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Trial Title: A Phase I Study of [177Lu]Lu-FF58 in Patients With Advanced Solid Tumors.

NCT ID: NCT05977322

Condition: Pancreatic Ductal Adenocarcinoma
Gastroesophageal Adenocarcinoma
Glioblastoma Multiforme

Conditions: Official terms:
Adenocarcinoma
Glioblastoma

Conditions: Keywords:
pancreatic ductal adenocarcinoma
PDAC
pancreatic cancer
gastroesophageal adenocarcinoma
GEA
gastric cancer
gastric adenocarcinoma
esophageal cancer
esophageal adenocarcinoma
glioblastoma multiforme
GBM
advanced solid tumors
radioligand therapy
RLT
[177Lu]Lu-FF58
[68Ga]Ga-FF58
integrins
alpha-v beta-3 integrin
αvβ3
alpha-v beta-5 integrin
αvβ5

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: 68Ga-FF58
Description: Kit for radiopharmaceutical preparation of 68Ga- FF58 solution for injection
Arm group label: Arm 1

Intervention type: Drug
Intervention name: 177Lu-FF58
Description: Solution for injection/infusion
Arm group label: Arm 1

Summary: The purpose of the study is to test the safety and dosing of [177Lu]Lu-FF58, a radioligand therapy for patients with advanced or metastatic tumors that express proteins known as integrins: alpha-v beta-3 integrin (αvβ3) and alpha-v beta-5 integrin (αvβ5). The study will also further characterize the radioligand imaging agent [68Ga]Ga-FF58 including its ability to identify tumor lesions and its safety profile.

Detailed description: The study will be done in two parts. The first part is called "escalation" and the second part is called "expansion". In both parts of the study, patients will be screened with a [68Ga]Ga-FF58 positron emission tomography (PET)/computed tomography (CT) or PET/magnetic resonance imaging (MRI) scan to assess eligibility for treatment with [177Lu]Lu-FF58. In the escalation part, different doses of [177Lu]Lu-FF58 will be tested to identify the recommended dose. The expansion part of the study will examine the safety and preliminary efficacy of [177Lu]Lu-FF58 at the recommended dose determined during the escalation part. The end of study will occur when at least 80% of the patients in the expansion part have completed the follow-up for disease progression or discontinued from the study for any reason, and all patients have completed treatment and the 36 month long term follow- up period, or the study is terminated early in which case all patients would also be followed up for safety.

Criteria for eligibility:
Criteria:
Key Inclusion criteria - Age >= 18 years old - Patients with locally advanced unresectable or metastatic PDAC, locally advanced unresectable or metastatic GEA, or recurrent GBM - To be treated with [177Lu]Lu-FF58, patients must have at least one measurable lesion that shows [68Ga]Ga-FF58 uptake on PET/CT or PET/MRI Key Exclusion criteria - Absolute neutrophil count (ANC) < 1.5 x 109/L, hemoglobin < 10 g/dL, or platelet count < 100 x 109/L - Prior external beam radiation therapy (EBRT) to > 25% of the bone marrow - Creatinine clearance < 60 mL/min - Unmanageable bladder outflow obstruction or urinary incontinence - Non-GBM patients: Presence of symptomatic central nervous system (CNS) metastases, or CNS metastases that require local CNS-directed therapy (such as radiotherapy or surgery), or increasing doses of corticosteroids within 1 week before [177Lu]Lu-FF58 administration Other protocol-defined inclusion/exclusion criteria may apply

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Stanford University .

Address:
City: Palo Alto
Zip: 94304
Country: United States

Facility:
Name: Massachusetts General Hospital Massachusetts General Hospital

Address:
City: Boston
Zip: 02114
Country: United States

Facility:
Name: BAMF Health Research

Address:
City: Grand Rapids
Zip: 49503
Country: United States

Facility:
Name: MD Anderson Cancer Center Uni of Te MDACC.

Address:
City: Houston
Zip: 77030
Country: United States

Facility:
Name: Novartis Investigative Site

Address:
City: Tel Aviv
Zip: 6423906
Country: Israel

Facility:
Name: Novartis Investigative Site

Address:
City: Reggio Emilia
Zip: 42123
Country: Italy

Facility:
Name: Novartis Investigative Site

Address:
City: Nijmegen
Zip: 6500HB
Country: Netherlands

Facility:
Name: Novartis Investigative Site

Address:
City: Hospitalet de LLobregat
Zip: 08907
Country: Spain

Facility:
Name: Novartis Investigative Site

Address:
City: Madrid
Zip: 28034
Country: Spain

Facility:
Name: Novartis Investigative Site

Address:
City: Geneve 14
Zip: CH 1211
Country: Switzerland

Start date: October 6, 2023

Completion date: January 26, 2027

Lead sponsor:
Agency: Novartis Pharmaceuticals
Agency class: Industry

Source: Novartis

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05977322

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