- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving 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
Studieoversikt
Status
Forhold
Detaljert beskrivelse
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.
Studietype
Registrering (Antatt)
Fase
- Fase 1
Kontakter og plasseringer
Studiekontakt
- Navn: Jeffrey Wong, MD
- Telefonnummer: 626-325-4260
- E-post: JWong@coh.org
Studiesteder
-
-
California
-
Duarte, California, Forente stater, 91010
- City of Hope Medical Center
-
Hovedetterforsker:
- Jeffrey Y. Wong
-
Ta kontakt med:
- Jeffrey Y. Wong
- Telefonnummer: 626-325-4260
- E-post: jwong@coh.org
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
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)
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: 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.
|
Gjennomgå blodprøvetaking
Andre navn:
Gjennomgå PET-skanning
Andre navn:
Given 64Cu-DOTA-A2DM IV
Andre navn:
DOTA-A2DM IV
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of adverse events
Tidsramme: Up to 90 days
|
Graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 6.0.
|
Up to 90 days
|
|
Dose limiting toxicity
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Radiolabel uptake in prominent lesions and adjacent non-tumor tissue and select organs
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Jeffrey Y Wong, MD, City of Hope Medical Center
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Sykdommer i det endokrine systemet
- Neoplasmer etter nettsted
- Neoplasmer
- Neoplasmer i fordøyelsessystemet
- Sykdommer i fordøyelsessystemet
- Neoplasmer i endokrine kjertel
- Pankreassykdommer
- Neoplasmer i bukspyttkjertelen
- Undersøkelsesteknikker
- Kliniske laboratorieteknikker
- Diagnostiske teknikker og prosedyrer
- Diagnose
- Kjemisteknikker, analytisk
- Spektrumanalyse
- Prøvehåndtering
- Magnetisk resonansspektroskopi
Andre studie-ID-numre
- 20533 (City of Hope Medical Center)
- P30CA033572 (U.S. NIH-stipend/kontrakt)
- NCI-2026-03338 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
- R01CA266665 (U.S. NIH-stipend/kontrakt)
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