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Trial record 15 of 18 for:    cu-64

67Cu-SARTATE™ Peptide Receptor Radionuclide Therapy Administered to Pediatric Patients With High-Risk Neuroblastoma

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ClinicalTrials.gov Identifier: NCT04023331
Recruitment Status : Not yet recruiting
First Posted : July 17, 2019
Last Update Posted : July 17, 2019
Sponsor:
Information provided by (Responsible Party):
Clarity Pharmaceuticals Ltd

Brief Summary:
The aim of this study is to evaluate the safety and efficacy of 67Cu-SARTATE in pediatric patients with high-risk neuroblastoma.

Condition or disease Intervention/treatment Phase
Neuroblastoma Drug: 67Cu-SARTATE Drug: 64Cu-SARTATE Phase 1 Phase 2

Detailed Description:
This study is to be conducted in 2 phases, a dose escalation phase and a cohort expansion phase. Dose escalation will be completed using a modified 3+3 study design with up to 4 Cohorts of increasing doses in MBq/kg. Pre-defined Dose Limiting Toxicities will be monitored for 6 weeks post administration of 67Cu-SARTATE. Once either the MTD for a single administration of 67Cu-SARTATE is established, or Cohort 4 has been completed, the study will be expanded to enroll an additional 10 subjects who will receive up to 2 therapy cycles of 67Cu-SARTATE at the MTD dose level.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 34 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: 67Cu-SARTATE™ Peptide Receptor Radionuclide Therapy Administered to Pediatric Patients With High-Risk Neuroblastoma: A Multi-center, Dose-escalation, Open-label, Non-randomized, Phase 1-2a Theranostic Clinical Trial
Estimated Study Start Date : November 2019
Estimated Primary Completion Date : September 2022
Estimated Study Completion Date : September 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Neuroblastoma

Arm Intervention/treatment
Experimental: 67Cu-SARTATE

64Cu-SARTATE - patients will receive a bolus injection of 64Cu-SARTATE during screening, and following each 67Cu-SARTATE Therapy Cycle at a rate of 2.0 MBq/kg.

67Cu-SARTATE - In the dose escalation phase, patients will receive a single administration of 67Cu-SARTATE as a slow IV infusion (dose will be determined based on cohort allocation). In the expansion phase, patients will receive up to 2 administrations of 67Cu-SARTATE a the MTD level as a slow IV infusion.

Drug: 67Cu-SARTATE
67Cu-labelled MeCOSar-Tyr3-octreotate
Other Name: Cu-67 SARTATE, copper 67 SARTATE

Drug: 64Cu-SARTATE
64Cu-labelled MeCOSar-Tyr3-octreotate
Other Name: Cu-64 SARTATE, copper 64 SARTATE




Primary Outcome Measures :
  1. Maximum Tolerated Dose of 67Cu-SARTATE [ Time Frame: 6 weeks ]
    MDT as determined by cohort observations of DLTs

  2. Safety and tolerability of Cu-67 SARTATE using CTCAE version 4.03 [ Time Frame: Up to 12 months ]
    Safety will be assessed via vital signs, pathology tests (hematology, biochemistry, urinalysis, coagulation), physical examinations, ECGs and spontaneous AE reporting.

  3. Safety and tolerability of Cu-64 SARTATE using CTCAE version 4.03 [ Time Frame: Up to 12 months ]
    Safety will be assessed via vital signs, pathology tests (hematology, biochemistry, urinalysis, coagulation), physical examinations, ECGs and spontaneous AE reporting.

  4. Objective response rate [ Time Frame: 6 to 8 weeks post final therapy ]
    For patients receiving at least 1 administration of 67Cu-SARTATE, as assessed by INRC.



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Main Inclusion Criteria:

  1. Subject is able and willing to provide informed consent (≥18 years), or informed consent is obtained by the parent or legal guardian for minor subjects, with the minor providing age appropriate assent, according to local law and regulations.
  2. Life expectancy ≥ 12 weeks;
  3. High-risk neuroblastoma with failure to respond to standard therapy (combination chemotherapy with or without radiation and surgery), or development of progressive disease at any time, or patients with unresectable residual primary tumors.
  4. Adequate recovery from acute toxic effects of any prior therapy;
  5. Adequate liver function as defined by the following laboratory values obtained within 28 days prior to administration of 64Cu-SARTATE: Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 3.0 x upper limit of normal (ULN).
  6. Adequate renal function.
  7. 64Cu-SARTATE uptake (SUVmax) of any lesion equal to or higher than that of the liver in order to move on to the therapy phase of the study

7. Adequate laboratory parameters: Absolute neutrophil count > 1.0 x 109/l; Platelet counts > 50 x 109/l; Serum bilirubin < 75umol/l.

8. Karnofsky or Lansky performance status of equal to or greater than 50;

Main Exclusion Criteria:

  1. Patients with disease of any major organ system that would compromise their ability to tolerate therapy, as deemed by the Principal Investigator or treating Sub-Investigator;
  2. Any other malignancy;
  3. New York Heart Association (NYHA) class III to IV heart failure.
  4. Subjects must not receive chemotherapy, anti-cancer cytokine therapy or other investigational agents within 2 weeks prior to the administration of 64Cu-SARTATE;
  5. Subjects must not receive therapeutic dose of I-131 MIBG within 8 weeks prior to the administration of 67Cu-SARTATE.
  6. Subjects must not receive any investigational agents within 28 days prior to administration of 64Cu-SARTATE;
  7. Subjects must not be undergoing treatment with long acting somatostatin analogues (administered within 28 days prior to the administration of 64Cu-SARTATE), or short acting somatostatin analogues (administered within 24 hours prior to the administration of 64Cu-SARTATE);
  8. Known sensitivity or allergy to somatostatin analogues.
  9. Previous peptide receptor radionuclide therapy (PRRT);
  10. Subjects who are pregnant or lactating;
  11. Sexually active subjects of childbearing potential must practice an effective method of birth control while participating on this study, to avoid possible damage to the fetus. Abstinence is considered acceptable;
  12. Patients who are on hemodialysis;
  13. Patients with a QTc interval ≥ 0.45 seconds as measured by screening ECG;
  14. Patients with uncontrolled infections;
  15. Any serious medical condition which the Investigator feels may interfere with the procedures or evaluations of the study.

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Responsible Party: Clarity Pharmaceuticals Ltd
ClinicalTrials.gov Identifier: NCT04023331     History of Changes
Other Study ID Numbers: CL04
First Posted: July 17, 2019    Key Record Dates
Last Update Posted: July 17, 2019
Last Verified: July 2019

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Neuroblastoma
Neuroectodermal Tumors, Primitive, Peripheral
Neuroectodermal Tumors, Primitive
Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue
Copper
Trace Elements
Micronutrients
Nutrients
Growth Substances
Physiological Effects of Drugs