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Trial Title: Using CICS-1 and SPM-011 and [18F]FBPA Commissioned by CICS and Sumitomo Heavy Industries and STELLA PHARMA

NCT ID: NCT06603987

Condition: Thoracic Solid Malignant Tumor

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
Esophageal Cancer
Non Small Cell Lung Cancer
Breast Cancer
Malignant Soft Tissue Sarcoma
Malignant Pleural Mesothelioma
Malignant Peripheral Nerve Sheath Tumors

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: BNCT
Description: Patients will be infused SPM-011 intravenously at a dose of 200mg/kg/hr over 2 hours. Thereafter, patient will be infused SPM-011 intravenously at a dose of 100mg/kg/hr and will receive neutron irradiation simultaneously for a certain period of time based on his Boronophenylalanine (BPA) concentration in the blood.
Arm group label: Boron Neutron Capture Therapy (BNCT)

Intervention type: Diagnostic Test
Intervention name: [18F]FBPA
Description: Intravenous injection of [18F]FBPA and radiation exposure from PET-CT scan.
Arm group label: Boron Neutron Capture Therapy (BNCT)

Summary: To evaluate the safety and efficacy of Boron Neutron Capture Therapy (BNCT) in patients with recurrent thoracic solid tumors that are difficult to treat with standard radiation therapy or drug therapy and are unresectable. With "lung," "heart," "liver," "spinal cord," and "esophagus" as common risk organs in the treatment plan for BNCT using therapeutic CT to evaluate the safety and efficacy of BNCT in patients with unresectable and recurrent thoracic solid tumors which are difficult to treat with standard radiation and drug therapy. To evaluate the safety of [18F]FBPA synthesized with MPS200FBPA. In addition, the usefulness of [18F]FBPA-PET testing to determine the appropriateness of performing BNCT will be evaluated in an exploratory manner.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Written informed consent must be obtained from the subject. - Patients with histopathological diagnosed malignant tumor (except cutaneous angiosarcoma) - Measurable disease, as defined by RECIST v1.1. - Patients diagnosed with recurrent malignant tumors that are unresectable and perceived challenging to treat with standard treatment. - Patients with ECOG performance status score of 0 or 1. - Patients whose longest diameter sum of the lesions to be treated is 15 cm or less. Exclusion Criteria: - Patients with active disease or active double cancers other than target lesions. - Patients with imaging findings that affect imaging evaluation of the tumor, such as ground-glass opacities - Patients who received radiation therapy exceeding 65 Gy as a prior treatment for the target lesion. - Any serious concomitant disease that precludes completion of the study treatment. - Patients with remaining complications of Grade 3 or higher related to prior radiation therapy in the irradiation field.

Gender: All

Minimum age: 18 Years

Maximum age: 85 Years

Healthy volunteers: No

Locations:

Facility:
Name: ORIX Kouraibashi Bldg. 8F 3-2-7 Kouraibashi Chuo-ku

Address:
City: Osaka
Zip: 541-0043
Country: Japan

Contact:
Last name: Toshimitsu Hayashi

Phone: +81-6-4707-1516
Email: sp-chiken@stella-pharma.co.jp

Contact backup:
Last name: Clinical trials information

Phone: +81-6-4707-1516
Email: sp-chiken@stella-pharma.co.jp

Start date: January 1, 2025

Completion date: October 31, 2028

Lead sponsor:
Agency: Stella Pharma Corporation
Agency class: Industry

Collaborator:
Agency: Cancer Intelligence Care Systems, Inc.
Agency class: Industry

Collaborator:
Agency: Sumitomo Heavy Industries, Ltd.
Agency class: Other

Source: Stella Pharma Corporation

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06603987

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