68Ga-NYM096/177Lu-NYM096 in Metastatic ccRCC (NYCRRLT)
Safety, Tolerability, Imaging Characteristics, and Efficacy of 68Ga-NYM096/177Lu-NYM096 in the Treatment of Patients With Metastatic Clear Cell Renal Cell Carcinoma
This is a single-center, phase I study. Patients with metastatic clear cell renal cell carcinoma will be recruited in this study to (Phase A) evaluate using 68Ga-NYM096 PET/CT and to (Phase B) treat with 177Lu-NYM096.
The study will be conducted in two phases. The purpose is Phase A: to evaluate the safety, tolerability, and imaging characteristics of 68Ga-NYM096 Phase B: to evaluate the safety, tolerability, and recommended phase 2 dose of 177Lu-NYM096
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Li Huo, MD
- Phone Number: +86 186 1267 2038
- Email: huoli@pumch.cn
Study Contact Backup
- Name: Wenjia Zhu, MD
- Phone Number: +86 186 1408 0164
- Email: zhuwenjia_pumc@163.com
Study Locations
-
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100730
- Peking Union Medical College Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age≥18y
- Histologically or cytologically confirmed metastatic clear cell renal cell carcinoma
- Progression after or cannot undergo standard therapy with tyrosine kinase inhibitor (TKI) treatment or TKI combined with immune checkpoint inhibitor treatment.
- Presence of at least 1 non-irradiated tumor lesion detected at conventional imaging (computed tomography / magnetic resonance imaging (CT/MRI)) documented within 4 weeks prior to the 68Ga-NYM096 administration which should be measurable per response evaluation criteria in solid tumors (RECIST) v1.1.
- ECOG= 0 or 1
- Written informed consent.
- For Phase B: 68Ga-NYM096 should meet the imaging inclusion criteria
Exclusion Criteria:
- Any major surgery within 12 weeks before enrollment
- Inability to stay in the scanner bed and keep still for the duration of the scan
- Participants who have not had resolution of clinically significant toxic effects of prior systemic cancer therapy, surgery, or radiotherapy to Grade ≤1
- EGFR no higher than 30ml/min*1.73m2
- Inflammatory bowel disease
- Phase A: TKI treatment within one week before 68Ga-NYM096 administration
- Phase B: Participants who received any systemic antineoplastic therapy for the underlying disease and/or other investigational agents within a period which is ≤5 half-lives or ≤4 weeks (whichever is shorter).
- Any previous CA IX-targeting treatment
- Prior external beam radiation therapy (EBRT) to more than 25% of the bone marrow
- Pregnant or breastfeeding
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 |
|---|---|
|
Experimental: Imaging and therapy
68Ga-NYM096 PET/CT and 177Lu-NYM096
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Patients recruited in this study will undergo 68Ga-NYM096 PET/CT to evaluate the expression of carbonic anhydrase 9.
Those with high CA9 expression will undergo 177Lu-NYM096 treatment, starting from 50mCi and increasing to 100mCi, 150mCi, 200mCi at most using a 3+3 design.
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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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(Phase A) The number to patients with treatment-emergent adverse event (TEAE) and serious adverse event (SAE)
Time Frame: From the start of 68Ga-NYM096 PET/CT to 1 week after the 68Ga-NYM096 PET/CT
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From the start of 68Ga-NYM096 PET/CT to 1 week after the 68Ga-NYM096 PET/CT
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|
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(Phase B) The number of patients with dose-limiting toxicity (DLT) after the first treatment of 177Lu-NYM096
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 8 weeks later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The dose administrated to the participants will start at 50mCi and increase to 100, 150, and 200mCi at most in differnt dosing groups.
While the AEs will be monitered for 8 months (2 months after the 4th dose), the decision whether the dose can increase to the next higher group will be decided only upon the DLT between the 1st and 2nd cycle.
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From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 8 weeks later.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
(Phase A) Dosimetry of 68Ga-NYM096
Time Frame: 1 month after the 68Ga-NYM096 PET/CT
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1 month after the 68Ga-NYM096 PET/CT
|
|
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(Phase A) Number of lesions detected by 68Ga-NYM096 PET/CT
Time Frame: 1 week after the 68Ga-NYM096 PET/CT
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1 week after the 68Ga-NYM096 PET/CT
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|
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(Phase A) Tumor uptake of 68Ga-NYM096
Time Frame: 1 week after the 68Ga-NYM096 PET/CT
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1 week after the 68Ga-NYM096 PET/CT
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|
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(Phase A) Optimal imaging window of 68Ga-NYM096 PET/CT
Time Frame: 1 week after the 68Ga-NYM096 PET/CT
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1 week after the 68Ga-NYM096 PET/CT
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|
|
(Phase B) The number of patients with treatment-emergent adverse event (TEAE) and serious adverse event (SAE) after 177Lu-NYM096
Time Frame: From the start of 1st cycle of 177Lu-NYM096 administration (each cycle is 8 weeks) to 8 months later (8 weeks after the 4th cycle of treatment).
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The administration of 177Lu-NYM096 costs about half an hour.
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From the start of 1st cycle of 177Lu-NYM096 administration (each cycle is 8 weeks) to 8 months later (8 weeks after the 4th cycle of treatment).
|
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(Phase B) Dosimetry of 177Lu-NYM096
Time Frame: 1 month after 177Lu-NYM096 treatment
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1 month after 177Lu-NYM096 treatment
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|
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(Phase B) Radioactive concentration of 177Lu-NYM096 in the blood at different time point after 177Lu-NYM096 administration
Time Frame: From the start of 1st cycle of 177Lu-NYM096 administration (each cycle is 8 weeks) to 168 hours later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The administration of 177Lu-NYM096 costs about half an hour.
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From the start of 1st cycle of 177Lu-NYM096 administration (each cycle is 8 weeks) to 168 hours later.
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(Phase B) Tumor uptake of 177Lu-NYM096 on post-therapy scan
Time Frame: 1 week after 177Lu-NYM096 administration
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1 week after 177Lu-NYM096 administration
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|
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(Phase B) ORR (overall response rate) of 177Lu-NYM096 treatment
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months) and every 3 months after the end of the 4th cycle until 2 years after treatment start or tumor progression.
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From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
|
(Phase B) DCR (disease control rate) of 177Lu-NYM096 treatment
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months) and every 3 months after the end of the 4th cycle until 2 years after treatment start or tumor progression.
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From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
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(Phase B) PFS (progression free survival) of 177Lu-NYM096 treatment
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months) and every 3 months after the end of the 4th cycle until 2 years after treatment start or tumor progression.
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From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
|
(Phase B) DOR (duration of response) of 177Lu-NYM096 treatment
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months) and every 3 months after the end of the 4th cycle until 2 years after treatment start or tumor progression.
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From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to 2 years later.
|
|
(Phase B) OS (overall survival) of 177Lu-NYM096 treatment
Time Frame: From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to the date of first documented date of death from any cause, assessed up to 60 months.
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months) and every 3 months after the end of the 4th cycle until 2 years after treatment start or tumor progression.
The survival info will be followed every 6 months until all-caused death of participant, assessed up to 60 months.
|
From the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) to the date of first documented date of death from any cause, assessed up to 60 months.
|
|
(Phase B) PFS rate at 6 months of 177Lu-NYM096 treatment
Time Frame: 6 month after the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) .
|
177Lu-NYM096 will be delivered to participants up to 4 cycles with the same dosing amount.
Each cycle will start 8 +/- 1 weeks after the previous cycle.
The tumor reponse will be evaluated before each cycle during the treatment (roughly every 2 months).
|
6 month after the start of 1st cycle of 177Lu-NYM096 treatment (each cycle is 8 weeks) .
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Li Huo, MD, Peking Uion Medical College Hospital
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
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Urologic Neoplasms
- Carcinoma
- Kidney Neoplasms
- Carcinoma, Renal Cell
Other Study ID Numbers
Other Study ID Numbers
- K6754
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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