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Trial Title: 68Ga-NY104 PET/CT Guided Radiation Therapy in CcRCC.

NCT ID: NCT06613269

Condition: Clear Cell Renal Cell Carcinoma

Conditions: Official terms:
Carcinoma
Carcinoma, Renal Cell
Fluorodeoxyglucose F18

Conditions: Keywords:
clear cell renal cell carcinoma
CAIX
radiation therapy
68Ga-NY104

Study type: Interventional

Study phase: Phase 2

Overall status: 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-NY104 PET/CT
Description: 68Ga-NY104 PET/CT will be performed at baseline, 6 months, 12 months, and 24 months after radiation therapy if the tumor is under control. If CT or MRI shows any suspicious recurrence or metastasis, 68Ga-NY104 PET/CT can be performed at the decision of the urology oncologist or radiation oncologist. The scan begins 1 hour after intravenous injection of 68Ga-NY104.
Arm group label: NY104 and FDG guided RT combining systemic therapy

Intervention type: Drug
Intervention name: 18F-FDG PET/CT
Description: 18F-FDG PET/CT will be performed at baseline and 6 months after radiation therapy. The scan begins 1 hour after intravenous injection of 18F-FDG.
Arm group label: NY104 and FDG guided RT combining systemic therapy

Intervention type: Radiation
Intervention name: Radiation Therapy
Description: Radiation therapy will be delivered to cover as much metastasis as possible if not all. For new lesions after radiation plus systemic therapy, if the new lesions are considered suitable for RT, RT can be delivered again without changing systemic therapy.
Arm group label: NY104 and FDG guided RT combining systemic therapy

Intervention type: Drug
Intervention name: Systemic therapy
Description: Systemic therapy will be delivered to patients to control the tumor. Possible regimen includes targeted therapy alone, immunotherapy alone, and targeted therapy combined with immunotherapy. The treatment regimen will be decided according to the urology oncologist.
Arm group label: NY104 and FDG guided RT combining systemic therapy

Summary: Radiation therapy (RT) is an effective treatment for patients with advanced-stage clear cell renal cell carcinoma (ccRCC). Current evidence has shown promising outcomes combining radiation therapy and standard systemic therapy in patients with metastatic/recurrent ccRCC. CAIX is a highly sensitive and specific biomarker expressed on ccRCC and in previous studies the investigators have shown excellent diagnostic efficacy of 68Ga-NY104, a CAIX-targeted PET tracer, in patients with metastatic ccRCC. In this study, the investigators aim to investigate the effect of 68Ga-NY104, and 18F-FDG PET/CT guided RT combining standard systemic therapy in patients with metastatic ccRCC.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥ 18 years old - Histologically or cytologically confirmed clear cell renal cell carcinoma - Eligible for radiation therapy: no more than 10 lesions in total - Expected survival: over 3 months - ECOG: 0 or 1 - Sufficient organ function - Written informed consent Exclusion Criteria: - Brain metastasis/carcinomatous meningitis - Other malignant tumors that are not controlled within 5 years, except for non-metastatic low-risk prostate cancer. - Pregnant or breastfeeding. - Active infection.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Peking University First Hospital

Address:
City: Beijing
Zip: 100034
Country: China

Status: Recruiting

Contact:
Last name: Xianshu Gao, MD

Phone: +86 01083575641
Email: gao7777@139.com

Contact backup:
Last name: Mingwei Ma, MD

Phone: +86 0108372408
Email: dr.mingweima@stu.pku.edu.cn

Start date: March 27, 2024

Completion date: September 2028

Lead sponsor:
Agency: Peking Union Medical College Hospital
Agency class: Other

Collaborator:
Agency: Peking University First Hospital
Agency class: Other

Source: Peking Union Medical College Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06613269

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