Clinical trial • Phase IV | Phase II • Oncology
(S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROPYL)PIPERAZIN-1-YL)-2-OXOETHYL)-68GA-[1,4,7,10]-TETRAAZACYCLODODECANE-1,4,7-TRIYL)TRIACETATE for Neoplasm (suspected or previously treated)
Phase IV | Phase II trial of (S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROP…
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Neoplasm (suspected or previously treated)
- Trial Stage
- Phase IV | Phase II
- Drug Modality
- Radiopharmaceutical
Key dates
- Initial CTIS Submission Date
- 14-10-2024
- First CTIS Authorization Date
- 27-11-2024
Trial design
PET/CT with 18F-FDG (standard tracer comparator); no dose or schedule specified-controlled Phase IV | Phase II trial in Italy.
- Comparator
- PET/CT with 18F-FDG (standard tracer comparator); no dose or schedule specified
- Target Sample Size
- 200
Eligibility
Recruits 200 Vulnerable population selected in trial metadata. Patients unable to understand or provide consent are excluded (exclusion: "Patients in emergency situations or unable to understand and want"). Informed consent documents are provided (subject information sheets and informed consent forms listed in documents: L1_SIS_data_protection_FP, L1_ICF_data_protection_FP, L1_SIS_participation_FP, L1_ICF_participation_FP). No paediatric/assent arrangements are described in the available record..
- Pregnancy Exclusion
- • Pregnant women. The state of pregnancy in women of childbearing potential will be ascertained by measuring serum ß-hCG.
- Vulnerable Population
- Vulnerable population selected in trial metadata. Patients unable to understand or provide consent are excluded (exclusion: "Patients in emergency situations or unable to understand and want"). Informed consent documents are provided (subject information sheets and informed consent forms listed in documents: L1_SIS_data_protection_FP, L1_ICF_data_protection_FP, L1_SIS_participation_FP, L1_ICF_participation_FP). No paediatric/assent arrangements are described in the available record.
Inclusion criteria
- {"criterion_text":"- • Age =18 years old"}
- {"criterion_text":"- • Both sexes"}
- {"criterion_text":"- • Patients with suspected or newly diagnosed or previously treated neoplasm (prior therapies of at least 3 months), in the presence of inconclusive FDG findings such as: - Suspect primary or secondary (lymph-nodes or distant metastases) lesions with absent/faint FDG uptake (SUVmax"}
Exclusion criteria
- {"criterion_text":"- • Pregnant women. The state of pregnancy in women of childbearing potential will be ascertained by measuring serum ß-hCG."}
- {"criterion_text":"- • Breastfeeding women"}
- {"criterion_text":"- • Patients in emergency situations or unable to understand and want"}
- {"criterion_text":"- • History of allergic reactions or hypersensitivity to the active substance, to any of the excipients, or to any of the components of the radiolabelled radiopharmaceutical"}
- {"criterion_text":"- • Contraindication to PET / CT examination for patients unable to perform PET due to weight, claustrophobia or the inability to remain still for the duration of the examination"}
- {"criterion_text":"- • Participation in a clinical trial in which an investigational drug was administered within 30 days or 5 half-lives before the study drug"}
- {"criterion_text":"- • Patients with impaired renal function;"}
- {"criterion_text":"- • Patients with impaired liver function."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Accuracy of PET / CT with 68Ga-FAPI in detecting the presence of disease in patients for whom, upon completion of the clinical and instrumental diagnostic procedures required by their normal care pathway, the diagnostic doubt remains: PET / CT examination with 18F-FDG result doubt for the presence of oncological disease or inconclusive in satisfying this diagnostic question.The accuracy of PET / CT with 68Ga-FAPI will be calculated with the following statistical formula: (TRUE POSITIVE+TRUE NE","definition_or_measurement_approach":"The accuracy of PET/CT with 68Ga-FAPI will be calculated with the following statistical formula: (TRUE POSITIVE+TRUE NE (text truncated in source))."}
Secondary endpoints
- {"endpoint_text":"- Evaluation of the accuracy, sensitivity and specificity of PET / CT with 68Ga-FAPI and PET / CT with 18F-FDG in detecting the presence of disease in patients for whom, upon completion of the clinical and instrumental diagnostic procedures required by their normal course care, the diagnostic doubt remains: PET / CT examination with 18F-FDG resulted in doubt due to the presence of oncological disease or inconclusive in satisfying this diagnostic question.","definition_or_measurement_approach":"Assessment of accuracy, sensitivity and specificity of PET/CT with 68Ga-FAPI compared to PET/CT with 18F-FDG as described in the endpoint text; no additional statistical details provided in the available record."}
Recruitment
- Planned Sample Size
- 200
- Recruitment Window Months
- 48
- Consent Approach
- Informed consent obtained from adult participants (age ≥18) using subject information sheets and informed consent forms. Documents listed include: L1_SIS_data_protection_FP, L1_ICF_data_protection_FP, L1_SIS_participation_FP, L1_ICF_participation_FP and a GP letter (L1_GP LETTER_FP). Participants must be able to understand and provide consent; no paediatric assent described and languages of documents are not specified in the available record.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 200
Italy
- Earliest CTIS Part Ii Submission Date
- 10-10-2024
- Latest Decision Or Authorization Date
- 12-05-2025
- Processing Time Days
- 214
- Number Of Sites
- 1
- Number Of Participants
- 200
Sites
- Site Name
- Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
- Department Name
- DIPARTIMENTO MALATTIE ONCOLOGICHE ED EMATOLOGICHE, Medicina Nucleare
- Principal Investigator Name
- Stefano Fanti
- Principal Investigator Email
- stefano.fanti@aosp.bo.it
- Contact Person Name
- Stefano Fanti
- Contact Person Email
- stefano.fanti@aosp.bo.it
- Number Of Participants
- 200
Sponsor
Primary sponsor
- Full Name
- Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Italy
Third parties
- {"country":"","full_name":"IRCCS AOUBO Policlinico di S.Orsola (internal funding, donation SOFIE)","duties_or_roles":"Source of monetary support/funding","organisation_type":""}
Investigational products
- Investigational Product Name
- 68Ga-FAPI-46
- Active Substance
- (S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROPYL)PIPERAZIN-1-YL)-2-OXOETHYL)-68GA-[1,4,7,10]-TETRAAZACYCLODODECANE-1,4,7-TRIYL)TRIACETATE
- Modality
- Radiopharmaceutical
- Routes Of Administration
- Intravenous
- Route
- Intravenous
- Authorisation Status
- Not authorised (investigational radiopharmaceutical)
- Maximum Dose
- 300 MBq
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