Clinical trial • Phase II • Oncology|Other
CHIMERIC MONOCLONAL ANTIBODY AGAINST CARCINOEMBRYONIC ANTIGEN CONJUGATED TO FLUOROCHROME BM-104 for Brain metastases|Colorectal cancer
Phase II trial of CHIMERIC MONOCLONAL ANTIBODY AGAINST CARCINOEMBRYONIC ANTIGEN CONJUGATED TO FLUOROCHROME BM-104 for Brain metastases|Colorectal cancer.
Overview
- Trial Therapeutic Area
- Oncology|Other
- Trial Disease
- Brain metastases|Colorectal cancer
- Trial Stage
- Phase II
- Drug Modality
- Monoclonal antibody|Diagnostic agent
Key dates
- Initial CTIS Submission Date
- 27-09-2024
- First CTIS Authorization Date
- 16-10-2024
Trial design
open-label, none/not specified-controlled Phase II trial across 2 sites in Netherlands.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 10
Eligibility
Recruits 10 Vulnerable population not selected (isVulnerablePopulationSelected=false). Signed informed consent is required prior to any study-mandated procedure. Participants must be over 18 years old and able to communicate well with the Investigator in Dutch. No assent procedures for minors are applicable because minors are excluded..
- Pregnancy Exclusion
- Patients pregnant or breastfeeding (pregnancy should be ruled out by a pregnancy test within two weeks prior to administration of the conjugate).
- Vulnerable Population
- Vulnerable population not selected (isVulnerablePopulationSelected=false). Signed informed consent is required prior to any study-mandated procedure. Participants must be over 18 years old and able to communicate well with the Investigator in Dutch. No assent procedures for minors are applicable because minors are excluded.
Inclusion criteria
- {"criterion_text":"- Signed informed consent prior to any study-mandated procedure.\n- Patients aged over 18 years old.\n- All women of child bearing potential and all males must practice effective contraception during the study and be willing and able to continue contraception for at least 30 days after their last dose of study treatment.\n- Has the ability to communicate well with the Investigator in the Dutch language and willing to comply with the study restrictions.\n- Diagnosed with brain metastasis of colorectal origin and scheduled for a resection."}
Exclusion criteria
- {"criterion_text":"- History of any anaphylactic reaction; 7. Previous use of SGM-101.\n- Previous use of SGM-101.\n- Other malignancies either currently active or diagnosed in the last 5 years, except adequately treated in situ carcinoma of the cervix and basal or squamous cell skin carcinoma.\n- Patients pregnant or breastfeeding (pregnancy should be ruled out by a pregnancy test within two weeks prior to administration of the conjugate).\n- Any condition that the investigator considers to be potentially jeopardizing the patient’s well-being or the study objectives (following a detailed medical history, physical examination, vital signs (systolic and diastolic blood pressure, pulse rate, body temperature) and 12-lead electrocardiogram (ECG)). Minor deviations from the normal range may be accepted, if judged by the Investigator to have no clinical relevance."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Based upon the primary objective: “To assess the performance of SGM-101 in the intraoperative detection of brain metastases of colorectal origin” we propose the following primary endpoint: Concordance rate between the pathology results with respect to the presence of cancer and the imaging assessment. This endpoint is chosen as this study serves as a proof of principle.","definition_or_measurement_approach":"Concordance rate between pathology results (presence of cancer in resected tissue) and imaging assessment (fluorescence signal). Measurement by comparing histopathology of resected lesions to intraoperative fluorescence imaging assessment and calculating concordance rate."}
Secondary endpoints
- {"endpoint_text":"- Concordance between intraoperative fluorescence assessment of resected lesions and their histopathology in terms of both CEA expression and tumor status.\n- Modification of operative plan due to imaging (e.g. extension, reduction of resection margins, or additional resection) and change in postoperative treatment will be recorded.\n- Tumor to background ratio (TBR) for fluorescence in malignant and benign tissue.\n- - Treatment-emergent (serious) adverse events ((S)AEs). - Concomitant medication - Vital signs o Pulse Rate (bpm) o Systolic blood pressure (mmHg) o Diastolic blood pressure (mmHg) o Body temperature o Glasgow Coma Scale o Monitoring of unpredicted seizures o Monitoring of unpredicted focal deficits","definition_or_measurement_approach":"1) Compare intraoperative fluorescence assessment to histopathology including assessment of CEA expression and tumor status to determine concordance. 2) Record any intraoperative changes to surgical plan attributable to imaging and relate these changes to pathological status of resected tissue. 3) Calculate tumor-to-background ratio (TBR) for fluorescence in malignant and benign tissue. 4) Record treatment-emergent (S)AEs, concomitant medication, and monitor vital signs and neurological events as listed."}
Recruitment
- Planned Sample Size
- 10
- Recruitment Window Months
- 61
- Consent Approach
- Signed informed consent is required prior to any study-mandated procedure. Participants must be adults (>18 years) and able to communicate well in Dutch. An informed consent form (L1_SIS and ICF) is listed among trial documents. No assent for minors is applicable because minors are excluded.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 10
Netherlands
- Earliest CTIS Part Ii Submission Date
- 11-10-2024
- Latest Decision Or Authorization Date
- 16-10-2024
- Processing Time Days
- 5
- Number Of Sites
- 2
- Number Of Participants
- 10
Sites
- Site Name
- Haaglanden Medisch Centrum Stichting
- Department Name
- Surgery
- Principal Investigator Name
- M.L.D. Broekman
- Principal Investigator Email
- m.broekman@haaglandenmc.nl
- Contact Person Name
- M.L.D. Broekman
- Contact Person Email
- m.broekman@haaglandenmc.nl
- Site Name
- Leids Universitair Medisch Centrum (LUMC)
- Department Name
- Surgery
- Principal Investigator Name
- A.L. Vahrmeijer
- Principal Investigator Email
- A.L.Vahrmeijer@lumc.nl
- Contact Person Name
- A.L. Vahrmeijer
- Contact Person Email
- A.L.Vahrmeijer@lumc.nl
Sponsor
Primary sponsor
- Full Name
- Academisch Ziekenhuis Leiden
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Netherlands
Third parties
- {"country":"","full_name":"SURGIMAB S.A.S.","duties_or_roles":"Manufacturer/supplier of the investigational product (SGM-101)","organisation_type":""}
Investigational products
- Investigational Product Name
- SGM-101
- Active Substance
- CHIMERIC MONOCLONAL ANTIBODY AGAINST CARCINOEMBRYONIC ANTIGEN CONJUGATED TO FLUOROCHROME BM-104
- Modality
- Monoclonal antibody
- Routes Of Administration
- INTRAVENIOUS INFUSION
- Route
- INTRAVENIOUS INFUSION
- Maximum Dose
- 15 mg
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