Clinical trial • Phase II • Oncology

GOZETOTIDE ALF-18 for Hepatocellular carcinoma

Phase II trial of GOZETOTIDE ALF-18 for Hepatocellular carcinoma. F-18 FDG PET/CT; F-18 Choline PET/CT (no dose/schedule specified)-controlled.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Hepatocellular carcinoma
Trial Stage
Phase II
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
29-05-2024
First CTIS Authorization Date
23-08-2024

Trial design

F-18 FDG PET/CT; F-18 Choline PET/CT (no dose/schedule specified)-controlled Phase II trial across 1 site in Belgium.

Comparator
F-18 FDG PET/CT; F-18 Choline PET/CT (no dose/schedule specified)
Target Sample Size
32
Trial Duration For Participant
730

Eligibility

Recruits 32 Vulnerable population selected (isVulnerablePopulationSelected: true). Participants must be willing and mentally legally capable to provide written informed consent; only adults (18 years or older) are eligible. No procedures for assent of minors are provided..

Pregnancy Exclusion
Active pregnancy; Possible pregnancy and refusal of urine pregnancy test
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected: true). Participants must be willing and mentally legally capable to provide written informed consent; only adults (18 years or older) are eligible. No procedures for assent of minors are provided.

Inclusion criteria

  • {"criterion_text":"- Willing and mentally legally capable to provide written informed consent"}
  • {"criterion_text":"- 18 years of age or older"}
  • {"criterion_text":"- - One of the following clinical scenario’s: • New diagnosis of HCC, confirmed either by biopsy or imaging using EASL/AASLD criteria, with a high risk of metastases indicated by portal invasion or a primary lesion of >5cm diameter. • Known diagnosis of HCC that requires restaging due to unexplained elevated AFP tumor markers, known metastases, impending initiation of immunotherapy, or being on the waiting list for a liver transplant."}
  • {"criterion_text":"- Have either planned or recently undergone (within the past 4 weeks) both F-18 FDG PET/CT and F-18 Choline PET/CT scans as part of their diagnostic or staging workup for one of the above indications."}

Exclusion criteria

  • {"criterion_text":"- Known active malignancy other than hepatocellular carcinoma."}
  • {"criterion_text":"- History of prostate cancer"}
  • {"criterion_text":"- Active pregnancy"}
  • {"criterion_text":"- Possible pregnancy and refusal of urine pregnancy test"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Per-lesion detection rate of F-18 PSMA-11 PET/CT, 60-90 minutes post-injection.","definition_or_measurement_approach":"Per-lesion detection rate measured by F-18 PSMA-11 PET/CT imaging performed 60-90 minutes after tracer injection."}

Secondary endpoints

  • {"endpoint_text":"- Overall Survival (OS) and Progression-Free Survival (PFS): Measured among subjects with PSMA-avid, FDG-avid, and Choline-avid HCC lesions, measured after completion of the 2 year follow-up for all patients.","definition_or_measurement_approach":"OS and PFS measured among subjects stratified by tracer avidity and assessed after completion of a 2-year follow-up period for all patients."}
  • {"endpoint_text":"- Tumor-to-Background Ratio: Assessed for intrahepatic HCC lesions 60-90 minutes post-injection using F-18 PSMA-11 PET/CT.","definition_or_measurement_approach":"Tumor-to-background ratio calculated for intrahepatic lesions on F-18 PSMA-11 PET/CT images acquired 60-90 minutes post-injection."}
  • {"endpoint_text":"- Standard Uptake Value (SUV) Parameters: Analyzed for all HCC lesions detected 60-90 minutes post-injection with F-18 PSMA-11 PET/CT.","definition_or_measurement_approach":"SUV parameters (as defined in protocol) measured for all detected HCC lesions on F-18 PSMA-11 PET/CT images acquired 60-90 minutes post-injection."}
  • {"endpoint_text":"- Proportion of subjects with Metastatic HCC: Comparison between those detected by F-18 PSMA-11 PET/CT, F-18 FDG PET, and F-18 Choline PET, 60-90 minutes post-injection.","definition_or_measurement_approach":"Proportion of subjects with metastatic disease detected by each imaging modality compared; assessments based on imaging performed 60-90 minutes post-injection."}

Recruitment

Planned Sample Size
32
Recruitment Window Months
60
Consent Approach
Written informed consent required from each participant; participants must be mentally and legally capable to provide consent. Only adults (18 years or older) are eligible. No information provided on assent for minors or availability of age-specific documents or languages.

Geography

Total Number Of Sites
1
Total Number Of Participants
32

Belgium

Earliest CTIS Part Ii Submission Date
30-07-2024
Latest Decision Or Authorization Date
23-08-2024
Processing Time Days
24
Number Of Sites
1
Number Of Participants
32

Sites

Site Name
Universitair Ziekenhuis Gent
Department Name
nucleaire geneeskunde
Contact Person Name
Kathia De Man
Contact Person Email
Kathia.deman@uzgent.be

Sponsor

Primary sponsor

Full Name
Universitair Ziekenhuis Gent
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Belgium

Third parties

  • {"country":"","full_name":"Kom Op Tegen Kanker","duties_or_roles":"Monetary support","organisation_type":""}
  • {"country":"","full_name":"University Hospital Ghent","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
[18F]PSMA-11
Active Substance
GOZETOTIDE ALF-18
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised
Frequency
Single administration
Maximum Dose
2.2 MBq/kg

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