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Trial Title: PD-L1 Expression in Lung Cancer

NCT ID: NCT04992715

Condition: Non-Small Cell Lung Cancer

Conditions: Official terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung

Conditions: Keywords:
PD-L1 Expression
Immunohistochemistry
SPECT/CT Imaging
Molecular Imaging
Heterogeneity

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: [99mTc]-NM01 SPECT/CT
Description: Technetium-99m radiolabelled anti-PD-L1 single-domain antibody (NM01) single-photon emission computed tomography (SPECT)/computed tomography (CT)
Arm group label: Metastatic Non-Small Cell Lung Cancer

Summary: This study will measure PD-L1 expression in metastatic NSCLC (primary tumour and metastatic lesions) using [99mTc]-NM-01 SPECT/CT and compare to PD-L1 percentage expression determined by immunohistochemistry (IHC).

Detailed description: A non-blinded, single centre, single interventional arm Phase II diagnostic imaging study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Aged 18 or above - Patients with histopathology confirmed untreated metastatic NSCLC scheduled for systemic anti-cancer therapy - ECOG status ≤ 1 - Willingness and ability to comply with scheduled study visits and tests Exclusion Criteria: - Pregnant or breast-feeding women - Concomitant uncontrolled medical conditions as per Investigator assessment - > 3 months between IHC PD-L1 and study recruitment - Significant abnormality of haematology (one or more of: Hb ≤ 90g/L, absolute neutrophil count (ANC) ≤1.5 x109/L, platelet count ≤75 x109/L) - Significant abnormality of renal function (defined as Cockcroft-Gault calculated creatinine clearance ≤30 mL/min) - Significant abnormality of liver function (one or more of: AST or ALT ≥2.5x ULN or ≥ 5x ULN if patient has liver metastases; total bilirubin ≥1.5xULN. In the case of patients with Gilbert's syndrome then direct bilirubin must be confirmed as ≤ ULN) - Significant cardiovascular disease, including New York Heart Association (NYHA) heart failure ≥Class III, myocardial infarction within 3 months of enrolment, unstable arrhythmia or unstable angina - History of uncontrolled allergic reactions and/or have hypersensitivity to anti-PD-L1 monoclonal antibodies, kanamycin A or aminoglycoside therapies, or other excipients that may induce hypersensitivity

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Guy's and St Thomas' NHS Foundation Trust

Address:
City: London
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Gary JR Cook

Start date: May 3, 2022

Completion date: September 2023

Lead sponsor:
Agency: NanoMab Technology (UK) Limited
Agency class: Industry

Collaborator:
Agency: Guy's and St Thomas' NHS Foundation Trust
Agency class: Other

Collaborator:
Agency: King's College London
Agency class: Other

Source: NanoMab Technology (UK) Limited

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT04992715

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