Clinical trial • Phase III • 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 Peritoneal metastases

Phase III 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)-PROPYL)PIPERAZ…

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Peritoneal metastases
Trial Stage
Phase III
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
28-05-2025
First CTIS Authorization Date
18-08-2025

Trial design

None/Not specified-controlled Phase III trial across 1 site in Netherlands.

Comparator
None/Not specified
Target Sample Size
16

Eligibility

Recruits 16 No vulnerable populations selected; only adults (aged 18 years or older); written informed consent required according to the ICH-GCP and national/local regulations..

Pregnancy Exclusion
Pregnancy/breastfeeding. For the latter, temporary discontinuation may be considered
Vulnerable Population
No vulnerable populations selected; only adults (aged 18 years or older); written informed consent required according to the ICH-GCP and national/local regulations.

Inclusion criteria

  • {"criterion_text":"- A planned start of repeated IP chemotherapy (with or without the combination of systemic chemotherapy) for macroscopic peritoneal metastases\n- WHO-performance score of 0 to 1\n- Aged 18 years or older\n- Written informed consent according to the ICH-GCP and national/local regulations"}

Exclusion criteria

  • {"criterion_text":"- Impaired renal function, defined as eGFR <25 ml/min/1,73 m2. An exception can be made in consultation with the treating physician\n- Pregnancy/breastfeeding. For the latter, temporary discontinuation may be considered\n- Known allergic reaction to therapeutic radiopharmaceuticals\n- Inability to lie still on the back for the duration of PET-CT\n- Any (other) condition, disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that may affect the interpretation of the results, or which might contribute substantially to the patient's experience of study burden (such as non-suppressible claustrophobia)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The accuracy will be calculated as the sensitivity of the ⁶⁸Ga-FAPI PET/CT with clinical assessment during MTB and/or histopathological outcome at second laparoscopy as a reference standard.","definition_or_measurement_approach":"Calculated as the sensitivity of the ⁶⁸Ga-FAPI PET/CT with clinical assessment during MTB and/or histopathological outcome at second laparoscopy as reference standard."}

Secondary endpoints

  • {"endpoint_text":"- The absolute change in peritoneal tumor size or volume as measured by imaging before and after treatment.","definition_or_measurement_approach":"Absolute change in peritoneal tumor size or volume measured by imaging before and after treatment."}

Recruitment

Planned Sample Size
16
Recruitment Window Months
24
Consent Approach
Written informed consent according to the ICH-GCP and national/local regulations provided by participants; participants are adults (>=18 years); no assent or parental consent described. Subject information and informed consent form document available (L1_SIS and ICF adults).

Geography

Total Number Of Sites
1
Total Number Of Participants
16

Netherlands

Earliest CTIS Part Ii Submission Date
18-08-2025
Latest Decision Or Authorization Date
18-08-2025
Processing Time Days
0
Number Of Sites
1
Number Of Participants
16

Sites

Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Medical Oncology
Principal Investigator Name
Stijn Koolen
Principal Investigator Email
s.koolen@erasmusmc.nl
Contact Person Name
Stijn Koolen
Contact Person Email
s.koolen@erasmusmc.nl
Number Of Participants
16

Sponsor

Primary sponsor

Full Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

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 ADMINISTRATION
Route
INTRAVENOUS ADMINISTRATION
Maximum Dose
3 MBq/kg

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