A Study of 99mTc-3PRGD2 Injection in Lung Cancer Patient

An Evaluation of the Efficacy and Safety of Technetium [99mTc] Hydrazinonicotinamide PEGylated Bicyclic RGD Peptide Injection in a Multicenter, Open, Self-controlled Clinical Trial for the Lymph Node Metastasis in Lung Tumors

The study drug Technetium [99mTc] Hydrazinonicotinamide PEGylated Bicyclic RGD Peptide Injection（99mTc-3PRGD2） of this study is a novel radioactive diagnostic preparation for clinical use as a nuclear medicine molecular probe for tumor SPECT/CT imaging.

After 99mTc-3PRGD2 is injected into the body, it is specifically taken up by integrin receptor-positive tumor tissue, and the image of tumor tissue can be obtained by SPECT/CT, This can be used for molecular imaging diagnosis and individualized treatment of common tumors.

The primary objective of this study was to evaluate the efficacy of 99mTc-3PRGD2 for the diagnosis of lymph node metastasis in lung tumors. The minor objective was to evaluate the efficacy of 99mTc-3PRGD2 in the differential diagnosis of benign and malignant lung tumors and the safety of 99mTc-3PRGD2 in vivo of humans.

Study Overview

• Status: Completed
• Conditions: Lung Cancer Metastatic
• Intervention / Treatment: Drug: 99mTc-3PRGD2

Detailed Description

This study strictly obeyed to the result by pathological diagnoses standard. The evaluation of the efficacy of 99mTc-3PRGD2 in the diagnosis of lymph node metastasis of lung tumors is based on a multi-center, open, self-controlled clinical trial.

This study involves 10 research sites and a total of about 400 qualified patients who met the protocol requirements in China, besides, they were previously diagnosed by 18F FDG PET / CT with positive results in pulmonary occupying and lymph nodes (hilar or mediastinum) uptake. At least 270 participants' surgical pathology report were required. After screening the patients, the intravenous injection of 99mTc-3PRGD2 with a dose of 0.3 mCi / kg was performed, followed by SPECT / CT plain scan and chest tomography scan. The doctors are responsible for patients about whether they should take lymphadenectomy and obtain the surgical pathology reports.

At the same time, the safety of 99mTc-3PRGD2 injection in human body was evaluated. This study strictly obeyed to the result by pathological diagnoses standard which uses the four-grid table to calculate the accuracy, sensitivity and specificity of 99mTc-3PRGD2 SPECT/CT diagnosis. Besides, the diagnostic results of 18F-FDG Positron Emission computed Tomography/Chest Tomography (PET/CT) were compared to evaluate the effectiveness of 99mTc-3PRGD2 SPECT/CT in the diagnosis of lymph node metastasis and differential diagnosis of benign and malignant lung tumors as well as evaluate the safety of 99mTc-3PRGD2 injection in vivo of humans.

This study invited an independent imaging evaluation committee to evaluate images obtained with 18F-FDG PET/CT, 99mTc-3PRGD2 SPECT/CT and enhanced CT.

Study duration: The start of the study is defined as the date on which the first participant signed the Informed Consent Form (ICF); the End Of the Study (EOS) was defined as the end of the collection of the final participant safety assessment data.

• Study Type: Interventional
• Enrollment (Actual): 409
• Phase: Phase 3

Contacts and Locations

Study Locations

• China
  • Beijing
    • Beijing, Beijing, China, 100032
      • Peking Union Medical College Hospital
  • Hebei
    • Shijiazhuang, Hebei, China, 050000
      • Fourth Hospital of Hebei Medical University
  • Jilin
    • Changchun, Jilin, China, 130000
      • Sino-Japanese Friendship Hospital of Jilin Universit
  • Shanxi
    • Taiyuan, Shanxi, China, 030000
      • First Hospital of Shanxi Medical Universit

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Requirements for participants:

Patients only meet all the following requirements are qualified to this study

1. Voluntarily participate in and sign the ICF.
2. Age older than (or equal to) 18 years.
3. Lung solid nodules with the longest diameter ≥ 1.5cm, shortest diameter ≥ 1.0 cm (diagnosed by CT) and scheduled for surgical resection.
4. Patients after 18F-FDG PET / CT examination with the positive results in pulmonary space occupying and lymph node (hilar or mediastinal) uptake.
5. Willing and able to follow the visit schedule, dosing plan, various checks.
6. Clinical laboratory tests and other indicators are in the normal range or not but do not affect the relevant examination and treatment.

Patients cannot be enrolled as long as they match one of them:

Patients meet any one of the following requirements are exclusive to this study:

1. Female patients who are preparing for pregnancy within 6 months or are in pregnancy or lactation
2. Allergic to test drugs, allergies or allergies to multiple drugs
3. The results of enhanced CT examination are non-solid component ground glassy nodules.
4. Fasting blood glucose levels above 7.0 mmol/L before injection of 18F-FDG (fast glucose meter test)
5. Bodyweight is more than 100 kg
6. Claustrophobia patients
7. Patients cannot tolerate two arms up and lie for 15~30 minutes
8. The investigator believes that it is not appropriate to participate in this clinical trial.
9. Those who have participated in clinical trials or are participating in other clinical trials in the past month.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: DIAGNOSTIC
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: 99mTc-3PRGD2; Volunteers were injected intravenously and then scanned by SPECT/CT. Drugs use generic name：Technetium [99mTc] Hydrazinonicotinamide PEGylated Bicyclic RGD Peptide Injection dosage form:Injection dosage:0.3mCi/kg frequency:single dose	Drug: 99mTc-3PRGD2; Volunteers were injected intravenously and then scanned by SPECT/CT. Drugs use generic name：Technetium [99mTc] Hydrazinonicotinamide PEGylated Bicyclic RGD Peptide Injection dosage form:Injection dosage:0.3mCi/kg; Other Names: Technetium [99mTc] Hydrazinonicotinamide PEGylated Bicyclic RGD Peptide Injection

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Specificity of diagnostic efficacy of 99mTc-3PRGD2 for lymph node metastasis of lung tumors	The study results are strictly according to pathological diagnoses standard when evaluating whether the efficacy of 99mTc-3PRGD2 in the diagnosis of lymph node metastasis of lung tumors is superior to 18F-FDG PET/CT.	post-intervention at 10 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Accuracy and sensitivity of 99mTc-3PRGD2 for diagnostic efficacy of lymph node metastasis in lung cancer	The study results are strictly according to pathological diagnoses standard when evaluating the accuracy and sensitivity of 99mTc 3PRGD2 SPECT/CT by comparing to the enhanced CT for the diagnosis of lymph node metastasis of lung tumors.	post-intervention at 10 months
Accuracy, sensitivity and specificity of 99mTc-3PRGD2 for diagnostic efficacy of benign and malignant lung tumors	The study results are strictly according to pathological diagnoses standard when evaluating the accuracy, sensitivity and specificity of 99mTc 3PRGD2 SPECT/CT by comparing to enhanced CT for the diagnosis of lymph node metastasis of lung tumors.	post-intervention at 10 months
Accuracy, sensitivity and specificity of 99mTc-3PRGD2 for diagnostic efficacy of pulmonary lymph node metastasis	The study results are strictly according to pathological diagnoses standard when evaluating the accuracy, sensitivity and specificity of 99mTc 3PRGD2 SPECT/CT by comparing to enhanced CT for the diagnosis of lymph node metastasis of lung tumors.	post-intervention at 10 months
Accuracy, sensitivity and specificity of 99mTc-3PRGD2 for diagnostic efficacy of benign and malignant lung tumors	The study results are strictly according to pathological diagnoses standard when evaluating the accuracy, sensitivity and specificity of 99mTc 3PRGD2 SPECT/CT by comparing to enhanced CT for the differential diagnosis of benign and malignant lung tumors.	post-intervention at 10 months
Incidence of adverse events	Evaluating the safety of 99mTc 3PRGD2 SPECT/CT in vivo of humans.	3 days

Collaborators and Investigators

• Sponsor: RDO Pharm.
• Collaborators: Beijing Pharbers Genesis Pharmaceutical Technology Co., Ltd.
• Investigators: Principal Investigator: Naixin Liang, professor, Peking Union Medical College Hospital

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 12, 2019
• Primary Completion (ACTUAL): May 8, 2021
• Study Completion (ACTUAL): May 8, 2021

Study Registration Dates

• First Submitted: January 15, 2020
• First Submitted That Met QC Criteria: January 16, 2020
• First Posted (ACTUAL): January 18, 2020

Study Record Updates

• Last Update Posted (ACTUAL): April 27, 2022
• Last Update Submitted That Met QC Criteria: April 25, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Keywords: lung cancer; 99mTc-3PRGD2; Integrin ανβ3
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Neoplasms; Lung Diseases; Neoplasms by Site; Respiratory Tract Neoplasms; Thoracic Neoplasms; Lung Neoplasms; Antineoplastic Agents; Arginyl-glycyl-aspartic acid
• Other Study ID Numbers: FSRDA201901

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No