- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07608627
64Cu-DOTA A2 scFv-Fc2 DM With Positron Emission Tomography for the Imaging of Patients With Locally Advanced or Metastatic PSCA-Expressing Pancreatic Cancer
A Phase 1 Clinical Trial of 64Cu-DOTA A2 scFv-Fc2 DM (64Cu-DOTA-A2DM) Positron Emission Tomography in Patients With Metastatic PSCA-Expressing Pancreatic Cancer
Aperçu de l'étude
Statut
Les conditions
Description détaillée
PRIMARY OBJECTIVE:
I. To evaluate the safety and feasibility of prostate stem cell antigen (PSCA) imaging using 64Cu-DOTA-A2DM in patients with locally advanced or metastatic pancreatic cancer.
SECONDARY OBJECTIVES:
I. To evaluate images of 64Cu-DOTA-A2DM. II. To determine pharmacokinetics of 64Cu-DOTA-A2DM. III. To determine the optimal unlabeled dose of DOTA-A2DM for radioimmunotherapy trials (RIT).
IV. To conduct radiation dose estimation for RIT trials
OUTLINE: This is a dose escalation study of 64Cu-DOTA A2 scFv-Fc2 DM.
Patients receive unlabeled DOTA-A2DM intravenously (IV) then 2-3 hours later patients receive labeled 64Cu-DOTA-A2DM, over 3-5 minutes on day 0. Patients undergo PET scan on day 1 and 2. Patients undergo urine sample collection during screening and blood sample collection throughout the study.
After completion of study intervention, patients are followed up at 30 and 90 days.
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Jeffrey Wong, MD
- Numéro de téléphone: 626-325-4260
- E-mail: JWong@coh.org
Lieux d'étude
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California
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Duarte, California, États-Unis, 91010
- City of Hope Medical Center
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Chercheur principal:
- Jeffrey Y. Wong
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Contact:
- Jeffrey Y. Wong
- Numéro de téléphone: 626-325-4260
- E-mail: jwong@coh.org
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Inclusion Criteria:
- Documented informed consent of the participant and/or legally authorized representative
- Age: ≥ 18 years
- Karnofsky > 70%
- Advanced (locally or metastatic), histologically confirmed pancreatic adenocarcinoma
- Evidence of locally advanced unresectable or metastatic disease demonstrated by an abnormal imaging scan (computed tomography [CT], magnetic resonance imaging [MRI], fludeoxyglucose [FDG]-PET) within 8 weeks prior to enrollment
- No prior radiation therapy to target lesions
Hemoglobin ≥ 9g/dL
- NOTE: Red blood cell transfusions are not permitted within 14 days of hemoglobin assessment unless cytopenia is secondary to disease involvement
- Total bilirubin ≤ 1.5 X upper limit of normal (ULN) (unless has Gilbert's disease)
- Aspartate aminotransferase (AST) ≤ 3.0 x ULN
- Alanine aminotransferase (ALT) ≤ 3.0 x ULN
- Serum creatinine < 1.4 mg/dL
- Women of childbearing potential (WOCBP): negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required
Agreement by females and males of childbearing potential* to use an effective method of birth control or abstain from heterosexual activity for the course of the study through at least 6 months after the last dose of protocol therapy.
- Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for > 1 year (women only)
Exclusion Criteria:
- Chemotherapy, radiation therapy, biological therapy, immunotherapy within 14 days or five half-lives (whichever is shorter for non-radiation therapy) prior to day 1 of protocol therapy
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to study agent
- Clinically significant uncontrolled illness
- Other active malignancy. Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
- Females only: Pregnant or breastfeeding
- Any other condition that would, in the Investigator's judgment, contraindicate the patient's participation in the clinical study due to safety concerns with clinical study procedures
- Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics)
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Autre
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Other (64Cu-DOTA A2 scFv-Fc2 DM with PET scan)
Patients receive unlabeled DOTA-A2DM IV then 2-3 hours later patients receive labeled 64Cu-DOTA-A2DM, over 3-5 minutes on day 0. Patients undergo PET scan on day 1 and 2. Patients undergo urine sample collection during screening and blood sample collection throughout the study.
|
Subir une collecte d'échantillons de sang
Autres noms:
Passer un PET scan
Autres noms:
Given 64Cu-DOTA-A2DM IV
Autres noms:
DOTA-A2DM IV
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Incidence of adverse events
Délai: Up to 90 days
|
Graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 6.0.
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Up to 90 days
|
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Dose limiting toxicity
Délai: Up to day 2
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Defined as any of the following that occur during the first 2 days post the administration of radiolabeled A2DM that are attributed as possibly, probably, or definitely related to protocol therapy.
|
Up to day 2
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Radiolabel uptake in prominent lesions and adjacent non-tumor tissue and select organs
Délai: At day 1 and 2
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Measured as maximum single-voxel standardized uptake value (SUVmax) and mean standardized uptake value.
|
At day 1 and 2
|
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64Cu activity concentration
Délai: At 0-1, 4-6, 21-25, and 46-50 hours after injection
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At 0-1, 4-6, 21-25, and 46-50 hours after injection
|
|
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Ratios of tumor to non-tumor activity concentrations
Délai: Up to 90 days
|
Measured in the select organs (SUVmean) at different protein doses and time points will be used to determine optimal protein dose.
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Up to 90 days
|
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Imaging-based dosimetry
Délai: On day 1 and 2
|
Quantified in the liver, spleen, heart, and the lumbar vertebrae as calculated by organ level internal dose assessment-based standard phantom data.
|
On day 1 and 2
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Jeffrey Y Wong, MD, City of Hope Medical Center
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système endocrinien
- Tumeurs par site
- Tumeurs
- Tumeurs du système digestif
- Maladies du système digestif
- Tumeurs des glandes endocrines
- Maladies pancréatiques
- Tumeurs pancréatiques
- Techniques d'investigation
- Techniques de laboratoire clinique
- Techniques et procédures de diagnostic
- Diagnostic
- Techniques de chimie, analytique
- Analyse du spectre
- Manipulation des échantillons
- Spectroscopie de résonance magnétique
Autres numéros d'identification d'étude
- 20533 (City of Hope Medical Center)
- P30CA033572 (Subvention/contrat des NIH des États-Unis)
- NCI-2026-03338 (Identificateur de registre: CTRP (Clinical Trial Reporting Program))
- R01CA266665 (Subvention/contrat des NIH des États-Unis)
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
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