Clinical trial • Phase II • Oncology
ZIRCONIUM (89ZR) CREFMIRLIMAB BERDOXAM for Breast cancer|Esophageal cancer|Melanoma|Non-small cell lung cancer
Phase II trial of ZIRCONIUM (89ZR) CREFMIRLIMAB BERDOXAM for Breast cancer|Esophageal cancer|Melanoma|Non-small cell lung cancer.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Breast cancer|Esophageal cancer|Melanoma|Non-small cell lung cancer
- Trial Stage
- Phase II
- Drug Modality
- Radiopharmaceutical
Key dates
- Initial CTIS Submission Date
- 28-02-2024
- First CTIS Authorization Date
- 22-05-2024
Trial design
[18F]F-AraG and [89Zr]Zr-Df-Crefmirlimab are compared as imaging tracers; no standard therapeutic comparator arm described. Product-level maximum administered activities listed in Part I: Zr89 max daily 33 MBq (max total 41 MBq); Nelarabine entry lists max daily 166 MBq (max total 204 MBq).-controlled Phase II trial across 1 site in Netherlands.
- Comparator
- [18F]F-AraG and [89Zr]Zr-Df-Crefmirlimab are compared as imaging tracers; no standard therapeutic comparator arm described. Product-level maximum administered activities listed in Part I: Zr89 max daily 33 MBq (max total 41 MBq); Nelarabine entry lists max daily 166 MBq (max total 204 MBq).
- Target Sample Size
- 34
Eligibility
Recruits 34 No vulnerable population selected. Participants must be above 18 years of age and willing and able to provide written informed consent. No assent procedures for minors are described..
- Pregnancy Exclusion
- Patient is pregnant or breastfeeding or expecting to conceive within the projected duration of the trial.
- Vulnerable Population
- No vulnerable population selected. Participants must be above 18 years of age and willing and able to provide written informed consent. No assent procedures for minors are described.
Inclusion criteria
- {"criterion_text":"- 1. Histologically confirmed NSCLC, melanoma, esophageal or triple negative breast cancer\n- 2. Lesion size of ≥2cm, at time of the (re)staging FDG PET/CT\n- 3. Planned to undergo resection according to routine treatment guidelines\n- 4. Neoadjuvant chemotherapy + IO is allowed\n- 5. Willing and able to provide written informed consent for the trial\n- 6. Above 18 years of age on day of signing informed consent\n- 7. Have measurable disease based on RECIST 1.15\n- 8. Have a ECOG performance status of 0-1, and are considered operable based on pulmonary function test and/or exercise testing"}
Exclusion criteria
- {"criterion_text":"- 1. Patients deemed inoperable\n- 2. Patients with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of day 0. Inhaled or topical steroids, and adrenal replacement steroid >10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease.\n- 3. Psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.\n- 4. Patient is pregnant or breastfeeding or expecting to conceive within the projected duration of the trial."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The spatial overlap of the regions of uptake for both PET tracers will be assessed using the Dice Similarity Coefficient (DSC) as an established method.\n- The Pearson correlation coefficient between each tracer tumor uptake and the T cell features in regions of concordance and discordance.","definition_or_measurement_approach":"- Spatial overlap: assessed using the Dice Similarity Coefficient (DSC).\n- Correlation with T cell features: assessed using the Pearson correlation coefficient between tracer tumor uptake and T cell features in concordant/discordant regions."}
Secondary endpoints
- {"endpoint_text":"- The Pearson correlation coefficient between each tracer tumor uptake and percentage of residual viable tumor cells (VTC) in regions of concordance and discordance and the maximal VTC of the whole of the tumor.\n- The Pearson correlation coefficient between each tracer uptake and the T cell features in resected lymph nodes (if present).","definition_or_measurement_approach":"- Correlation with pathological response: Pearson correlation coefficient between tracer uptake and percentage of residual viable tumor cells (VTC), including maximal VTC for whole tumor.\n- Correlation in lymph nodes: Pearson correlation coefficient between tracer uptake and T cell features in resected lymph nodes."}
Recruitment
- Planned Sample Size
- 34
- Recruitment Window Months
- 36
- Consent Approach
- Participants must be willing and able to provide written informed consent; participants must be >18 years of age. A subject information and informed consent form document is listed (L1_SIS and ICF_participants iRelate AUMC). No details on assent or available languages are provided in the available records.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 34
Netherlands
- Earliest CTIS Part Ii Submission Date
- 16-05-2024
- Latest Decision Or Authorization Date
- 30-01-2025
- Processing Time Days
- 259
- Number Of Sites
- 1
- Number Of Participants
- 34
Sites
- Site Name
- Amsterdam UMC
- Department Name
- Pulmonary Medicine
- Principal Investigator Name
- Idris Bahce
- Principal Investigator Email
- i.bahce@amsterdamumc.nl
- Contact Person Name
- Idris Bahce
- Contact Person Email
- i.bahce@amsterdamumc.nl
- Number Of Participants
- 34
Sponsor
Primary sponsor
- Full Name
- Amsterdam UMC
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Netherlands
Third parties
- {"country":"","full_name":"Foundation for National Institutes of Health (FNIH)","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Zr89
- Active Substance
- ZIRCONIUM (89ZR) CREFMIRLIMAB BERDOXAM
- Modality
- Radiopharmaceutical
- Routes Of Administration
- INTRAVENIOUS INFUSION
- Route
- INTRAVENIOUS INFUSION
- Authorisation Status
- 1
- Dose Levels
- max daily 33 MBq; max total 41 MBq
- Maximum Dose
- 41 MBq
- Investigational Product Name
- NELARABINE
- Active Substance
- NELARABINE
- Modality
- Radiopharmaceutical
- Routes Of Administration
- INTRAVENOUS ADMINISTRATION
- Route
- INTRAVENOUS ADMINISTRATION
- Authorisation Status
- 2
- Dose Levels
- max daily 166 MBq; max total 204 MBq
- Maximum Dose
- 204 MBq
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