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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03936426
Registration number
NCT03936426
Ethics application status
Date submitted
29/04/2019
Date registered
3/05/2019
Titles & IDs
Public title
Peptide Receptor Radionuclide Therapy Administered to Participants With Meningioma With 67Cu-SARTATEā¢
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Scientific title
Peptide Receptor Radionuclide Therapy Administered to Participants With Meningioma With 67Cu-SARTATEā¢: A Single-centre, Open-label, Non- Randomised, Phase I-IIa Theranostic Clinical Trial
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Secondary ID [1]
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CL02
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Meningioma
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Cu-64 SARTATE and Cu-67 SARTATE
Experimental: SARTATE - All participants will receive 200 MBq of Cu-64 SARTATE given as a single bolus intravenous injection at Day 0. Participants will receive up to four administrations of Cu-67 SARTATE via a slow intravenous infusion over 30 minutes, 6 to 12 weeks apart. Individual activity administered per cycle will not exceed 5.1 GBq.
Treatment: Drugs: Cu-64 SARTATE and Cu-67 SARTATE
Cu-64 SARTATE diagnostic drug Cu-67 SARTATE therapy drug
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety and tolerability of multiple doses of Cu-67 SARTATE using CTCAE version 4.03
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Assessment method [1]
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Safety will be assessed via vital signs, laboratory tests, physical examinations, ECGs and spontaneous adverse event reporting.
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Timepoint [1]
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55 weeks
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Primary outcome [2]
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Safety and tolerability of a single dose of Cu-64 SARTATE using CTCAE version 4.03
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Assessment method [2]
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Safety will be assessed via vital signs, laboratory tests, physical examinations, ECGs and spontaneous adverse event reporting.
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Timepoint [2]
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56 weeks
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Secondary outcome [1]
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Absorbed dose of Cu-64 SARTATE in target, non-target organs and whole body.
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Assessment method [1]
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Absorbed doses (mSv/MBq) will be calculated using PET/CT scans acquired at 1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Timepoint [1]
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1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Secondary outcome [2]
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Absorbed dose of Cu-67 SARTATE in target, non-target organs and whole body.
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Assessment method [2]
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Absorbed doses (mSv/MBq) will be calculated using SPECT/CT scans acquired at 1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Timepoint [2]
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1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Secondary outcome [3]
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Maximum and mean SUV of Cu-64 SARTATE in target organs and SSTR binding lesions.
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Assessment method [3]
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Maximum and mean SUV will be calculated using PET/CT scans acquired at 1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Timepoint [3]
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1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Secondary outcome [4]
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Maximum and mean SUV of Cu-67 SARTATE in target organs and SSTR binding lesions.
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Assessment method [4]
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Maximum and mean SUV will be calculated using SPECT/CT scans acquired at 1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Timepoint [4]
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1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Secondary outcome [5]
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Activity of Cu-64 SARTATE in target and non-target organs and SSTR binding lesions as a percentage of the administered dose.
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Assessment method [5]
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The percentage of the administered dose will be calculated using PET/CT scans acquired at 1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Timepoint [5]
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1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Secondary outcome [6]
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Activity of Cu-67 SARTATE in target and non-target organs and SSTR binding lesions as a percentage of the administered dose.
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Assessment method [6]
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The percentage of the administered dose will be calculated using SPECT/CT scans acquired at 1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Timepoint [6]
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1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Secondary outcome [7]
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Objective Response
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Assessment method [7]
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Objective response to therapy will be assessed according to the RANO Response Criteria for Meningioma, as measured by MRI and clinical status.
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Timepoint [7]
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At 6 weeks post second administration of Cu-67 SARTATE, as well as at 6 and 12 weeks following the fourth administration.
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Secondary outcome [8]
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Qualitative analysis of PET/CT scans post administration of Cu-64 SARTATE.
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Assessment method [8]
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Qualitative analysis of PET/CT scans to identify uptake patterns.
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Timepoint [8]
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1, 4 and 24 hours post administration of Cu-64 SARTATE.
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Secondary outcome [9]
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Qualitative analysis of SPECT/CT scans post administration of Cu-67 SARTATE.
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Assessment method [9]
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Qualitative analysis of SPECT/CT scans to identify uptake patterns.
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Timepoint [9]
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1, 4, 24 and 96 hours post administration of Cu-67 SARTATE.
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Eligibility
Key inclusion criteria
1. Signed informed consent.
2. Age greater than or equal to 50 years.
3. Life expectancy greater than or equal to 3 months.
4. Has adequate organ function as defined by the following laboratory values obtained within 28 days prior to administration of Cu-64 SARTATE:
1. Estimated glomerular filtration rate (eGFR) greater than 40ml/min as measured using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
2. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 3.0 x upper limit of normal (ULN).
3. QT interval less than /=450msec as measured by 12 lead ECG.
5. Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to 2.
6. Diagnosis of recurrent or progressive histologically confirmed WHO grade I-III meningioma which has failed standard of care therapies. Patients will be considered to have failed standard care when they have disease that is progressing despite standard treatment (primarily radiotherapy) or where, in the opinion of their treating physician, further standard therapy is considered to be of sufficiently high risk of complication as to warrant consideration of alternate therapies.
7. Male participants must agree to use contraception methods from Day 0 through to 4 weeks after the last dose of Cu-67 SARTATE.
8. A female participant is eligible to participate if she is of:
1. Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) greater than 40 MlU/ml and oestradiol less than 40 pg/ml (less than 140 pmol/l) is confirmatory].
2. Child-bearing potential and agrees to use contraception methods for an appropriate period of time (as determined by the Investigator) prior to Day 0 to sufficiently minimize the risk of pregnant females being enrolled. These measures are the combination of a barrier method AND established (greater than 2 cycles) hormonal methods (e.g. the oral contraceptive pill). Absolute sexual abstinence may be considered acceptable at the discretion of the investigator. Abstinence for the 12 days prior to therapy to allow for serum B-hCG assessment which should then ensure the patient is not pregnant prior to therapy administration.
3. Female participants must agree to use contraception until four weeks after the last dose of Cu-67 SARTATE.
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Known sensitivity or allergy to somatostatin analogues.
2. Participants who have received interventional treatment for their meningioma within the four weeks prior to Day 0.
3. Any major surgery within the four weeks prior to Day 0.
4. Any additional planned interventions, including surgery or radiation therapy that would interfere with safety or efficacy assessments.
5. Treatment with long acting somatostatin analogues within 28 days prior to Day 0. Treatment with short acting somatostatin analogues within 24 hours prior to Day 0.
6. Any other malignancy in the past 5 years except for cervical intraepithelial neoplasia (CIN) of the cervix, squamous cell carcinoma (SCC) of the skin, basal cell carcinoma (BCC) of the skin or clinical insignificant prostate cancer not requiring prior therapy.
7. Breastfeeding females and pregnant females.
8. Treatment with any investigational agent received within four weeks prior to Day 0.
9. Participants unwilling or unable to comply with protocol requirements.
10. Urinary or faecal incontinence of sufficient degree to be of concern for contamination risk in the opinion of the Investigator.
11. Peptide receptor radionuclide therapy (PRRT) at any time prior to enrolment in the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/07/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
19/09/2019
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Sample size
Target
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Accrual to date
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Final
5
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal North Shore Hospital - Sydney
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Recruitment postcode(s) [1]
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2065 - Sydney
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Clarity Pharmaceuticals Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary purpose of this study is to investigate the safety and tolerability of a single dose of Cu-64 SARTATE and multiple doses of Cu-67 SARTATE administered to participants with meningioma. All participants in this study will be injected with a single dose of Cu-64 SARTATE to demonstrate how it is absorbed in the body. Then participants will receive individualised doses of Cu-67 SARTATE for up to 4 cycles.
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Trial website
https://clinicaltrials.gov/study/NCT03936426
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Geoffrey Schembri, MD
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Address
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Royal North Shore Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03936426