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Trial Title: Assessment of PET Tracers to Evaluate T Cell Change and Activation in Relation to Immunotherapy Treatment Response in Non-Small Cell Lung Cancer

NCT ID: NCT06457789

Condition: NSCLC

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

Conditions: Keywords:
NSCLC
immunoPET
18F-AraG
AraG
89Zr-crefmirlimab
Crefmirlimab
tracers
PET tracers
[18F]F-AraG
[89Zr]Zr-Df-Crefmirlimab
IAB22M2C

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Other

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: [18F]F-AraG PET imaging
Description: Patients will receive a static whole-body PET scan following a [18F]F-AraG injection.
Arm group label: Dual T cell PET imaging

Intervention type: Drug
Intervention name: [89Zr]Zr-Df-Crefmirlimab PET imaging
Description: Patients will receive a static whole-body PET scan following a [89Zr]Zr-Df-Crefmirlimab injection.
Arm group label: Dual T cell PET imaging

Summary: The iRelate is a PET imaging trial to compare two upcoming and promising T cell PET tracers. Following chemo-immuno therapy, as part of standard care, NSCLC patients will be recruited to receive two PET scans, shortly before their surgery. Both PET scans will be compared to each other, as well as compared to the pathological analysis of the resected tumor. This study will provide detailed information on the unique as well as additive capacities of imaging biomarkers derived from the immune cell targeting PET tracers.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically confirmed NSCLC - T1-4N0-2, lesion size of ≥2cm, at time of the restaging FDG PET/CT - Planned to undergo resection after chemo-IO according to routine treatment guidelines - Willing and able to provide written informed consent for the trial - Above 18 years of age on day of signing informed consent - Have measurable disease based on RECIST 1.1 - Have a ECOG performance status of 0-1, and are considered operable based on pulmonary function test and/or exercise testing Exclusion Criteria: - Patients deemed inoperable - Patients who have received a splenectomy - Patients who have received any vaccination within 14 days of enrollment - Patients with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of day 0. Inhaled or topical steroids, and adrenal replacement steroid >10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease. - Psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial. - Patient is pregnant or breastfeeding or expecting to conceive within the projected duration of the trial.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Amsterdam UMC, location VUmc

Address:
City: Amsterdam
Zip: 1081 HV
Country: Netherlands

Contact:
Last name: Maarten Slebe, Msc

Phone: +31204445242
Email: m.slebe@amsterdamumc.nl

Contact backup:
Last name: Idris Bahce, MD, PhD

Phone: +31204444444
Email: i.bahce@amsterdamumc.nl

Investigator:
Last name: Idris Bahce, MD, PhD
Email: Principal Investigator

Investigator:
Last name: Maarten Slebe, Msc
Email: Sub-Investigator

Start date: July 2024

Completion date: July 2028

Lead sponsor:
Agency: Amsterdam UMC, location VUmc
Agency class: Other

Collaborator:
Agency: Foundation for the National Institutes of Health
Agency class: Other

Source: Amsterdam UMC, location VUmc

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06457789

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