Clinical trial
Pilot PET Imaging Study of [89Zr]DFO-YS5 for Detecting CD46 Positive Malignancy in Multiple Myeloma
Name
23925
Description
This phase I trial tests the safety of \[89Zr\]DFO-YS5 positron emission tomography (PET) imaging and how well it works to detect CD46 positive cancer cells in patients with multiple myeloma. \[89Zr\]DFO-YS5 is an imaging agent called a radiopharmaceutical tracer. A radiopharmaceutical tracer uses a small amount of radioactive material that is injected into a vein to help image different areas of the body. \[89Zr\]DFO-YS5 targets a specialized protein called CD46, which is in certain multiple myeloma cancer cells, and \[89Zr\]DFO-YS5 PET scans may improve detection of multiple myeloma.
Trial arms
Trial start
2023-06-16
Estimated PCD
2026-08-01
Trial end
2026-09-01
Status
Recruiting
Phase
Early phase I
Treatment
Zirconium Zr 89-DFO-YS5
Given IV
Arms:
Cohort A ([89Zr]DFO-YS5, single scan, Cohort B ([89Zr]DFO-YS5, multiple scans
Other names:
(89)Zr-DFO-YS5, 89Zr DFO-YS5
Positron Emission Tomography / Computed Tomography (PET/CT)
Positron emission tomography-computed tomography is a nuclear medicine technique which combines, in a single gantry, a positron emission tomography scanner and an x-ray computed tomography scanner, to acquire sequential images from both devices in the same session, which are combined into a single superposed image
Arms:
Cohort A ([89Zr]DFO-YS5, single scan, Cohort B ([89Zr]DFO-YS5, multiple scans
Other names:
PET/CT
Positron Emission Tomography / Magnetic Resonance Imaging (PET/MRI)
Positron emission tomography-magnetic resonance imaging is a hybrid imaging technology that incorporates magnetic resonance imaging soft tissue morphological imaging and positron emission tomography functional imaging.
Arms:
Cohort A ([89Zr]DFO-YS5, single scan, Cohort B ([89Zr]DFO-YS5, multiple scans
Other names:
PET/MRI
Fludeoxyglucose F-18
Given IV
Arms:
Cohort A ([89Zr]DFO-YS5, single scan, Cohort B ([89Zr]DFO-YS5, multiple scans
Other names:
Fludeoxyglucose (18F)
Size
20
Primary endpoint
Sensitivity of metastatic lesion
Up to 1 week
Median maximum standardized uptake value (SUVmax)
Up to 1 week
Median Standardized Uptake Value averaged across lesions (SUVmax-avg)
Up to 1 week
Eligibility criteria
Inclusion Criteria:
* Participants must have histologically or cytologically confirmed multiple myeloma by International Myeloma Working Group (IMWG) diagnostic criteria
* At least one positive myelomatous lesion found on 18F-FDG PET/CT or PET/MRI. A positive lesion is defined as uptake greater than liver on FDG PET, based on the Italian myeloma criteria for PET use (IMPeTUs) criteria
* Age \>= 18 years
* Total bilirubin =\< 1.5 X institutional upper limit of normal (ULN)
* Aspartate aminotransferase (AST) =\< 3 X ULN
* Alanine aminotransferase (ALT) =\< 3 X ULN
* Creatinine clearance \>= 60 mL/min, calculated using the Cockcroft-Gault equation
* Ability to understand a written informed consent document, and the willingness to sign it
Exclusion Criteria:
* Any condition that, in the opinion of the principal investigator, would impair the patient's ability to comply with study procedures or interfere with the safety of the investigational regimen
* Patients who have received the same antibody (YS5) earlier as part of therapy or detection
* Individuals who are pregnant or breastfeeding/chestfeeding.
* - Breast-feeding/chest-feeding should be discontinued before administration of \[89ZR\]DFO-YS5.
* Females of childbearing potential must have a negative urine or serum pregnancy test (i.e., human chorionic gonadotropin test) within 72 hours prior to administration of \[89ZR\]-DFO-YS5.
* - If the urine pregnancy test is positive or equivocal, a confirmatory serum pregnancy test is required. In such cases, the individual must be excluded from participation if the serum pregnancy result is positive.
* - A female is considered to be of childbearing potential (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice), unless it is documented that the individual meets either of the following two criteria: (1) has reached a postmenopausal state ( \>= 12 continuous months of amenorrhea with no identified cause other than menopause); or (2) has undergone surgical sterilization (i.e., hysterectomy and/or bilateral oophorectomy for removal of uterus and/or ovaries).
* Individuals who are pregnant or breastfeeding/chestfeeding are excluded because there is an unknown but potential risk for adverse effects in the unborn/nursing child secondary to treatment of the study participant with \[89ZR\]-DFO-YS5
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'DIAGNOSTIC', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 20, 'type': 'ESTIMATED'}}
Updated at
2023-07-07
1 organization
1 product
1 indication
Organization
Robert Flavell, MD, PhDProduct
Zirconium Zr 89-DFO-YS5Indication
Multiple Myeloma