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Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node Dissection

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
99mTc-MIP-1404
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

Eligibility Criteria

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

Inclusion Criteria:

  1. Male aged 21 years or older.
  2. Ability to provide signed informed consent and willingness to comply with protocol requirements.
  3. Past biopsy indicating the presence of adenocarcinoma of the prostate gland.
  4. Participant is deemed to be high-risk with potential for pelvic lymph node involvement. The criteria for high-risk are:

    • Patient has PSA value >10 and clinical stage T2 or higher, and Gleason score 8, 9 or 10.
    • Patient has PSA value >20 and clinical stage T2 or higher, and Gleason score
  5. Participant is or will be scheduled to undergo standard of care prostatectomy and/or pelvic lymph node dissection.
  6. Have had (within previous 2 months) or will undergo diagnostic CT or MRI imaging prior to surgery.
  7. Have had (within previous 2 months) or will undergo bone scan imaging prior to surgery.
  8. Participants must agree to use an acceptable form of birth control throughout the study period. Participants must use condoms for a period of seven days after each injection, if engaged in sexual activity.

Exclusion Criteria:

  1. Participants for whom participating would significantly delay the scheduled standard of care therapy.
  2. Participants administered a radioisotope within 5 physical half lives prior to study enrollment.
  3. Participants with any medical condition or other circumstances that, in the opinion of the Investigator, would significantly decrease obtaining reliable data, achieving study objectives or completing the study.

Sites / Locations

  • Weill Cornell Medical College

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

20 (±3) mCi of study drug

Arm Description

Outcomes

Primary Outcome Measures

Tissue distribution of 20 (± 3) mCi 99mTc-MIP-1404
99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Secondary Outcome Measures

Safety of 99mTc-MIP-1404: Change in Vital Signs from Pre-Dose to Post-Dose
Summary tables will present change from pre-dose to post-dose vital signs measurements.
Intensity of 99mTc-MIP-1404 Uptake with Respect to PSMA expression
99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.
Safety of 99mTc-MIP-1404: Summary of Treatment-Emergent Adverse Events (TEAEs)
TEAEs will be summarized by the Medical Dictionary for Regulatory Activities (MedDRA) body system and preferred term, by intensity, and by causal relationship to study agent.

Full Information

First Posted
December 5, 2011
Last Updated
November 23, 2015
Sponsor
Molecular Insight Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01572701
Brief Title
Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node Dissection
Official Title
A Phase 1 Pilot Study of 99mTc-MIP-1404 Single Photon Emission Computed Tomography (SPECT)/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node Dissection (PLND)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
June 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 arm, open label study of up to 24 high risk prostate cancer patients scheduled for prostatectomy and/or pelvic lymph node dissection. Patients receive a single IV dose of 99mTc-MIP-1404 (study drug) followed by SPECT/CT scan 3-6 hours after injection. As standard of care, patients will undergo prostatectomy and/or pelvic lymph node dissection (PLND) within two weeks of study drug dosing. Patients may receive a second injection of study drug within 24 hours of surgery to measure activity counts in tissue samples post-surgery, but prior to pathology processing. 99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
20 (±3) mCi of study drug
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
99mTc-MIP-1404
Intervention Description
20 (±3) mCi of study drug will be administered by IV injection as a slow bolus and flushed with approximately 10 mL of saline
Primary Outcome Measure Information:
Title
Tissue distribution of 20 (± 3) mCi 99mTc-MIP-1404
Description
99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.
Time Frame
Post-procedure
Secondary Outcome Measure Information:
Title
Safety of 99mTc-MIP-1404: Change in Vital Signs from Pre-Dose to Post-Dose
Description
Summary tables will present change from pre-dose to post-dose vital signs measurements.
Time Frame
Vital signs measurements will be measured, an expected average of 30 minutes before and after study drug injection
Title
Intensity of 99mTc-MIP-1404 Uptake with Respect to PSMA expression
Description
99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.
Time Frame
Post-procedure
Title
Safety of 99mTc-MIP-1404: Summary of Treatment-Emergent Adverse Events (TEAEs)
Description
TEAEs will be summarized by the Medical Dictionary for Regulatory Activities (MedDRA) body system and preferred term, by intensity, and by causal relationship to study agent.
Time Frame
Adverse events will be assessed for the duration of the study participation, an expected average of 3 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male aged 21 years or older. Ability to provide signed informed consent and willingness to comply with protocol requirements. Past biopsy indicating the presence of adenocarcinoma of the prostate gland. Participant is deemed to be high-risk with potential for pelvic lymph node involvement. The criteria for high-risk are: Patient has PSA value >10 and clinical stage T2 or higher, and Gleason score 8, 9 or 10. Patient has PSA value >20 and clinical stage T2 or higher, and Gleason score Participant is or will be scheduled to undergo standard of care prostatectomy and/or pelvic lymph node dissection. Have had (within previous 2 months) or will undergo diagnostic CT or MRI imaging prior to surgery. Have had (within previous 2 months) or will undergo bone scan imaging prior to surgery. Participants must agree to use an acceptable form of birth control throughout the study period. Participants must use condoms for a period of seven days after each injection, if engaged in sexual activity. Exclusion Criteria: Participants for whom participating would significantly delay the scheduled standard of care therapy. Participants administered a radioisotope within 5 physical half lives prior to study enrollment. Participants with any medical condition or other circumstances that, in the opinion of the Investigator, would significantly decrease obtaining reliable data, achieving study objectives or completing the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Douglas S Scherr, MD
Organizational Affiliation
New York Presbyterian Hospital - Weill Medical College of Cornell University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Weill Cornell Medical College
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
15564406
Citation
Jung JA, Coakley FV, Vigneron DB, Swanson MG, Qayyum A, Weinberg V, Jones KD, Carroll PR, Kurhanewicz J. Prostate depiction at endorectal MR spectroscopic imaging: investigation of a standardized evaluation system. Radiology. 2004 Dec;233(3):701-8. doi: 10.1148/radiol.2333030672.
Results Reference
background
PubMed Identifier
18405751
Citation
Swindle P, Eastham JA, Ohori M, Kattan MW, Wheeler T, Maru N, Slawin K, Scardino PT. Do margins matter? The prognostic significance of positive surgical margins in radical prostatectomy specimens. J Urol. 2008 May;179(5 Suppl):S47-51. doi: 10.1016/j.juro.2008.03.137.
Results Reference
background
PubMed Identifier
11962189
Citation
Hocht S, Wiegel T, Bottke D, Jentsch H, Sternemann M, Rosenthal P, Hinkelbein W. Computed tomogram prior to prostatectomy. Advantage in defining planning target volumes for postoperative adjuvant radiotherapy in patients with stage C prostate cancer? Strahlenther Onkol. 2002 Mar;178(3):134-8. doi: 10.1007/s00066-002-0896-9.
Results Reference
background
PubMed Identifier
11007527
Citation
Kotzerke J, Prang J, Neumaier B, Volkmer B, Guhlmann A, Kleinschmidt K, Hautmann R, Reske SN. Experience with carbon-11 choline positron emission tomography in prostate carcinoma. Eur J Nucl Med. 2000 Sep;27(9):1415-9. doi: 10.1007/s002590000309.
Results Reference
background
PubMed Identifier
9816319
Citation
Pinto JT, Suffoletto BP, Berzin TM, Qiao CH, Lin S, Tong WP, May F, Mukherjee B, Heston WD. Prostate-specific membrane antigen: a novel folate hydrolase in human prostatic carcinoma cells. Clin Cancer Res. 1996 Sep;2(9):1445-51.
Results Reference
background
PubMed Identifier
11016653
Citation
Smith-Jones PM, Vallabahajosula S, Goldsmith SJ, Navarro V, Hunter CJ, Bastidas D, Bander NH. In vitro characterization of radiolabeled monoclonal antibodies specific for the extracellular domain of prostate-specific membrane antigen. Cancer Res. 2000 Sep 15;60(18):5237-43.
Results Reference
background
PubMed Identifier
14755683
Citation
Ghosh A, Heston WD. Tumor target prostate specific membrane antigen (PSMA) and its regulation in prostate cancer. J Cell Biochem. 2004 Feb 15;91(3):528-39. doi: 10.1002/jcb.10661.
Results Reference
background
PubMed Identifier
16555021
Citation
Kinoshita Y, Kuratsukuri K, Landas S, Imaida K, Rovito PM Jr, Wang CY, Haas GP. Expression of prostate-specific membrane antigen in normal and malignant human tissues. World J Surg. 2006 Apr;30(4):628-36. doi: 10.1007/s00268-005-0544-5.
Results Reference
background
PubMed Identifier
17290063
Citation
Milowsky MI, Nanus DM, Kostakoglu L, Sheehan CE, Vallabhajosula S, Goldsmith SJ, Ross JS, Bander NH. Vascular targeted therapy with anti-prostate-specific membrane antigen monoclonal antibody J591 in advanced solid tumors. J Clin Oncol. 2007 Feb 10;25(5):540-7. doi: 10.1200/JCO.2006.07.8097.
Results Reference
background
PubMed Identifier
19706750
Citation
Hillier SM, Maresca KP, Femia FJ, Marquis JC, Foss CA, Nguyen N, Zimmerman CN, Barrett JA, Eckelman WC, Pomper MG, Joyal JL, Babich JW. Preclinical evaluation of novel glutamate-urea-lysine analogues that target prostate-specific membrane antigen as molecular imaging pharmaceuticals for prostate cancer. Cancer Res. 2009 Sep 1;69(17):6932-40. doi: 10.1158/0008-5472.CAN-09-1682. Epub 2009 Aug 25.
Results Reference
background
PubMed Identifier
18474004
Citation
Olson WC, Heston WD, Rajasekaran AK. Clinical trials of cancer therapies targeting prostate-specific membrane antigen. Rev Recent Clin Trials. 2007 Sep;2(3):182-90. doi: 10.2174/157488707781662724.
Results Reference
background
PubMed Identifier
15840561
Citation
Rajasekaran AK, Anilkumar G, Christiansen JJ. Is prostate-specific membrane antigen a multifunctional protein? Am J Physiol Cell Physiol. 2005 May;288(5):C975-81. doi: 10.1152/ajpcell.00506.2004.
Results Reference
background
PubMed Identifier
15948673
Citation
Slovin SF. Targeting novel antigens for prostate cancer treatment: focus on prostate-specific membrane antigen. Expert Opin Ther Targets. 2005 Jun;9(3):561-70. doi: 10.1517/14728222.9.3.561.
Results Reference
background

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Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node Dissection

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