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Trial Title: 68Ga-NOTA-PEG2-RM26 PET/CT, First in Man Study

NCT ID: NCT06147362

Condition: Cancer

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Approximately ten patients (with primary/recurrent or metastatic cancer) in each of the following six cancer groups, prostate cancer, breast cancer, colorectal cancer, gastrointestinal carcinoid, gastric cancer, and lung cancer, will be recruited and examined.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: 68Ga-NOTA-PEG2-RM26
Description: Single-dose 68Ga-NOTA-PEG2-RM26, a gastrin-releasing peptide receptor antagonist linked with a positron emitting radioisotope intravenously injected into participants before the PET/CT scans.
Arm group label: 68Ga-NOTA-PEG2-RM26

Summary: This is an open-label positron emission tomography/computed tomography (PET/CT) study to investigate the diagnostic performance and evaluation efficacy of 68Ga-NOTA-PEG2-RM26 in prostate cancer patients. A single dose of 2 MBq/kg of 68Ga-NOTA-PEG2-RM26 limited to 100-200 MBq per examination will be given intravenously. Visual and semiquantitative method will be used to assess PET/CT images.

Detailed description: The gastrin-releasing peptide receptor (GRPR), also known as bombesin receptor subtype II (BB2), is a member of the G protein-coupled receptor family of bombesin receptors. GRPR is over-expressed in various types of human tumors. RM26, a GRPR antagonist with high affinity, was discovered by peptide backbone modification of bombesin analogues. To target gastrin-releasing peptide receptor in human neoplastic cells NOTA-PEG2-RM26 was synthesised and then labeled with 68Ga. An open-label whole-body PET/ CT study was designed to investigate the safety and dosimetry of 68Ga-NOTA-PEG2-RM26 and to assess its clinical diagnostic value in patients with cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Primary/recurrent or metastatic cancer in: prostate cancer, breast cancer, colorectal cancer, gastrointestinal carcinoid, gastric cancer, or lung cancer - Histopathological diagnosis - Age 18 years or more and palliative disease OR age above 50 years - Adequate bone marrow, hepatic and renal function, Eastern Cooperative Oncology Group Performance Status Scale 0 or 1 and a negative pregnancy test Exclusion Criteria: - Age less than 18 years - Less than 6 months since a clinically significant cardiovascular event such as myocardial infarction, unstable angina, angioplasty, bypass surgery, stroke or transient ischemic attack - Congestive heart failure New York Heart Association class ≥ II - Pregnant or breast-feeding women - Patients with reproductive potential not implementing accepted and effective means of contraception - Participation in any other clinical trial within the previous 4 weeks - Unable to comply with study procedures (e.g., claustrophobia, low back pain not allowing the patient to lay down in the examination bed)

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Karolinska University Hospital

Address:
City: Stockholm
Zip: 17176
Country: Sweden

Status: Recruiting

Contact:
Last name: Antonios Tzortzakakis, MD, PhD

Phone: 08-123 80 000
Email: antonios.tzortzakakis@regionstockholm.se

Investigator:
Last name: Rimma Axelsson, MD, PhD
Email: Sub-Investigator

Investigator:
Last name: Antonios Tzortzakakis, MD, PhD
Email: Sub-Investigator

Start date: June 1, 2022

Completion date: December 31, 2023

Lead sponsor:
Agency: Karolinska University Hospital
Agency class: Other

Collaborator:
Agency: Stockholm South General Hospital
Agency class: Other

Collaborator:
Agency: Uppsala University
Agency class: Other

Source: Karolinska University Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06147362

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