Open label, nonrandomized, dose-escalation trial of MVT-2163 and MVT-5873 used in performing PET scans. The study is designed to determine the best time and dose of these agents that result in the best PET image of a tumor. Subjects will be seen on days 1, 2, 4, and 7 for imaging and a clinical assessment. The last study visit is on day 28.
This is an open label, nonrandomized, dose-escalation trial of a fixed dose of MVT-2163 and varying antibody masses of MVT-5873. The study is designed to identify an optimal dose (total antibody mass) and optimal timing, for tumor imaging using PET scanning. This trial will include a dose escalation and an expansion phase. During the dose escalation portion of the study, a determination of the optimal time to perform PET imaging will be made. Following the identification of the "optimal" dose and timing, an 10 additional subjects will be imaged using the best dose and timing. In each portion of the study subjects will have a screening visit and, no more than 28 days later, those who are eligible for the study will receive MVT-2163. Each cohort will have 3-6 subjects. Subjects in cohort 1 will be administered MVT-2163 alone on day 1. Subjects in cohorts 2 and 3 will receive MVT-5873 on day 1, followed approximately 10 minutes later by MVT-2163. Subjects will return for visits to the clinic on days 2, 4, and 7 for additional imaging and safety assessments. A follow-up visit will occur on day 28. The study will also evaluate the tissue distribution and pharmacokinetics of MVT-2163 and, based on these data, the study will estimate the radiation dosimetry of MVT-2163. Safety assessments will be performed using ECGs, vital signs measurements, assessments of performance status, and clinical laboratory measurements.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
15
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Safety of MVT-2163 alone and in combination with MVT-5873
Number of subjects with treatment-related adverse events as assessed by CTCAE v4.0 will be collected and compiled
Time frame: About 12 months
Peak Plasma Concentration (Cmax) of MVT-2163 alone and in combination with MVT-5873
Cmax of MVT-2163
Time frame: About 12 months
Biodistribution of MVT-2163 alone and in combination with MVT-5873
The biodistribution of MVT-2163 will be determined by measuring radiation exposure for key organs and tissues
Time frame: About 12 months
Dose of MVT-5873 required for optimal tumor visualization when combined with a fixed dose of MVT-2163
Three doses of MVT-5873 (0, 17, and 47 mg) will be combined with MVT-2163 in order to determine which dose results in the best PET imaging of tumor
Time frame: About 12 months
Determine the optimal time interval between MVT-2163 dose administration and tumor PET imaging
Images will be taken on several days over the first week to determine the optimal day for obtaining PET images
Time frame: About 12 months
Area under the plasma concentration versus time curve (AUC) of MVT-2163 alone and in combination with MVT-5873
AUC of MVT-2163
Time frame: About 12 months
Half-life (T1/2) of MVT-2163 alone and in combination with MVT-5873
Half-life (T1/2) of MVT-2163
Time frame: About 12 months
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The ability of MVT-2163 to detect sites of disease (localized and metastatic) in pancreatic cancer and/or other CA19-9 positive malignancies
PET scans obtained with MVT-2163 will be compared with conventional imaging (CT/MRI) to determine if MVT-2163 based PET scans are capable of detection tumors seen with conventional methods
Time frame: About 12 months
Radiation dosimetry estimates using quantitative MVT-2163 biodistribution uptake data
Bio-distribution data will be used to estimate the radiation exposure of key organs and tissues
Time frame: About 12 months
MVT-2163 PET imaging results in comparison with varying levels of CA19-9 antigen expression by IHC
A determination will be made as to the effect of varying levels of CA19-9 antigen expression by tumor IHC on the quality of MVT-2163 PET imaging
Time frame: About 12 months
MVT-2163 PET imaging results in comparison with circulating CA19-9 levels
A determination will be made as to the effect of circulating levels of CA19-9 on the quality of MVT-2163 PET imaging
Time frame: About 12 months
Presence of anti-drug antibodies (ADA) using an MVT-5873 ADA assay
Subjects will be tested for the development of anti-drug antibodies (ADA) against MVT-5873
Time frame: About 12 months