Clinical trial • Phase II • Immunology

[89ZR]ZR-DFO-CIT-013 for Inflammatory mediated immune diseases

Phase II trial of [89ZR]ZR-DFO-CIT-013 for Inflammatory mediated immune diseases. 12 participants.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Inflammatory mediated immune diseases
Trial Stage
Phase II
Drug Modality
Radiopharmaceutical|Monoclonal antibody

Key dates

Initial CTIS Submission Date
01-09-2025
First CTIS Authorization Date
24-10-2025

Trial design

Phase II trial across 1 site in Netherlands.

Target Sample Size
12

Eligibility

Recruits 12 No vulnerable populations selected. Participants must be willing and able to provide written, informed consent. Study population restricted to adults (e.g., males and females aged 60–85 for specific cohorts); assent procedures not applicable..

Pregnancy Exclusion
Female participants of childbearing potential (including females that are pregnant or breastfeeding). Follicle-stimulating hormone (FSH) levels < 50 IU/L are exclusionary, unless there is a confirmed other reason for non-childbearing potential (e.g., complete hysterectomy), at discretion of the Investigator.
Vulnerable Population
No vulnerable populations selected. Participants must be willing and able to provide written, informed consent. Study population restricted to adults (e.g., males and females aged 60–85 for specific cohorts); assent procedures not applicable.

Inclusion criteria

  • {"criterion_text":"- For male participants with female partners of child-bearing potential, an adequate form of contraception must be adhered to, and men must refrain from donating sperm, prior to entry into the trial and for a further 6 months after IP administration.\n- Willing and able to provide written, informed consent.\n- (RA specific) Diagnosed with RA according to the 2010 classification criteria of the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) ≥ 6 months prior to screening (diagnosis based on medical records).\n- (active RA specific) Disease Activity Score 28 (DAS28) C-Reactive Protein (CRP) (DAS28-CRP) ≥ 4.2 AND ≥ 1 Swollen Joint AND ≥ 1 Tender Joint at screening.\n- (RA in remission specific) DAS28-CRP score ≤ 2.6 AND no Swollen Joints or Tender Joints at screening.\n- (HS specific) HS of ≥ 6 months duration (diagnosis based on medical records).\n- (HS specific) International Hidradenitis Suppurativa Severity Score System (IHS4) score of ≥ 7 AND at least 1 draining tunnel at screening.\n- Female (of non-childbearing potential) or male between 60-85 years of age (inclusive)."}

Exclusion criteria

  • {"criterion_text":"- Known history of severe allergies, non-allergic drug reactions, or multiple drug allergies.\n- Active HBV, HCV, or HIV infection, as tested and confirmed during screening.\n- Evidence of active TB or being at high risk for TB, assessed according to local site procedures.\n- Male participants with a pregnant partner.\n- Known hypersensitivity to any of the ingredients (L-histidine, Histidine-HCl monohydrate, Sucrose, Polysorbate) of the IP, including the radioactive tracer, or to drugs of similar chemical structure or pharmacological profile.\n- Significant clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, at discretion of the Investigator (or designee).\n- Any other multi-system autoimmune disease.\n- Any other condition which, in the Investigator’s opinion, will interfere with the trial.\n- Female participants of childbearing potential (including females that are pregnant or breastfeeding). Follicle-stimulating hormone (FSH) levels < 50 IU/L are exclusionary, unless there is a confirmed other reason for non-childbearing potential (e.g., complete hysterectomy), at discretion of the Investigator.\n- A recent (within 2 years) history of drug and/or alcohol abuse.\n- Prior treatment with CIT-013.\n- Being an employee of the Investigator or trial site, with direct involvement in the proposed trial or other studies under the direction of that Investigator or trial site or being a family member of an employee or the Investigator."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- This objective is measured by whole body PET-CT imaging 24 hours (D2) after IP administration. In addition to visual assessment, uptake of [89Zr]-DFO-CIT-013 will be quantified per organ(-system). In vivo distribution profiles will be evaluated per cohort to determine ranges of uptake per organ(-system) and between cohorts to compare uptake in different IMIDs.","definition_or_measurement_approach":"Measured by whole body PET-CT imaging 24 hours (day 2) after IP administration; visual assessment plus quantitative measurement of uptake of [89Zr]-DFO-CIT-013 per organ/system; evaluation of distribution profiles per cohort and comparison between cohorts."}

Secondary endpoints

  • {"endpoint_text":"- Frequency and severity of treatment-emergent adverse events (TEAE) throughout the trial period, including clinically relevant findings and ADAs.\n- Pharmacokinetic (PK) levels throughout the trial, per cohort.","definition_or_measurement_approach":"TEAEs: frequency and severity collected throughout trial period including clinically relevant findings and anti-drug antibodies (ADAs). PK: measurement of pharmacokinetic levels per cohort across the trial."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
12
Recruitment Window Months
11
Consent Approach
Participants must be willing and able to provide written, informed consent. Subject information and informed consent forms (ICFs) are provided (documents listed, including NL-NL and NL-EN versions); consent provided by participant (adult); no assent procedures specified. ICF materials available in Dutch and English versions.

Methods

  • Recruitment arrangements documented in 'K1_Recruitment arrangements' and related recruitment materials (country-specific: Netherlands).
  • Website recruitment text (K2_NL-NL Recruitment material Website text NL-01 TC) — online channel targeting patients in the Netherlands.
  • Link2Trials recruitment material (K2_NL-NL Recruitment material Link2Trials NL) — use of the Link2Trials online platform to reach potential participants.

Geography

Total Number Of Sites
1
Total Number Of Participants
12

Netherlands

Earliest CTIS Part Ii Submission Date
23-10-2025
Latest Decision Or Authorization Date
03-04-2026
Processing Time Days
162
Number Of Sites
1
Number Of Participants
12

Sites

Site Name
Radboud universitair medisch centrum Stichting
Department Name
Reumatologie
Principal Investigator Name
Rogier Thurlings
Principal Investigator Email
Rogier.Thurlings@radboudumc.nl
Contact Person Name
Rogier Thurlings
Contact Person Email
Rogier.Thurlings@radboudumc.nl
Number Of Participants
12

Sponsor

Primary sponsor

Full Name
Citryll B.V.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
[89Zr]Zr-DFO-CIT-013
Active Substance
[89ZR]ZR-DFO-CIT-013
Modality
Radiopharmaceutical|Monoclonal antibody
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
1
Maximum Dose
20 mg

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