Phase I and multicenter study to evaluate the safety and dosimetry of 68Ga-OncoCAIX in patients with clear cell renal cell carcinoma.
The Carbonic Anhydrase IX (CAIX) is a clinically validated marker of clear-cell renal cell carcinoma (ccRCC) and hypoxic tumors. OncoCAIX is a new ligand for CAIX. This is a Phase I, multicenter study in patients with suspected ccRCC to evaluate the safety, dosimetry and biodistribution of 68Ga-OncoCAIX for imaging of ccRCC. In this trial, 68Ga-OncoCAIX is offered to ccRCC patients who already received standard of care imaging and might therefore complement available modalities. All patients will undergo PET/CT imaging with \[68Ga\]Ga-OncoCAIX. The principal objective of the study is to evaluate safety and dosimetry of a single administration of \[68Ga\]Ga-OncoCAIX. In addition, data on the uptake, biodistribution, PK and excretion of \[68Ga\]Ga-OncoCAIX is collected and technical parameters are evaluated. Patients are divided into two cohorts: * Cohort A: 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs. * Cohort B: all patients who meet the eligibility criteria (up to 14 patients) Both cohorts are recruited in parallel, and patients are assigned to the respective cohort based on their disease extent. Whenever possible, patients are enrolled in cohort A, unless they are unsuitable for cohort A, or the required number of patients of a given sex has already been enrolled in cohort A. All patients will receive a single intravenous bolus administration of \[68Ga\]Ga-OncoCAIX and biodistribution, PK, and dosimetry of \[68Ga\]Ga-OncoCAIX will be assessed based on a series of PET/CT scans, blood and urine sampling. Full dosimetry evaluations will be performed for all patients in cohort A. Additional dosimetry in the other patients may be performed to the extent that it is possible based on their disease burden (i.e., only organs not affected by malignant lesions can be evaluated). All patients will be assessed for safety. In addition, relative uptake to appropriate reference tissue of \[68Ga\]Ga-OncoCAIX as well as semiquantitative parameters such as SUVmax/SUVmean/SUVsd, are determined. The correlation of \[68Ga\]Ga-OncoCAIX uptake with immunopathology staining for CAIX will be evaluated in patients undergoing surgery or tumor biopsy collection. The lesion detection rate will be compared to 18F-FDG-PET/CT in patients who receive this as part of their standard diagnostic workup.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
20
Single intravenous bolus administration.
ASST Papa Giovanni XXIII
Bergamo, BG, Italy
IRCCS Ospedale San Raffaele
Milan, Milano, Italy
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Milano, Italy
Cohort A: Dosimetry - Effective dose equivalent (mSv)
Whole-body effective dose (mSv) following administration of a single dose of \[68Ga\]Ga-OncoCAIX.
Time frame: Assessed on day 1
Cohort A: Dosimetry - Effective dose absorbed doses (mGy)
Absorbed doses (mGy) of normal organs following administration of a single dose of \[68Ga\]Ga-OncoCAIX.
Time frame: Assessed on day 1
All patients: Safety (AEs and SAEs)
Safety of administration of \[68Ga\]Ga-OncoCAIX, according to Common Terminology Criteria for Adverse Events (CTCAE v.5.0).
Time frame: Throughout the study, until a maximum of 7 days after the administration of the study drug.
Biodistribution profile: SUVmax
Uptake of \[ 68Ga\]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVmax
Time frame: Assessed on day 1
Biodistribution profile: SUVmean
Uptake of \[68Ga\]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVmean
Time frame: Assessed on day 1
Biodistribution profile: SUVsd
Uptake of \[68Ga\]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVsd
Time frame: Assessed on day 1
Pharmacokinetics (PK) - Blood
Pharmacokinetics (PK) of \[68Ga\]Ga-OncoCAIX based on measurement on blood of residual radioactivity over time \[kBq/mL\].
Time frame: Assessed on day 1
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Excretion - Urine
Excretion of \[68Ga\]Ga-OncoCAIX based on measurement of residual radioactivity in the urine over time \[kBq\]
Time frame: Assessed on day 1