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
調査の概要
状態
詳細な説明
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.
研究の種類
入学 (推定)
段階
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:Jeffrey Wong, MD
- 電話番号:626-325-4260
- メール:JWong@coh.org
研究場所
-
-
California
-
Duarte、California、アメリカ、91010
- City of Hope Medical Center
-
主任研究者:
- Jeffrey Y. Wong
-
コンタクト:
- Jeffrey Y. Wong
- 電話番号:626-325-4260
- メール:jwong@coh.org
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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)
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:他の
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的: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.
|
採血を受ける
他の名前:
PETスキャンを受ける
他の名前:
Given 64Cu-DOTA-A2DM IV
他の名前:
DOTA-A2DM IV
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Incidence of adverse events
時間枠: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
時間枠:Up to day 2
|
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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Radiolabel uptake in prominent lesions and adjacent non-tumor tissue and select organs
時間枠:At day 1 and 2
|
Measured as maximum single-voxel standardized uptake value (SUVmax) and mean standardized uptake value.
|
At day 1 and 2
|
|
64Cu activity concentration
時間枠:At 0-1, 4-6, 21-25, and 46-50 hours after injection
|
At 0-1, 4-6, 21-25, and 46-50 hours after injection
|
|
|
Ratios of tumor to non-tumor activity concentrations
時間枠: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.
|
Up to 90 days
|
|
Imaging-based dosimetry
時間枠: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
|
協力者と研究者
捜査官
- 主任研究者:Jeffrey Y Wong, MD、City of Hope Medical Center
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- 20533 (City of Hope Medical Center)
- P30CA033572 (米国 NIH グラント/契約)
- NCI-2026-03338 (レジストリ識別子:CTRP (Clinical Trial Reporting Program))
- R01CA266665 (米国 NIH グラント/契約)
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
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