The aim of this study is to determine if it is practical to use 89Zr-TLX250 PET/CT in the staging and detection of localized and metastatic urothelial carcinoma or bladder cancer. The primary objective is to evaluate the feasibility of using 89Zr-TLX250 PET/CTas a new diagnostic and staging modality to detect urothelial carcinoma or bladder cancer.
This will be a non-randomised, non-blinded, single centre, phase 1 feasibility study comparing 89Zr-girentuximab PET with FDG PET in patients with urothelial carcinoma or bladder cancer. This study would include 2 cohorts of adult patients; those with known metastatic urothelial carcinoma and bladder cancer and those undergoing primary staging for recently diagnosed urothelial carcinoma or bladder cancer. This study is open-label, single centre and eligible patients will receive a single administration of study drug prior to imaging on day 5 (+/- 2 days). PET scans will be independently interpreted by nuclear medicine physicians blinded to the FDG PET findings. For patients proceeding to radical cystectomy, subsequent histological confirmation of areas of increased uptake will be retrospectively correlated with both PET scans.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
11
Administration of 89Zr-girentuximab as per protocol.
Fiona Stanley Hospital
Murdoch, Western Australia, Australia
Comparison of the sensitivity and specificity of 89Zr-girentuximab PET with FDG PET
Sensitivity and specificity will be established following histological confirmation
Time frame: Day 1 - Day 90
To evaluate the correlation between 89Zr-girentuximab SUV's and degree of urinary carbonic anhydrase IX excretion (cytology and CA-IX via PCR).
89Zr-girentuximab SUV's will be correlated with urinary CA-IX expression
Time frame: Day 1
Number of participants with treatment related adverse events related to 89Zr-girentuximab administration
Number of participants with treatment-related adverse events as assessed by NCI-CTCAE v 5.0 criteria
Time frame: Day 1 to Day 90
To quantify the correlation between tumour volume using MIM quantitative software and histopathological findings
Tumour burden as defined by volumetric software will be correlated with histopathological results
Time frame: Day 1 - Day 90
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