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Study to Assess the Safety and Efficacy of Intravenous Injection of the Imaging Agent 111In-IPN01087 in Patients With Locally Advanced or Metastatic Pancreatic or Colorectal Cancer.

Primary Purpose

Pancreatic Ductal Adenocarcinoma, Colorectal Cancer

Status
Withdrawn
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
111In-IPN01087 Low dose
111In-IPN01087 High dose
Sponsored by
Ipsen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Pancreatic Ductal Adenocarcinoma

Eligibility Criteria

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

Inclusion Criteria:

  • Signed informed consent form prior to all study procedures.
  • Male or female patients ≥18 years.
  • Histologically confirmed locally advanced or metastatic Pancreatic ductal adenocarcinoma (PDAC) or Colorectal cancer (CRC), not amenable to treatment with curative intent.
  • At least one lesion identified by CT or MRI as being ≥2 cm in the longest diameter on axial plane, which has not been previously treated with external beam radiation.
  • Eastern Cooperative Oncology Group performance status of 0, 1 or 2.
  • Estimated life expectancy >3 months.
  • Clinically acceptable medical history, physical examination and vital signs findings during the screening period
  • Adequate organ function as evidence by: Leukocytes ≥2000/μL, Absolute neutrophil count ≥750/μL, Platelets ≥75,000/μL, Haemoglobin ≥10 g/dL, Total serum bilirubin ≤1.5×upper limit of normal range (or in case of hepatic metastases ≤2.5 x upper limit of normal range), Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ≤ 3×upper limit of normal range (or in case of hepatic metastases ≤5 x upper limit of normal range), Estimated glomerular filtration rate ≥50 mL/min.
  • Willing and able to comply with study restrictions, including remaining at the clinic for the required time during the study period, and willing to return to the clinic for the follow-up evaluation, as specified in the protocol.
  • For women of childbearing potential (neither surgically sterile nor post-menopausal defined as no menses for 12 months without an alternative medical cause), a negative highly sensitive pregnancy test must be documented at the screening visit (serum test).
  • Female patients of childbearing potential (not surgically sterile or post-menopause defined as no menses for 12 months without an alternative medical cause) must use a medically accepted highly effective method of contraception and must agree to use this method for the duration of the study (from screening until 6 months after administration of 111In-IPN01087).
  • Male patients must agree to use a condom for the duration of the study and for at least 90 days after administration of 111In-IPN01087.
  • Male patients with female partners of childbearing potential must use a medically accepted highly effective method of contraception and must agree to use this method for the duration of the study and for at least 90 days after administration of 111In-IPN01087.

Exclusion Criteria:

  • Known allergy to the investigational imaging product (IIP) or its excipients administered in this study.
  • Any newly commenced licensed or investigational anti-cancer therapy within 30 days prior to IIP administration. Therapies started more than 30 days prior to IIP administration can be continued, provided patients have adequate organ function as per inclusion criteria.
  • Receiving, or scheduled to receive, another IIP from 1 month before screening to 1 week after administration of 111In-IPN01087.
  • Administration of any radiopharmaceutical within eight half lives of that radionuclide before IIP administration.
  • Any unresolved NCI-CTCAE Grade 2 or higher (except alopecia or where Grade 3 is permissible as per the inclusion criteria)
  • Any condition that precludes adequate SPECT and/or CT imaging, e.g. patients unable to lie still for the entire imaging time, or metal prosthetics which interfere with CT (hip and knee prosthetics are acceptable).
  • Clinically significant abnormalities on ECG at screening
  • Any uncontrolled significant medical, psychiatric or surgical condition or laboratory finding that would pose a risk to patient safety, or interfere with study participation, or interpretation of individual patient results.
  • Pregnancy, lactation, or breastfeeding.
  • Unable to understand the nature, scope and possible consequences of the study, in the judgment of the investigator.

Sites / Locations

  • Institut Jules Bordet
  • UZ Leuven
  • Centre Léon Bérard
  • CHRU de Nancy - Hôpital de Brabois
  • CHU de Nantes - Hôpital Hôtel Dieu

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

111In-IPN01087 Low dose

111In-IPN01087 High dose

Arm Description

Single intravenous injection of 220 MBq 111In-IPN01087 with a low mass dose of IPN01087

Single intravenous injection of 220 MBq 111In-IPN01087 with a high mass dose of IPN01087

Outcomes

Primary Outcome Measures

Incidence of Treatment-emergent adverse events
Safety and Tolerability

Secondary Outcome Measures

Whole body biodistribution of 111In-IPN01087 using whole body planar imaging
Maximum uptake by source region and the entire body
Time-integrated activity coefficients by source region and the entire body
Absorbed Radiation doses per organ
Specific absorbed radiation doses per organ
Organs receiving the highest radiation dose.
Normalized whole body effective dose
Total effective dose
Optimal imaging time window assessed as maximum tumour contrast on single photon emission computed tomography/computed tomography (SPECT/CT) imaging at all available timepoints post injection
Time for maximal activity in blood
Area under the time-activity curve from time 0 to the time of the last quantifiable concentration
Apparent terminal elimination half life
Cumulative amount of 111In-IPN01087 excreted in the urine over 48 hours
Fraction of the administered 111In-IPN01087 excreted in urine over 48 hours
Renal clearance of 111In-IPN01087
Optimal injected radioactivity range

Full Information

First Posted
October 23, 2020
Last Updated
August 22, 2022
Sponsor
Ipsen
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1. Study Identification

Unique Protocol Identification Number
NCT04632199
Brief Title
Study to Assess the Safety and Efficacy of Intravenous Injection of the Imaging Agent 111In-IPN01087 in Patients With Locally Advanced or Metastatic Pancreatic or Colorectal Cancer.
Official Title
A Phase I, Open Label, Study to Assess Safety, Tolerability, Biodistribution, Radiation Dosimetry and SPECT/CT Imaging Characteristics of Intravenous 111In-IPN01087 in Patients With Locally Advanced or Metastatic Pancreatic Ductal Adenocarcinoma or Colorectal Cancer.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Business decision not related to any safety or tolerability concern
Study Start Date
March 12, 2021 (Anticipated)
Primary Completion Date
December 10, 2021 (Anticipated)
Study Completion Date
December 10, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ipsen

4. Oversight

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

5. Study Description

Brief Summary
111Indium-labelled IPN01087 (111In-IPN01087) is developed as a radioactive diagnostic imaging agent in patients with colorectal or pancreatic cancer. It is used with single-photon emission computed tomography (SPECT) for the identification of tumours that overexpress the neurotensin receptor-1 (NTSR1). The purpose of this study is to assess how well 111In-IPN01087 is tolerated and what the most suitable amount to be injected is to obtain good quality images. The study will also look at how 111In-IPN01087 is distributed throughout the body and what the optimal time for doing the scans will be after it has been given as a single intravenous injection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Ductal Adenocarcinoma, Colorectal Cancer

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
111In-IPN01087 Low dose
Arm Type
Experimental
Arm Description
Single intravenous injection of 220 MBq 111In-IPN01087 with a low mass dose of IPN01087
Arm Title
111In-IPN01087 High dose
Arm Type
Experimental
Arm Description
Single intravenous injection of 220 MBq 111In-IPN01087 with a high mass dose of IPN01087
Intervention Type
Drug
Intervention Name(s)
111In-IPN01087 Low dose
Intervention Description
Administered once via slow intravenous injection.
Intervention Type
Drug
Intervention Name(s)
111In-IPN01087 High dose
Intervention Description
Administered once via slow intravenous injection.
Primary Outcome Measure Information:
Title
Incidence of Treatment-emergent adverse events
Description
Safety and Tolerability
Time Frame
From baseline until the end of study (12 months)
Secondary Outcome Measure Information:
Title
Whole body biodistribution of 111In-IPN01087 using whole body planar imaging
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Maximum uptake by source region and the entire body
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Time-integrated activity coefficients by source region and the entire body
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Absorbed Radiation doses per organ
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Specific absorbed radiation doses per organ
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Organs receiving the highest radiation dose.
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Normalized whole body effective dose
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Total effective dose
Time Frame
Day 1 (30 minutes and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Optimal imaging time window assessed as maximum tumour contrast on single photon emission computed tomography/computed tomography (SPECT/CT) imaging at all available timepoints post injection
Time Frame
Day 1 (6 hours post-dose), Day 2, Day 3 and Day 4
Title
Time for maximal activity in blood
Time Frame
Day 1 (pre-dose, immediately after the end of the 111In-IPN01087 injection (Time 0), 30 minutes, 2 hours, 4 hours and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Area under the time-activity curve from time 0 to the time of the last quantifiable concentration
Time Frame
Day 1 (pre-dose, immediately after the end of the 111In-IPN01087 injection (Time 0), 30 minutes, 2 hours, 4 hours and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Apparent terminal elimination half life
Time Frame
Day 1 (pre-dose, immediately after the end of the 111In-IPN01087 injection (Time 0), 30 minutes, 2 hours, 4 hours and 6 hours post-dose), Day 2, Day 3 and Day 4
Title
Cumulative amount of 111In-IPN01087 excreted in the urine over 48 hours
Time Frame
From the time of the 111In-IPN01087 injection to 6 hours, from 6 hours to 24 hours and from 24 hours to 48 hours
Title
Fraction of the administered 111In-IPN01087 excreted in urine over 48 hours
Time Frame
From the time of the 111In-IPN01087 injection to 6 hours, from 6 hours to 24 hours and from 24 hours to 48 hours
Title
Renal clearance of 111In-IPN01087
Time Frame
From the time of the 111In-IPN01087 injection to 48 hours
Title
Optimal injected radioactivity range
Time Frame
Day 1 (6 hours post-dose), Day 2, Day 3 and Day 4.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent form prior to all study procedures. Male or female patients ≥18 years. Histologically confirmed locally advanced or metastatic Pancreatic ductal adenocarcinoma (PDAC) or Colorectal cancer (CRC), not amenable to treatment with curative intent. At least one lesion identified by CT or MRI as being ≥2 cm in the longest diameter on axial plane, which has not been previously treated with external beam radiation. Eastern Cooperative Oncology Group performance status of 0, 1 or 2. Estimated life expectancy >3 months. Clinically acceptable medical history, physical examination and vital signs findings during the screening period Adequate organ function as evidence by: Leukocytes ≥2000/μL, Absolute neutrophil count ≥750/μL, Platelets ≥75,000/μL, Haemoglobin ≥10 g/dL, Total serum bilirubin ≤1.5×upper limit of normal range (or in case of hepatic metastases ≤2.5 x upper limit of normal range), Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ≤ 3×upper limit of normal range (or in case of hepatic metastases ≤5 x upper limit of normal range), Estimated glomerular filtration rate ≥50 mL/min. Willing and able to comply with study restrictions, including remaining at the clinic for the required time during the study period, and willing to return to the clinic for the follow-up evaluation, as specified in the protocol. For women of childbearing potential (neither surgically sterile nor post-menopausal defined as no menses for 12 months without an alternative medical cause), a negative highly sensitive pregnancy test must be documented at the screening visit (serum test). Female patients of childbearing potential (not surgically sterile or post-menopause defined as no menses for 12 months without an alternative medical cause) must use a medically accepted highly effective method of contraception and must agree to use this method for the duration of the study (from screening until 6 months after administration of 111In-IPN01087). Male patients must agree to use a condom for the duration of the study and for at least 90 days after administration of 111In-IPN01087. Male patients with female partners of childbearing potential must use a medically accepted highly effective method of contraception and must agree to use this method for the duration of the study and for at least 90 days after administration of 111In-IPN01087. Exclusion Criteria: Known allergy to the investigational imaging product (IIP) or its excipients administered in this study. Any newly commenced licensed or investigational anti-cancer therapy within 30 days prior to IIP administration. Therapies started more than 30 days prior to IIP administration can be continued, provided patients have adequate organ function as per inclusion criteria. Receiving, or scheduled to receive, another IIP from 1 month before screening to 1 week after administration of 111In-IPN01087. Administration of any radiopharmaceutical within eight half lives of that radionuclide before IIP administration. Any unresolved NCI-CTCAE Grade 2 or higher (except alopecia or where Grade 3 is permissible as per the inclusion criteria) Any condition that precludes adequate SPECT and/or CT imaging, e.g. patients unable to lie still for the entire imaging time, or metal prosthetics which interfere with CT (hip and knee prosthetics are acceptable). Clinically significant abnormalities on ECG at screening Any uncontrolled significant medical, psychiatric or surgical condition or laboratory finding that would pose a risk to patient safety, or interfere with study participation, or interpretation of individual patient results. Pregnancy, lactation, or breastfeeding. Unable to understand the nature, scope and possible consequences of the study, in the judgment of the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ipsen Medical Director
Organizational Affiliation
Ipsen
Official's Role
Study Director
Facility Information:
Facility Name
Institut Jules Bordet
City
Brussels
ZIP/Postal Code
1000
Country
Belgium
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Centre Léon Bérard
City
Léon
ZIP/Postal Code
69008
Country
France
Facility Name
CHRU de Nancy - Hôpital de Brabois
City
Nancy
ZIP/Postal Code
54511
Country
France
Facility Name
CHU de Nantes - Hôpital Hôtel Dieu
City
Nantes
ZIP/Postal Code
44087
Country
France

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Assess the Safety and Efficacy of Intravenous Injection of the Imaging Agent 111In-IPN01087 in Patients With Locally Advanced or Metastatic Pancreatic or Colorectal Cancer.

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