⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) for PET/CT in Patients With Metastatic Solid Tumors
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ClinicalTrials.gov Identifier: NCT03802123 |
Recruitment Status :
Recruiting
First Posted : January 14, 2019
Last Update Posted : February 13, 2020
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Condition or disease | Intervention/treatment | Phase |
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Positron-Emission Tomography Metastatic Solid Tumors | Drug: ⁸⁹Zr-Df-IAB22M2C | Phase 2 |

Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 84 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Diagnostic |
Official Title: | A Phase II, Open Label, Multi-Dose Study OF ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) for Positron Emission Tomography (PET/CT) in Patients With Advanced or Metastatic Melanoma, Non Small Cell Lung Cancer, Renal Cell Carcinoma or Squamous Cell Carcinoma of the Head and Neck Selected to Receive Standard-of-Care Immunotherapy As Single Agent or in Combination |
Actual Study Start Date : | December 18, 2018 |
Estimated Primary Completion Date : | March 2021 |
Estimated Study Completion Date : | March 2021 |

Arm | Intervention/treatment |
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Experimental: ⁸⁹Zr-Df-IAB22M2C Infusion
A dose of 3 mCi (±20%) of ⁸⁹Zr-Df-IAB22M2C between 0.5 mg to 1.5 mg of API will be administered intravenously over 5-10 minutes, within one week prior to the onset of immunotherapy, and 5 to 6 weeks after start of IOT.
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Drug: ⁸⁹Zr-Df-IAB22M2C
⁸⁹Zr-Df-IAB22M2C CD8 T cell tracer for Positron Emission Tomography (PET) |
- Evaluate the safety and tolerability (incidence of adverse events) of repeat doses of ⁸⁹Zr-Df-IAB22M2C [ Time Frame: Time of infusion of ⁸⁹Zr-Df-IAB22M2C (Visit 2 Day 1) through 4-5 weeks after the second infusion of ⁸⁹Zr-Df-IAB22M2C ]The safety and tolerability of repeat doses of ⁸⁹Zr-Df-IAB22M2C will be assessed by incidence of adverse events per CTCAE criteria.
- ⁸⁹Zr-Df-IAB22M2C PET/CT images will be compared with CD8+ T cells density determined by IHC from biopsy samples [ Time Frame: Change from baseline to 2 weeks after the second infusion of ⁸⁹Zr-Df-IAB22M2C ]Analyze ⁸⁹Zr-Df-IAB22M2C uptake in biopsied tumors as determined by SUV-based quantitative measures with CD8+ TIL density determined by IHC from biopsy samples.
- Assessment of Baseline and On-treatment ⁸⁹Zr-Df-IAB22M2C uptake and distribution in tumors and lymphoid organs, and measurement of change between the paired observations [ Time Frame: 5 weeks ]
Assessment of Baseline and On-treatment ⁸⁹Zr-Df-IAB22M2C uptake and distribution in tumors and lymphoid organs, and measurement of change between the paired observations as determined by:
- Tumor uptake analysis as described by visual scoring scales
- Lymph node chain visibility defined as location and number of nodes in lymph node chains identified with elevated ⁸⁹Zr-Df-IAB22M2C activity.
- SUV-based quantitative analysis (e.g. SUVmax, SUVpeak, SUVmean, CD8 tumor volume (volume of tumor tissues with increased CD8 uptake with SUV >40% SUVmax), and Tumor:Reference ratios
- Visual and SUV-based quantitative analysis (e.g. SUVmax, SUVpeak, SUVmean) in tumor and reference tissue including lymph nodes, spleen, and bone marrow.
- Measurement of change in ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake in biopsied tumors as determined by SUV-based quantitative analysis [ Time Frame: 7 weeks ]Measurement of change in ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake in biopsied tumors as determined by SUV-based quantitative analysis (e.g. SUVmax, SUVpeak, SUVmean, CD8 tumor volume (volume of tumor tissues with increase CD8 uptake with SUV > 40% SUVmax) and Tumor: Reference ratio from Baseline to On- Treatment PET scans and correlation with change in CD8+ T cells as determined by IHC from biopsy samples obtained prior to and 4 to 7 weeks after the start of immunotherapy.
- Description of biodistribution patterns of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) on PETbaseline and PETTx and any changes in biodistribution between baseline and On-Treatment. [ Time Frame: 7 weeks ]Description of biodistribution patterns of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) on PETbaseline and PETTx and any changes in biodistribution between baseline and On-Treatment. PETbaseline and PETTx scans compared to change in CD8+ T cells in tumor lesions by IHC if the same lesion was biopsied at Baseline and On-Treatment visits
- Evaluation of the variance in gene expression profiles in subjects prior to and On-treatment as measured in whole blood by Nanostring analysis. [ Time Frame: 7 weeks ]Evaluation of the variance in gene expression profiles in subjects prior to and On-treatment as measured in whole blood by Nanostring analysis.
- Correlation of visual and quantitative ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake in tumor lesions with change in CD8+ T cells as determined by IHC from biopsy samples obtained prior to and 4 to 7 weeks after the start of immunotherapy. [ Time Frame: 7 weeks ]Correlation of visual and quantitative ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake in tumor lesions with change in CD8+ T cells as determined by IHC from biopsy samples obtained prior to and 4 to 7 weeks after the start of immunotherapy.
- Estimation of positive predictive value, negative predictive value, sensitivity and specificity of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) PET for detecting CD8+ T cells as determined by IHC. [ Time Frame: 7 weeks ]Estimation of positive predictive value, negative predictive value, sensitivity and specificity of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) PET for detecting CD8+ T cells as determined by IHC.
- Assessment of changes in ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake and distribution from baseline to 5-7 days start of immunotherapy if available. [ Time Frame: 7 weeks ]Assessment of changes in ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake and distribution from baseline to 5-7 days start of immunotherapy if available.
- Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake with clinical outcomes (response rates, duration of response, disease stability rate and PFS at defined intervals as determined by the local investigator. [ Time Frame: 18 months ]Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake with clinical outcomes
- Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake with radiologic responses [ Time Frame: 7 weeks ]
Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) uptake with radiologic responses based upon:
- Correlation of subject response by RECIST 1.1 compared to visual and quantitative SUVbased analysis
- Correlation of RECIST target lesion response as determined by best change in lesion diameter while on immunotherapy compared to visual and quantitative SUV based analysis at baseline and On-treatment PET/CT scans.
- Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) tumor and lymph node uptake with immune infiltrates and other molecular biomarker (CD8) expression by IHC [ Time Frame: 7 weeks ]Correlation of ⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) tumor and lymph node uptake with immune infiltrates and other molecular biomarker (CD8) expression by IHC
- Correlation of the 89Zr-Df-IAB22M2C(CD8 PET Tracer) uptake on a subset of PETbaseline and PETtx scans that have been virtually reconstructed with lower theoretical doses of 8⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) with CD8+ T cells from IHC analysis. [ Time Frame: 7 weeks ]Correlation of the 89Zr-Df-IAB22M2C(CD8 PET Tracer) uptake on a subset of PETbaseline and PETtx scans that have been virtually reconstructed with lower theoretical doses of 8⁸⁹Zr-Df-IAB22M2C (CD8 PET Tracer) with CD8+ T cells from IHC analysis.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Participants will be eligible for enrollment in the study only if they meet ALL of the following criteria:
- 1. Patients with advanced or metastatic Melanoma, Non-Small Cell Lung Cancer, Renal Cell Carcinoma or Squamous Cell Carcinoma of the Head and Neck with at least one non-radiated lesion, who are scheduled to begin standard of care immunotherapy.
- • At least 1 non radiated measurable lesion documented on CT/, MRI (per RECIST criteria 1.1) or are FDG avid on FDG-PET within 45 days prior to first 89Zr-Df-IAB22M2C (CD8 PET Tracer) infusion.
- At least 1 non-cutaneous lesion that is accessible, per investigator's assessment, and eligible for biopsy. If only a single RECIST measurable lesion is present, investigator to determine if the tumor biopsy could interfere with RECIST assessments of response.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
- Meeting all clinical safety lab values per institution's standard of care, or Investigator's discretion, for patients receiving cancer treatment.
- Age ≥ 18 years.
- Ability to understand the purposes and risks of the trial and has signed an IRB-approved informed consent form.
- Willingness and ability to comply with all protocol required procedures.
- For men and women of child-producing potential, use of effective double barrier contraceptive methods during the study, up to 30 days after the last administration of the investigational product.
Exclusion Criteria:
Subjects will NOT be eligible for enrollment in the study if they meet ANY of the following criteria:
- Serious nonmalignant disease or conditions that in the opinion of the investigator and/or ImaginAb could compromise protocol objectives.
- Patients with a single RECIST measurable lesion, biopsy of which, per investigator's assessment, is likely to interfere with RECIST assessments of response.
- Patients who have any splenic disorders, or had splenectomy, that in the opinion of the investigator and/or ImaginAb could compromise protocol objectives.
- Pregnant women or nursing mothers.
- 5. Life expectancy < 6 months

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03802123
Contact: William Le, M.S. | (310) 730-5812 | wle@imaginab.com |
United States, Alabama | |
University of Alabama-Birmingham Hospital | Recruiting |
Birmingham, Alabama, United States, 35294 | |
Contact: Jonathan McConathy, MD, PhD 205-996-7115 jmcconathy@uabmc.edu | |
Principal Investigator: Jonathan McConathy, MD, PhD | |
Sub-Investigator: William Carroll, MD | |
Sub-Investigator: Eddy Yang, MD | |
Sub-Investigator: Gagandeep Choudhary, MD | |
Sub-Investigator: Marty Conry, MD | |
Sub-Investigator: Pradeep Bhambhvani, MD | |
Sub-Investigator: Lisle Nabell, MD | |
Sub-Investigator: Sam Galgano, MD | |
Sub-Investigator: Francisco Robert, MD | |
Sub-Investigator: Janis O'Malley, MD | |
Sub-Investigator: Sharon White, PhD | |
Sub-Investigator: Suzy Lapi, PhD | |
United States, Arkansas | |
CARTI Cancer Center | Recruiting |
Little Rock, Arkansas, United States, 72205 | |
Contact: David Hays, MD 501-906-3000 david.hays@carti.com | |
Principal Investigator: David Hays, MD | |
Sub-Investigator: Jamie Burton, MD | |
Sub-Investigator: Rhonda Gentry, MD | |
Sub-Investigator: Ryan Hall, MD | |
Sub-Investigator: Mariann Harrington, MD | |
Sub-Investigator: Kewen Jauss, MD | |
Sub-Investigator: Omer Khalil, MD | |
Sub-Investigator: Lawrence Mendelsohn, MD | |
Sub-Investigator: Balagopalan Nair, MD | |
Sub-Investigator: Kamal Patel, MD | |
Sub-Investigator: Grace Raja, MD | |
Sub-Investigator: Thomas Sneed, MD | |
Sub-Investigator: Diane Wilder, MD | |
United States, California | |
City of Hope (City of Hope National Medical Center, City of Hope Medical Center) | Recruiting |
Duarte, California, United States, 91010 | |
Contact: Kim A Margolin, MD 626-256-4673 kmargolin@coh.org | |
Principal Investigator: Kim A Margolin, MD | |
Sub-Investigator: Arya Amini, MD | |
Sub-Investigator: Ammar A Chaudhry, MD | |
Sub-Investigator: Savita Dandapani, MD, PhD | |
Sub-Investigator: Tanya B Dorff, MD | |
Sub-Investigator: Morganna Freeman, DO, FACP | |
Sub-Investigator: Erminia Massarelli, MD, PhD, MS | |
Sub-Investigator: Maria L Parayno, MD | |
Sub-Investigator: Sagus Sampath, MD | |
Sub-Investigator: Jeffrey YC Wong, MD, FASTRO | |
Sub-Investigator: Dave M Yamauchi, MD | |
United States, Iowa | |
University of Iowa Hospitals and Clinics | Recruiting |
Iowa City, Iowa, United States, 52242 | |
Contact: Michael Graham, MD, PhD 319-356-4302 michael-graham@uiowa.edu | |
Principal Investigator: Michael Graham, MD, PhD | |
Sub-Investigator: Yusuf Menda, MD | |
Sub-Investigator: Janet Pollard, MD | |
Sub-Investigator: Parren McNeely, MD | |
Sub-Investigator: David Bushnell, MD | |
Sub-Investigator: Jiefu Zheng, MD | |
Sub-Investigator: Mohammed Milhem, MD | |
Sub-Investigator: Yousef Zakharia, MD | |
Sub-Investigator: Rohan Garje, MD | |
Sub-Investigator: Douglas Laux, MD | |
Sub-Investigator: Sandeep Laroia, MD | |
Sub-Investigator: Brendan O'Shea, MD | |
Sub-Investigator: Mohammad Amarneh, MD | |
United States, Massachusetts | |
Dana-Farber Cancer Institute (DFCI) | Recruiting |
Boston, Massachusetts, United States, 02215 | |
Contact: Annick D Van den Abbeele, MD 617-632-3580 abbeele@dfci.harvard.edu | |
Principal Investigator: Annick D Van den Abbeele, MD | |
Sub-Investigator: Heather Jacene, MD | |
Sub-Investigator: Stephen F Hodi, MD | |
Sub-Investigator: Patrick Ott, MD, PhD | |
Sub-Investigator: Rizwan Haq, MD, PhD | |
Sub-Investigator: Elizabeth Buchbinder, MD | |
Sub-Investigator: Benjamin Izar, MD, PhD | |
Sub-Investigator: Megan Insco, MD, Phd | |
Sub-Investigator: David Liu, MD, MPH | |
Sub-Investigator: Jill Gormley, RN | |
Sub-Investigator: Tera Feldman, PA-C | |
Sub-Investigator: Meredith Davis, PA-C | |
Sub-Investigator: Amanda Livengood, RN | |
Sub-Investigator: Maria Gargano, PA-C | |
United States, Michigan | |
Karmanos Cancer Institute | Recruiting |
Detroit, Michigan, United States, 48201 | |
Contact: Anthony Shields, PhD, MD 313-576-8735 shieldsa@karmanos.org | |
Principal Investigator: Anthony Shields, PhD, MD | |
Sub-Investigator: Lawrence Flaherty, MD | |
Sub-Investigator: Elisabeth Heath, MD | |
Sub-Investigator: Hirva Mamdani, MD | |
Sub-Investigator: Misako Nagasaka, MD | |
Sub-Investigator: Ammar Sukari, MD | |
Sub-Investigator: Ulka Vaishampayan, MD | |
Sub-Investigator: Amy Weise, MD | |
United States, Missouri | |
Washington University School of Medicine | Recruiting |
Saint Louis, Missouri, United States, 63110 | |
Contact: Barry A Siegel, MD 314-747-7222 siegelb@wustl.edu | |
Principal Investigator: Barry A Siegal, MD | |
Sub-Investigator: George Ansstas, MD | |
Sub-Investigator: Douglas Adkins, MD | |
Sub-Investigator: Daniel Morgansztern, MD | |
Sub-Investigator: Farrokh Dehdashti, MD | |
Sub-Investigator: Russell Pachynski, MD | |
Sub-Investigator: Jennifer Frye, CNMT, CCRC | |
Sub-Investigator: Helen Kaemmerer, CCRC | |
United States, New York | |
Memorial Sloan Kettering Cancer Center | Not yet recruiting |
New York, New York, United States, 10065 | |
Contact: Michael Andrew Postow, MD 646-888-4589 Postowm@mskcc.org | |
Principal Investigator: Michael Andrew Postow, MD | |
Sub-Investigator: Jedd Wolchok, MD, PhD | |
Sub-Investigator: Paul Chapman, MD | |
Sub-Investigator: Margaret Callahan, MD, PhD | |
Sub-Investigator: Alexander Shoushtari, MD | |
United States, Oregon | |
Oregon Health& Science University (OHSU) | Recruiting |
Portland, Oregon, United States, 97239 | |
Contact: Erik Mittra, MD, PhD 503-418-0990 mittra@ohsu.edu | |
Principal Investigator: Erik Mittra, MD, PhD | |
United States, Pennsylvania | |
University of Pennsylvania, Perelman School of Medicine | Recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Contact: Michael Farwell, MD 215-662-7750 michael.farwell@uphs.upenn.edu | |
Principal Investigator: Michael Farwell, MD | |
Sub-Investigator: Dan Pryma, MD | |
Sub-Investigator: Austin Pantel, MD | |
Sub-Investigator: Charu Aggarwal, MD |
Responsible Party: | ImaginAb, Inc. |
ClinicalTrials.gov Identifier: | NCT03802123 |
Other Study ID Numbers: |
IAB-CD8-201 |
First Posted: | January 14, 2019 Key Record Dates |
Last Update Posted: | February 13, 2020 |
Last Verified: | December 2019 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
PET/CT ⁸⁹Zr-Df-IAB22M2C CD8 Imaging |