A Study of 99mTc-MIP-1404 and 99mTc-MIP-1405 in Patients With Metastatic Prostate Adenocarcinoma and Healthy Volunteers

NCT ID: NCT01261754

Last Updated: 2015-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Brief Summary

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This is a single-blind, randomized, cross-over design. Patients with metastatic prostate adenocarcinoma; newly diagnosed, high-risk patients with prostate adenocarcinoma; and healthy subjects will be administered a single intravenous dose of each of the study drugs 99mTc MIP 1404 and 99mTc MIP 1405 administered approximately 14 to 21 days apart.

Detailed Description

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This trial is a single-blind, randomized, cross-over design. Up to six patients with confirmed metastatic prostate adenocarcinoma; six newly diagnosed, high-risk patients with prostate adenocarcinoma; and up to six healthy volunteers will receive 20.0 (± 3) mCi of intravenously administered 99mTc MIP 1404 or 99mTc MIP 1405. Whole-body planar scintigraphic images will be acquired at various times post-injection over 24 hours. A pelvic SPECT/CT image will be acquired on the first day. Blood and urine will be collected for pharmacokinetic measurements and metabolic analysis over 24 hours. Each patient will receive an initial study drug administration and a second study drug administration approximately 14 to 21 days after the first. A final follow-up visit will occur approximately 2-3 weeks after the second study drug.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Metastatic prostate adenocarcinoma

Group Type ACTIVE_COMPARATOR

99mTc MIP 1404

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1404

99mTc MIP 1405

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405

Healthy Volunteers

Group Type ACTIVE_COMPARATOR

99mTc MIP 1404

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1404

99mTc MIP 1405

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405

Newly Diagnosed, High-Risk Prosate Cancer Patients

Group Type ACTIVE_COMPARATOR

99mTc MIP 1404

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1404

99mTc MIP 1405

Intervention Type RADIATION

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405

Interventions

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99mTc MIP 1404

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1404

Intervention Type RADIATION

99mTc MIP 1405

Subjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

Participants must meet all of the following criteria to be enrolled in this study.

1. Male aged 21 years or older.
2. Ability to provide signed informed consent and willingness to comply with protocol requirements.
3. Participants must agree to use condoms for a period of seven days after each injection, if engaged in sexual activity.


i. Histologic diagnosis of prostate cancer by validated medical history. (Pathology report, if available).

ii. Evidence of metastatic disease demonstrated by a documented abnormal bone scan, CT scan, or MRI plus a Clinical Stage 3 and Gleason Score ≥ 8.

iii. Karnofsky performance is ≥ 60.


i. PSA laboratory assessment within normal range (PSA \< 4 ng/ml). ii. Normal findings on a digital rectal examination. iii. Hemoglobin and hematocrit within normal range.

Exclusion Criteria

Participants must NOT meet any of the following criteria to be enrolled in this study.

1. Received an investigational compound and/or medical device or is part of an investigational study within the past 30 days before enrollment into this study.
2. Subject was administered a radioisotope within 5 physical half lives of that radioisotope prior to study enrollment
3. Have any medical condition or other circumstances which, in the opinion of the Investigator, would significantly decrease the chances of obtaining reliable data, achieving study objectives, or completing the study and/or post dose follow-up examinations.
4. Participant is determined by the Investigator to be clinically unsuitable for the study.
5. Serum creatinine ≥ 2.0 mg/dl
6. Total bilirubin ≥ 2.0 mg/dl
7. Liver transaminases ≥ 1.5 x ULN
8. Platelet count \< 150,000/mm3
9. Absolute neutrophil count (ANC) \< 2,000/mm3.
10. Hematocrit \< 30% or hemoglobin \< 10 g/dl.
11. Abnormal coagulation profile (PT, PTT or INR) \> 1.3 ULN unless on therapeutic anticoagulation.


Patients will be excluded from the study if any of the following criteria are observed:

i. Androgen deprivation therapy or other forms of hormonal therapy not stable for a period of 14 days prior to screening.

ii. Subject has received a permanent prostate brachytherapy implant within the last 3 months for 103Pd implants; or 12 months for 125I implants.

iii. Subject on or expected to be starting cytotoxic chemotherapy during the study period.

iv. Has had any other malignancies within the past year, other than basal or squamous cell carcinoma of the skin, diagnosis and location must be defined or be defined as clinically controlled or treated to complete response.


Healthy Volunteers will be excluded from the study if any of the following criteria are observed:

i. Have had any malignancies within 5 years other than basal or squamous cell carcinoma of the skin.

ii. History of known prostate adenocarcinoma, prostate surgery/biopsy, prostatitis and/or symptoms suggestive of or associated with possible prostatitis within 6 months of enrollment.
Minimum Eligible Age

21 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Molecular Insight Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stanley J Goldsmith, MD

Role: PRINCIPAL_INVESTIGATOR

New York Presbyterian Hospital - Weill Medical College of Cornell University

Locations

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New York Presbyterian Hospital - Weill Medical College of Cornell University

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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TcTx-P101

Identifier Type: -

Identifier Source: org_study_id