Clinical trial

A First-in-Human, Pilot PET Imaging Study of 89Zr-DFO-YS5, an immunoPET Agent for Detecting CD46 Positive Malignancy in Men With Prostate Cancer

Name
209210
Description
CD46 is an exciting new therapeutic target in prostate cancer, with the antibody drug conjugate FOR46 under investigation in phase I clinical trials. The hypothesis of the study is that CD46 expression, measured via our novel imaging biomarker, is a characteristic feature of mCRPC, and particularly common in the most lethal forms of the disease including adenocarcinoma and Small-cell neuroendocrine carcinoma (SCNC). These data will provide crucial information about the feasibility of targeting cluster of differentiation 46 (CD46) in mCRPC, will be used guide the development of novel therapeutic and theranostic agents, to help develop treatments that improve outcomes for men with the most lethal forms of prostate cancer.
Trial arms
Trial start
2022-03-18
Estimated PCD
2025-12-31
Trial end
2025-12-31
Status
Recruiting
Phase
Early phase I
Treatment
89Zr-DFO-YS5
3 mCi will be administered intravenously
Arms:
Cohort A: 89Zr-DFO-YS5, Cohort B: 89Zr-DFO-YS5, YS5 antibody, Cohort C: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Cohort D: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Multiple Scans
Other names:
immunoPET agent, Imaging Agent
YS5 antibody
20 or 50 mg administered intravenously
Arms:
Cohort B: 89Zr-DFO-YS5, YS5 antibody, Cohort C: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Cohort D: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Multiple Scans
Other names:
YS5, Unmodified YS5 antibody
Positron Emission Tomography (PET)/Computerized tomography (CT)
Imaging which combines a CT scan and a PET scan
Arms:
Cohort A: 89Zr-DFO-YS5, Cohort B: 89Zr-DFO-YS5, YS5 antibody, Cohort C: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Cohort D: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Multiple Scans
Other names:
PET/CT, PET/CT Scan, Whole Body PET/CT
Positron Emission Tomography (PET)/Magnetic Resonance Imaging (MRI)
Imaging which combines an MRI scan and a PET scan
Arms:
Cohort A: 89Zr-DFO-YS5, Cohort B: 89Zr-DFO-YS5, YS5 antibody, Cohort C: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Cohort D: 89Zr-DFO-YS5, Optimal dose YS5 antibody, Multiple Scans
Other names:
PET/CT, PET/MRI Scan, Whole Body PET/MRI
Size
24
Primary endpoint
Optimal time point for imaging using 89Zr-DFO-YS5 PET post-injection (Cohort A)
Up to 7 days
Optimal antibody dose for imaging using 89Zr-DFO-YS5 PET (Cohort B)
Up to 7 days
Proportion of participants with metastatic lesions accurately detected in mCRPC using 89Zr-DFO-YS5 PET (sensitivity) (Cohort C & D)
Up to 24 months
Median SUVmax (Cohort C & D)
Up to 24 months
Average SUVmax (SUVmax-ave) (Cohort C & D)
Up to 24 months
Eligibility criteria
Inclusion Criteria: 1. Participants must have histologically or cytologically confirmed metastatic, castration resistant prostate cancer (mCRPC). 2. Age \>=18 years 3. Eastern Cooperative Oncology Group (ECOG) performance status \< 2 (Karnofsky \>60%). 4. Demonstrates adequate organ function as defined below: 1. Total bilirubin \<1.5 X upper limit of normal (ULN). 2. Aspartate aminotransferase (AST)(serum glutamic-oxaloacetic transaminase (SGOT)) \<= 3 X institutional upper limit of normal (ULN). 3. Alanine aminotransferase (ALT) (serum glutamic-pyruvic transaminase (SGPT)) \<= 3 X institutional ULN. 4. Serum creatinine \<=1,5 X institutional ULN or calculated creatinine clearance (Glomerular filtration rate (GFR)) \>= 60 mL/min, calculated using the Cockcroft-Gault equation. 5. Ability to understand a written informed consent document, and the willingness to sign it. 6. Individuals with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. Exclusion Criteria: 1. Patients who because of age, general medical, or psychiatric condition, or physiologic status cannot give valid informed consent. 2. Any condition that, in the opinion of the Principal Investigator, would impair the patient's ability to comply with study procedures. 3. Patients who have received the same antibody (YS5) earlier as part of therapy or detection.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'DIAGNOSTIC', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 24, 'type': 'ESTIMATED'}}
Updated at
2024-05-31

1 organization

1 product

1 drug

2 indications

Indication
Prostate Cancer
Product
YS5