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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