Phase I Study of [177Lu]Lu-NNS309 in Patients With Pancreatic, Lung, Breast and Colorectal Cancers
Phase I Open-label, Multi-center Study to Evaluate the Safety, Tolerability, Dosimetry, and Preliminary Activity of [177Lu]Lu-NNS309 in Patients With Pancreatic, Lung, Breast and Colorectal Cancers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Novartis Pharmaceuticals
- Phone Number: 1-888-669-6682
- Email: novartis.email@novartis.com
Study Contact Backup
- Name: Novartis Pharmaceuticals
- Phone Number: +41613241111
- Email: novartis.email@novartis.com
Study Locations
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Brussels, Belgium, 1000
- Recruiting
- Novartis Investigative Site
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- Recruiting
- Novartis Investigative Site
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
- Recruiting
- Novartis Investigative Site
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Montreal, Quebec, Canada, H2X 1R9
- Recruiting
- Novartis Investigative Site
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Bron, France, 69677
- Recruiting
- Novartis Investigative Site
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Villejuif, France, 94800
- Recruiting
- Novartis Investigative Site
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Essen, Germany, 45147
- Recruiting
- Novartis Investigative Site
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München, Germany, 80377
- Recruiting
- Novartis Investigative Site
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Rostock, Germany, 18057
- Recruiting
- Novartis Investigative Site
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North Rhine-Westphalia
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Cologne, North Rhine-Westphalia, Germany, 50937
- Recruiting
- Novartis Investigative Site
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Tel Aviv, Israel, 6423906
- Recruiting
- Novartis Investigative Site
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MI
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Milan, MI, Italy, 20133
- Recruiting
- Novartis Investigative Site
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RE
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Reggio Emilia, RE, Italy, 42123
- Recruiting
- Novartis Investigative Site
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Utrecht, Netherlands, 3584 CX
- Recruiting
- Novartis Investigative Site
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Gelderland
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Nijmegen, Gelderland, Netherlands, 6500HB
- Recruiting
- Novartis Investigative Site
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Barcelona, Spain, 08036
- Recruiting
- Novartis Investigative Site
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Madrid, Spain, 28040
- Recruiting
- Novartis Investigative Site
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Madrid, Spain, 28009
- Recruiting
- Novartis Investigative Site
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Geneva, Switzerland, 1211
- Recruiting
- Novartis Investigative Site
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Lausanne, Switzerland, 1011
- Recruiting
- Novartis Investigative Site
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Alabama
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Birmingham, Alabama, United States, 35249
- Recruiting
- Uni of Alabama at Birmingham
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Principal Investigator:
- Jonathan McConathy
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Contact:
- Quenteeria Mooney
- Email: qmooney@uabmc.edu
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California
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Los Angeles, California, United States, 90095
- Recruiting
- University of California LA
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Principal Investigator:
- Jonathan W Goldman
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Contact:
- Angela Lool
- Email: alool@mednet.ucla.edu
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Palo Alto, California, United States, 94304
- Recruiting
- Stanford University Medical Center
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Principal Investigator:
- Farshad Moradi
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Contact:
- Maria Isabel Leonio
- Email: ileonio@stanford.edu
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Florida
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Jacksonville, Florida, United States, 32224
- Recruiting
- Mayo Clinic Jacksonville
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Principal Investigator:
- Ephraim Parent
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Contact:
- Alberta Lalljie
- Phone Number: +1 904 953 7648
- Email: Lalljie.Albertha@mayo.edu
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
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Principal Investigator:
- Shadi Abdar Esfahani
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Contact:
- Jonathan Robert Kim
- Email: jkim215@mgh.harvard.edu
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Michigan
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Grand Rapids, Michigan, United States, 49503
- Recruiting
- BAMF Health
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Principal Investigator:
- Brandon Mancini
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Contact:
- Lisa Orange
- Email: lisa.orange@bamfhealth.com
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Minnesota
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Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic Rochester
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Principal Investigator:
- Andrea Wahner Hendrickson
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Contact:
- Lucas Hamann
- Phone Number: +1 507 538 2155
- Email: hamann.lucas@mayo.edu
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Texas
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Houston, Texas, United States, 77030
- Recruiting
- Uni Of TX MD Anderson Cancer Cntr
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Principal Investigator:
- Jordi Rodon
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Contact:
- Denisse Harkins
- Phone Number: +1 713 792 2921
- Email: dvelazquez1@mdanderson.org
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Washington
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Seattle, Washington, United States, 98109
- Recruiting
- University of Washington
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Contact:
- Heather White
- Email: hwhite@fredhutch.org
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Principal Investigator:
- Delphine Chen
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years old
- Patients with one of the following indications:
- Locally advanced unresectable or metastatic PDAC with disease progression following, or intolerance to cytotoxic chemotherapy, unless patient was ineligible to receive such therapy
- Locally advanced unresectable or metastatic NSCLC without any actionable genomic alterations with disease progression following, or intolerance to chemotherapy and immunotherapy, unless patient was ineligible to receive such therapy, or locally advanced unresectable or metastatic NSCLC with an actionable genomic alteration with disease progression following, or intolerance to targeted therapy, unless patient was ineligible to receive such therapy
- Locally advanced unresectable or metastatic HR+/HER2- ductal or lobular BC with disease progression following, or intolerance to, at least 2 lines of therapy, unless patient was ineligible to receive such therapy
- Locally advanced unresectable or metastatic TNBC with disease progression following, or intolerance to, at least 2 lines of therapy, unless patient was ineligible to receive such therapy
- Locally advanced or metastatic unresectable CRC with disease progression following, or intolerance to cytotoxic chemotherapy, unless patient was ineligible to receive such therapy. Patients with known microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) status must also have had disease progression following, or intolerance to immune checkpoint inhibitor therapy, unless patient was ineligible to receive such therapy
- Patients must have lesions showing 68Ga-NNS309 uptake
Exclusion Criteria:
- Absolute neutrophil count (ANC) < 1.5 x 10^9/L, hemoglobin < 9 g/dL, or platelet count < 100 x 10^9/L
- QT interval corrected by Fridericia's formula (QTcF) ≥ 470 msec
- Calculated estimated glomerular filtration rate < 60 mL/min/1.73m2
- Unmanageable urinary tract obstruction or urinary incontinence
- Radiation therapy within 4 weeks prior to the first dose of [177Lu]Lu-NNS309
Other protocol-defined inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Arm 1
Patients will receive [68Ga]Ga-NNS309, and if eligible, [177Lu]Lu-NNS309
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Radioligand imaging agent
Radioligand therapy
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of patients with dose limiting toxicities of [177Lu]Lu-NNS309
Time Frame: From start of study treatment until 6 weeks or 4 weeks after, depending on dosing schedule
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A dose limiting toxicity (DLT) is defined as any adverse event or abnormal laboratory value of CTCAE (version 5.0) Grade 3 or higher that occurs within the DLT evaluation period and that is not primarily related to disease, disease progression, intercurrent illness, or concomitant medications with a few exceptions defined in the study protocol.
Other clinically significant toxicities may be considered to be DLTs, even if not Grade 3 or higher.
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From start of study treatment until 6 weeks or 4 weeks after, depending on dosing schedule
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Incidence and severity of adverse events and serious adverse events of [177Lu]Lu-NNS309
Time Frame: From start of study treatment until completion of the 36 month follow up, assessed up to approximately 42 months
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The distribution of adverse events will be done via the analysis of frequencies for treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) and through the monitoring of relevant clinical and laboratory safety parameters.
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From start of study treatment until completion of the 36 month follow up, assessed up to approximately 42 months
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Dose modifications for [177Lu]Lu-NNS309
Time Frame: From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks
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Dose modifications (dose interruptions and reductions) for [177Lu]Lu-NNS309 will be assessed and summarized using descriptive statistics.
The number of patients with dose modification will be summarized by treatment groups.
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From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks
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Dose intensity for [177Lu]Lu-NNS309
Time Frame: From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks
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Dose intensity for [177Lu]Lu-NNS309 will be assessed and summarized using descriptive statistics.
Dose intensity is computed as the ratio of actual cumulative dose received and actual duration of exposure.
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From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall response rate (ORR)
Time Frame: Up to approximately 42 months
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ORR is defined as the proportion of patients with a BOR of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 guidelines.
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Up to approximately 42 months
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Progression free survival (PFS)
Time Frame: Up to approximately 42 months
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PFS is defined as the time from the date of start of treatment to the date of the first documented progression according to RECIST v1.1 guidelines or death due to any cause.
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Up to approximately 42 months
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Duration of Response (DOR)
Time Frame: Up to approximately 42 months
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DOR is the time between the first documented response (CR or PR) and the date of progression according to RECIST v1.1 guidelines, or death due to any cause.
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Up to approximately 42 months
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Disease control rate (DCR)
Time Frame: Up to approximately 42 months
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DCR is defined as the proportion of patients with a BOR of CR, PR or stable disease according to RECIST v1.1 guidelines.
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Up to approximately 42 months
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Urinary excretion of radioactivity expressed as a percentage of injected dose (%ID)
Time Frame: Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition to 6 hr post end of infusion (EOI), 6-24hr post EOI, 24-48hr post EOI, 48-72hr post EOI. The duration of a cycle is 4 weeks or 6 weeks.
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Urine elimination data for [177Lu]Lu-NNS309 will be assessed based on decay-corrected urine radioactivity concentration data.
Urine elimination data will be expressed as percentage of injected dose (%ID).
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Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition to 6 hr post end of infusion (EOI), 6-24hr post EOI, 24-48hr post EOI, 48-72hr post EOI. The duration of a cycle is 4 weeks or 6 weeks.
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Renal clearance of [177Lu]Lu-NNS309
Time Frame: Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition to 6 hr post end of infusion (EOI), 6-24hr post EOI, 24-48hr post EOI, 48-72hr post EOI. The duration of a cycle is 4 weeks or 6 weeks.
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Urine samples will be collected over specified time intervals and analyzed for radioactivity.
Renal clearance of 177Lu-NNS309 will be summarized using descriptive statistics.
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Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition to 6 hr post end of infusion (EOI), 6-24hr post EOI, 24-48hr post EOI, 48-72hr post EOI. The duration of a cycle is 4 weeks or 6 weeks.
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Incidence and severity of adverse events and serious adverse events of [68Ga]Ga-NNS309
Time Frame: From Imaging visit until 3 days after 68Ga-NNS309 administration, assessed up to approximately 3 days.
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The distribution of adverse events will be done via the analysis of frequencies for TEAEs and TESAEs and through the monitoring of relevant clinical and laboratory safety parameters.
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From Imaging visit until 3 days after 68Ga-NNS309 administration, assessed up to approximately 3 days.
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Visual and quantitative assessment of [68Ga]Ga-NNS309 uptake in normal tissues and tumor lesions over time
Time Frame: From 0 up to approximately 3 hrs after [68Ga]Ga-NNS309 dosing
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After [68Ga]Ga-NNS309 administration, [68Ga]Ga-NNS309 PET/CT or PET/MRI will be performed.
Standardized uptake values (SUVs) of [68Ga]Ga-NNS309 in normal tissues and tumor lesions over time will be summarized.
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From 0 up to approximately 3 hrs after [68Ga]Ga-NNS309 dosing
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Area Under the Curve (AUC) of [177Lu]Lu-NNS309
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
AUC will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Total body clearance of [177Lu]Lu-NNS309
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
Total body clearance will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Observed maximum blood concentration (Cmax) of [177Lu]Lu-NNS309
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
Cmax will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Observed maximum radioactivity concentration (Rmax) of [177Lu]Lu-NNS309
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
Rmax will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Volume of distribution (Vz) of [177Lu]Lu-NNS309 during the terminal phase
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
Vz will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Terminal elimination half-life (T1/2) of [177Lu]Lu-NNS309
Time Frame: Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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The [177Lu]Lu-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
T1/2 will be determined by non-compartmental methods.
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Samples collected pre infusion to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Absorbed dose of [177Lu]Lu-NNS309
Time Frame: Samples collected 5 hours to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Time activity curves (TACs) for the various organs and tumor lesions will be produced as fraction of injected activity per gram of tissue (%ID/g) as a function of time.
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Samples collected 5 hours to 336 hours post end of infusion in Cycle 1. In a subset of patients, sampling is repeated in Cycle 2 and subsequent cycles. Cycle duration is 4 or 6 weeks.
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Absorbed radiation dose of [68Ga]Ga-NNS309 in tumor lesions (dose expansion only)
Time Frame: Samples collected 30 minutes to 3 hours post end of injection.
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Time activity curves (TACs) for the tumor lesions will be produced as fraction of injected activity per gram of tissue (%ID/g) as a function of time.
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Samples collected 30 minutes to 3 hours post end of injection.
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Area Under the Curve (AUC) of [68Ga]Ga-NNS309
Time Frame: Samples collected 5 minutes to 245 minutes post end of injection.
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The [68Ga]Ga-NNS309 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units.
AUC will be determined by non-compartmental methods.
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Samples collected 5 minutes to 245 minutes post end of injection.
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Respiratory Tract Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Lung Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Lung Neoplasms
- Skin Diseases
- Breast Diseases
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Skin and Connective Tissue Diseases
- Colorectal Neoplasms
- Breast Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Triple Negative Breast Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- CFXX489A12101
- 2023-510356-23 (Other Identifier: CTIS)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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