Clinical trial

A Phase 1a/1b, Multi-Centre, Open-Label, Dose-Escalation and Dose-Expansion Study in Patients With Solid Tumour Malignancies to Evaluate GEH200520 Injection / GEH200521 (18F) Injection Safety and Tolerability, PET Imaging, Pharmacokinetics, and Changes in Imaging After Treatment

Name
GE-269-001
Description
Part A: The purpose of this part is to assess the safety of GEH200520 and GEH200521 (18F) when administered to patients with solid cancer. Subjects will be requested to complete 3 study visits: 1 screening visit, 1 imaging visit (over 24 hours) and 1 follow-up visit (7 days later). The estimated duration of Part A is 21 days. Part B: The purpose of this part of the study is to assess the imaging quality and findings as well as the safety and tolerability of GEH200520 and GEH200521 (18F) when administered to patients with cancer before and after immunotherapy treatment. Subjects will be requested to complete 7 study visits: 1 screening visit, the first imaging visit, followed by 2 immunotherapy immune-checkpoint inhibitor (ICI) treatment visits and 2 additional imaging and 1 follow-up visit . The estimated duration of Part B is approximately 64 days.
Trial arms
Trial start
2023-01-27
Estimated PCD
2024-12-31
Trial end
2024-12-31
Status
Recruiting
Phase
Early phase I
Treatment
GEH200520 Injection / GEH200521 (18F) Injection - Part A
Administration of GEH200520 Injection followed within 2 to 4 minutes by GEH200521 (18F) Injection followed by a 10mL saline flush
Arms:
Part A Cohort 1 - 1 mg dose, Part A Cohort 2 - 2 mg dose, Part A Cohort 3 - 4 mg dose, Part A Cohort 4 - 8 mg dose, Part A Cohort 5 (optional) - 12 or 15 mg dose, Part A Cohort 6 - Optimal dose
Dynamic and Static - PET/CT scan
Dynamic whole-body PET/CT scan starting at the time of injection (sequential scans over 90 minutes anticipated) followed by static whole-body scans starting at 150 minutes, 270 minutes, and (optional) 24 hours after injection.
Arms:
Part A Cohort 1 - 1 mg dose, Part A Cohort 2 - 2 mg dose, Part A Cohort 3 - 4 mg dose, Part A Cohort 4 - 8 mg dose, Part A Cohort 5 (optional) - 12 or 15 mg dose, Part A Cohort 6 - Optimal dose
GEH200520 Injection / GEH200521 (18F) Injection - Part B
Administration of GEH200520 Injection followed within 2 to 4 minutes by GEH200521 (18F) Injection followed by a 10mL saline flush
Arms:
Part B
Static - PET/CT scan
Whole-body PET/CT scan (up to 30 min). Exact timing will be determined from Part A. An optional dynamic scan may be acquired in addition to the required whole-body PET/CT scan at each imaging visit.
Arms:
Part B
Size
50
Primary endpoint
Part A: The incidence of AEs upon causality to the IMPs.
Part A: 7 days
Part A: The severity of AEs per National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE version 5.0) upon causality to the IMPs.
Part A: 7 days
To evaluate the time-course changes in GEH200521 (18F) Injection uptake after immune-checkpoint inhibitor (ICI) treatment cycles compared to baseline.
Part B: 50 days
Eligibility criteria
Inclusion Criteria: * The subject is able and willing to comply with all study procedures as described in the protocol, including the imaging day pre-visit requirements, and has read, signed, and dated an informed consent form prior to any study procedures being performed. * The subject is male or female, ≥18 years of age. * Subject has a life expectancy ≥12 weeks. * Subject has Eastern Cooperative Oncology Group (ECOG) performance status 0-1. * Subject has an irresectable or metastatic solid tumour or a local and resectable head and neck squamous cell carcinoma. * Subject is eligible for ICI treatment. * Subject is male, or a female who agrees to comply with the protocol contraception method. Exclusion Criteria: * Subject is unable to undergo all procedures in the study and/or is unable to remain still and tolerate the imaging procedure. * Subject has 12-lead ECG significant findings during screening, per Investigator's assessment. * Subject is not stable due to medical condition or therapy that, in the opinion of the Investigator, could compromise subject safety or protocol objectives. * Subject has active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents. * Subject has any safety laboratory test results (clinical chemistry, haematology, and urinalysis) that, in the opinion of the Investigator, could compromise subject safety or protocol objectives. * Subject is pregnant or planning to become pregnant or is lactating. * Subject has a history of alcohol or drug abuse within the last year.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'DIAGNOSTIC', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 50, 'type': 'ESTIMATED'}}
Updated at
2023-09-13

1 organization

1 product

2 indications

Product
GEH200520
Indication
Oncology
Organization
GE Healthcare