Additional Inclusion Criteria for Patients:

i. Histologic diagnosis of prostate cancer by validated medical history. (Pathology report, if available).

ii. Evidence of metastatic disease demonstrated by a documented abnormal bone scan, CT scan, or MRI plus a Clinical Stage 3 and Gleason Score ≥ 8.

iii. Karnofsky performance is ≥ 60.

Additional Inclusion Criteria for Healthy Volunteers:

i. PSA laboratory assessment within normal range (PSA < 4 ng/ml). ii. Normal findings on a digital rectal examination. iii. Hemoglobin and hematocrit within normal range.

Exclusion Criteria:

Participants must NOT meet any of the following criteria to be enrolled in this study.

  1. Received an investigational compound and/or medical device or is part of an investigational study within the past 30 days before enrollment into this study.
  2. Subject was administered a radioisotope within 5 physical half lives of that radioisotope prior to study enrollment
  3. Have any medical condition or other circumstances which, in the opinion of the Investigator, would significantly decrease the chances of obtaining reliable data, achieving study objectives, or completing the study and/or post dose follow-up examinations.
  4. Participant is determined by the Investigator to be clinically unsuitable for the study.
  5. Serum creatinine ≥ 2.0 mg/dl
  6. Total bilirubin ≥ 2.0 mg/dl
  7. Liver transaminases ≥ 1.5 x ULN
  8. Platelet count < 150,000/mm3
  9. Absolute neutrophil count (ANC) < 2,000/mm3.
  10. Hematocrit < 30% or hemoglobin < 10 g/dl.
  11. Abnormal coagulation profile (PT, PTT or INR) > 1.3 ULN unless on therapeutic anticoagulation.

Additional Exclusion Criteria for Patients:

Patients will be excluded from the study if any of the following criteria are observed:

i. Androgen deprivation therapy or other forms of hormonal therapy not stable for a period of 14 days prior to screening.

ii. Subject has received a permanent prostate brachytherapy implant within the last 3 months for 103Pd implants; or 12 months for 125I implants.

iii. Subject on or expected to be starting cytotoxic chemotherapy during the study period.

iv. Has had any other malignancies within the past year, other than basal or squamous cell carcinoma of the skin, diagnosis and location must be defined or be defined as clinically controlled or treated to complete response.

Additional Exclusion Criteria for Healthy Volunteers:

Healthy Volunteers will be excluded from the study if any of the following criteria are observed:

i. Have had any malignancies within 5 years other than basal or squamous cell carcinoma of the skin.

ii. History of known prostate adenocarcinoma, prostate surgery/biopsy, prostatitis and/or symptoms suggestive of or associated with possible prostatitis within 6 months of enrollment.

Sites / Locations

  • New York Presbyterian Hospital - Weill Medical College of Cornell University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Metastatic prostate adenocarcinoma

Healthy Volunteers

Newly Diagnosed, High-Risk Prosate Cancer Patients

Arm Description

Outcomes

Primary Outcome Measures

Safety of Administered dose
The safety data will be summarized for all patients receiving at least one dose of study drug. Summary tables, including change from pre dose to post dose where applicable, will be presented for the following safety endpoints: Treatment emergent adverse events Clinical Laboratory Evaluations Physical examination, vital signs, and ECGs
Pharmacokinetics of Administered Dose
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.
Biodistribution of Administered Dose
Percent of injected activity (%IA) in a set of source organs will be determined by comparing a reference whole body scan to subsequent whole body scans to determine percentage of administered activity for source organs at the various scanning times. This biodistribution data will then be used to mathematically model source organ residence times, which will be used to estimate radiation absorbed dose to target organs. Percent injected activity and estimated residence times will be summarized by organ.

Secondary Outcome Measures

Excretion of administered dose
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.
Dosimetry of administered dose
To calculate the estimated radiation dosimetry to normal organs based on the pharmacokinetic and normal tissue distribution in patients with confirmed metastatic prostate adenocarcinoma and in healthy volunteers
Metabolism of administered dose
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.

Full Information

First Posted
November 18, 2010
Last Updated
November 23, 2015
Sponsor
Molecular Insight Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01261754
Brief Title
A Study of 99mTc-MIP-1404 and 99mTc-MIP-1405 in Patients With Metastatic Prostate Adenocarcinoma and Healthy Volunteers
Official Title
A Phase I Study of the PK, Tissue Distribution and Metabolism of Small Molecule Inhibitors of Prostate Specific Membrane Antigen, 99mTc-MIP-1404 and 99mTc-MIP-1405, in Patients With Metastatic Prostate Adenocarcinoma and Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
February 2012 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single-blind, randomized, cross-over design. Patients with metastatic prostate adenocarcinoma; newly diagnosed, high-risk patients with prostate adenocarcinoma; and healthy subjects will be administered a single intravenous dose of each of the study drugs 99mTc MIP 1404 and 99mTc MIP 1405 administered approximately 14 to 21 days apart.
Detailed Description
This trial is a single-blind, randomized, cross-over design. Up to six patients with confirmed metastatic prostate adenocarcinoma; six newly diagnosed, high-risk patients with prostate adenocarcinoma; and up to six healthy volunteers will receive 20.0 (± 3) mCi of intravenously administered 99mTc MIP 1404 or 99mTc MIP 1405. Whole-body planar scintigraphic images will be acquired at various times post-injection over 24 hours. A pelvic SPECT/CT image will be acquired on the first day. Blood and urine will be collected for pharmacokinetic measurements and metabolic analysis over 24 hours. Each patient will receive an initial study drug administration and a second study drug administration approximately 14 to 21 days after the first. A final follow-up visit will occur approximately 2-3 weeks after the second study drug.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Metastatic Prostate Adenocarcinoma

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Metastatic prostate adenocarcinoma
Arm Type
Active Comparator
Arm Title
Healthy Volunteers
Arm Type
Active Comparator
Arm Title
Newly Diagnosed, High-Risk Prosate Cancer Patients
Arm Type
Active Comparator
Intervention Type
Radiation
Intervention Name(s)
99mTc MIP 1404
Intervention Description
Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1404
Intervention Type
Radiation
Intervention Name(s)
99mTc MIP 1405
Intervention Description
Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405
Primary Outcome Measure Information:
Title
Safety of Administered dose
Description
The safety data will be summarized for all patients receiving at least one dose of study drug. Summary tables, including change from pre dose to post dose where applicable, will be presented for the following safety endpoints: Treatment emergent adverse events Clinical Laboratory Evaluations Physical examination, vital signs, and ECGs
Time Frame
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)
Title
Pharmacokinetics of Administered Dose
Description
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.
Time Frame
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)
Title
Biodistribution of Administered Dose
Description
Percent of injected activity (%IA) in a set of source organs will be determined by comparing a reference whole body scan to subsequent whole body scans to determine percentage of administered activity for source organs at the various scanning times. This biodistribution data will then be used to mathematically model source organ residence times, which will be used to estimate radiation absorbed dose to target organs. Percent injected activity and estimated residence times will be summarized by organ.
Time Frame
: From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)
Secondary Outcome Measure Information:
Title
Excretion of administered dose
Description
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.
Time Frame
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)
Title
Dosimetry of administered dose
Description
To calculate the estimated radiation dosimetry to normal organs based on the pharmacokinetic and normal tissue distribution in patients with confirmed metastatic prostate adenocarcinoma and in healthy volunteers
Time Frame
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)
Title
Metabolism of administered dose
Description
Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.
Time Frame
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must meet all of the following criteria to be enrolled in this study. Male aged 21 years or older. Ability to provide signed informed consent and willingness to comply with protocol requirements. Participants must agree to use condoms for a period of seven days after each injection, if engaged in sexual activity. Additional Inclusion Criteria for Patients: i. Histologic diagnosis of prostate cancer by validated medical history. (Pathology report, if available). ii. Evidence of metastatic disease demonstrated by a documented abnormal bone scan, CT scan, or MRI plus a Clinical Stage 3 and Gleason Score ≥ 8. iii. Karnofsky performance is ≥ 60. Additional Inclusion Criteria for Healthy Volunteers: i. PSA laboratory assessment within normal range (PSA < 4 ng/ml). ii. Normal findings on a digital rectal examination. iii. Hemoglobin and hematocrit within normal range. Exclusion Criteria: Participants must NOT meet any of the following criteria to be enrolled in this study. Received an investigational compound and/or medical device or is part of an investigational study within the past 30 days before enrollment into this study. Subject was administered a radioisotope within 5 physical half lives of that radioisotope prior to study enrollment Have any medical condition or other circumstances which, in the opinion of the Investigator, would significantly decrease the chances of obtaining reliable data, achieving study objectives, or completing the study and/or post dose follow-up examinations. Participant is determined by the Investigator to be clinically unsuitable for the study. Serum creatinine ≥ 2.0 mg/dl Total bilirubin ≥ 2.0 mg/dl Liver transaminases ≥ 1.5 x ULN Platelet count < 150,000/mm3 Absolute neutrophil count (ANC) < 2,000/mm3. Hematocrit < 30% or hemoglobin < 10 g/dl. Abnormal coagulation profile (PT, PTT or INR) > 1.3 ULN unless on therapeutic anticoagulation. Additional Exclusion Criteria for Patients: Patients will be excluded from the study if any of the following criteria are observed: i. Androgen deprivation therapy or other forms of hormonal therapy not stable for a period of 14 days prior to screening. ii. Subject has received a permanent prostate brachytherapy implant within the last 3 months for 103Pd implants; or 12 months for 125I implants. iii. Subject on or expected to be starting cytotoxic chemotherapy during the study period. iv. Has had any other malignancies within the past year, other than basal or squamous cell carcinoma of the skin, diagnosis and location must be defined or be defined as clinically controlled or treated to complete response. Additional Exclusion Criteria for Healthy Volunteers: Healthy Volunteers will be excluded from the study if any of the following criteria are observed: i. Have had any malignancies within 5 years other than basal or squamous cell carcinoma of the skin. ii. History of known prostate adenocarcinoma, prostate surgery/biopsy, prostatitis and/or symptoms suggestive of or associated with possible prostatitis within 6 months of enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stanley J Goldsmith, MD
Organizational Affiliation
New York Presbyterian Hospital - Weill Medical College of Cornell University
Official's Role
Principal Investigator
Facility Information:
Facility Name
New York Presbyterian Hospital - Weill Medical College of Cornell University
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States

12. IPD Sharing Statement

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A Study of 99mTc-MIP-1404 and 99mTc-MIP-1405 in Patients With Metastatic Prostate Adenocarcinoma and Healthy Volunteers

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