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Trial Title: 177Lu-JH04 in Patients with FAP-Positive Tumors

NCT ID: NCT06636617

Condition: Patients with Advanced Metastatic FAP-Positive Tumors

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
Lu-177
FAP
Tumor

Study type: Interventional

Study phase: Early Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: Single (Participant)

Intervention:

Intervention type: Drug
Intervention name: 3.70 GBq (100 mCi) of 177Lu-JH04
Description: All 3 patients were intravenous injected with single dose 3.70 GBq (100 mCi) of 177Lu-JH04.
Arm group label: 3.70 GBq (100 mCi) of 177Lu-JH04

Intervention type: Drug
Intervention name: 5.55 GBq (150 mCi) of 177Lu-JH04
Description: All 3 patients were intravenous injected with single 5.55 GBq (150 mCi) of 177Lu-JH04
Arm group label: 5.55 GBq (150 mCi) of 177Lu-JH04

Intervention type: Drug
Intervention name: 7.40 GBq (200 mCi) of 177Lu-JH04
Description: All 3 patients were intravenous injected with single 7.40 GBq (200 mCi) of 177Lu-JH04
Arm group label: 7.40 GBq (200 mCi) of 177Lu-JH04

Summary: This is a pilot study to assess the dosimetry, toxicity and response of 177Lu-JH04, a new FAP-targeted radiopharmaceutical, in patients with FAP-Positive Tumors. All patients underwent 68Ga-FAPI PET/CT for selection and were successively divided into three groups of 3 people each.The three groups received successively an approximately 3.70 GBq (100 mCi), 5.55 GBq (150 mCi) and 7.40 GBq (200 mCi) of 177Lu-JH04 up to 4 cycles.

Detailed description: Cancer-associated fibroblasts (CAFs) are an integral part of the tumor microenvironment and present abundantly in the stroma of multiple tumor entities. Fibroblast activation protein (FAP), as a specific marker protein of CAFs, is overexpressed on more than 90% of malignant tumors& limited and expression in normal tissues, making it an appropriate target for diagnosis and therapy of numerous malignant tumors. Currently, several radiopharmaceuticals targeting FAP for radionuclide therapy have been developed, such as 177Lu-FAPI-46, 177Lu-FAP-2286, and showed high efficacy and reasonable toxicity profile in tumor treatment. 177Lu-JH04, a novel radiopharmaceutical targeting FAP, demostrated high stability in vitro and in vivo, and can accumulate specifically in tumors with high binding affinity, safety, and selectivity in preclinical studies. In this study, we assess the dosimetry, toxicity and response of 177Lu-JH04 for the treatment of patients with advanced metastatic cancers after exhaustion of all other treatment options.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - progressive advanced metastatic tumors - tumors with high FAP expression confirmed on 68Ga-FAPI PET/CT - adequate renal, haematological, and liver function - an Eastern Cooperative Oncology Group performance status of 0-2 Exclusion Criteria: - pregnant or lactating women - received other radionuclide therapy in the past 6 months - received chemotherapy, radiotherapy and other anti-tumor treatments in the past 28 days

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Department of Nuclear Medicine, First Affiliated Hospital of Fujian Medical University

Address:
City: Fuzhou
Zip: 350005
Country: China

Status: Recruiting

Contact:
Last name: Weibing Miao, MD

Phone: +86-0591 87981618
Email: miaoweibing@126.com

Contact backup:
Last name: Guochang Wang, MD

Phone: +86-0591 87981619
Email: guochang1007@163.com

Contact backup:
Last name: Weibing Miao, MD

Start date: August 21, 2024

Completion date: August 31, 2025

Lead sponsor:
Agency: First Affiliated Hospital of Fujian Medical University
Agency class: Other

Source: First Affiliated Hospital of Fujian Medical University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06636617

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