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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