A Phase 2 Study With MIP-1404 in Men With High-Risk PC Scheduled for RP and EPLND Compared to Histopathology

NCT ID: NCT01667536

Last Updated: 2017-02-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2013-12-31

Brief Summary

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This was a multicenter, multi-reader, open-label, Phase 2 study assessing the safety and performance characteristics of MIP 1404 imaging in the detection of prostate gland and pelvic lymph node cancer. Comparative performance characteristics between MIP 1404 imaging and MRI were also assessed, as judged by histopathology results.

Detailed Description

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This is a single arm, open label study of approximately 100 high-risk prostate cancer patients scheduled for prostatectomy and extended pelvic lymph node dissection. Patients receive a single IV dose of 99mTc-MIP-1404 (study drug) followed by SPECT/CT scan 3-6 hours after injection. As standard of care, patients will undergo prostatectomy and extended pelvic lymph node dissection (EPLND) within three weeks of study drug dosing. 99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Drug: 99mTc-MIP-1404

20 ±3 mCi intravenous (IV) injection of 99mTc-MIP-1404

Group Type EXPERIMENTAL

Drug: 99mTc-MIP-1404

Intervention Type DRUG

A single dose of 20 ±3 mCi intravenous (IV) injection of 99mTc-MIP-1404

Interventions

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Drug: 99mTc-MIP-1404

A single dose of 20 ±3 mCi intravenous (IV) injection of 99mTc-MIP-1404

Intervention Type DRUG

Other Intervention Names

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MIP-1404

Eligibility Criteria

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Inclusion Criteria

* Male aged 21 years or older.
* Ability to provide signed informed consent and willingness to comply with protocol requirements.
* Biopsy confirmed presence of adenocarcinoma of the prostate gland.
* At high-risk for metastatic disease by a stage of cT3, cT4, or a total nomogram score of greater than or equal to 130.
* Scheduled to undergo radical prostatectomy with extended pelvic lymph node dissection.
* Agree to use an acceptable form of birth control for a period of 7 days after the 99mTc MIP-1404 injection.

Exclusion Criteria

* Participating would significantly delay the scheduled standard of care therapy.
* Administered a radioisotope within 5 physical half lives prior to study drug injection.
* Have any medical condition or other circumstances that, in the opinion of the investigator, would significantly decrease obtaining reliable data, achieving study objectives or completing the study.
* Have a contraindication for MR imaging.
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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Douglas Scherr, M.D.

Role: PRINCIPAL_INVESTIGATOR

New York Presbyterian Hospital-Cornell

Jeffrey Karnes, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Kevin Slawin, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas Vanguard Urologic Research Foundation

Thomas Keane, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Edouard Trabulsi, MD

Role: PRINCIPAL_INVESTIGATOR

Thomas Jefferson University / Jefferson Urology Associates

David Jarrard, MD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

William Ellis, MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Judd Moul, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Eric Klein, MD

Role: PRINCIPAL_INVESTIGATOR

Glickman Urology & Kidney Institute, Cleveland Clinic

Bertram Yuh, MD

Role: PRINCIPAL_INVESTIGATOR

City of Hope National Cancer Center

Steven Joniau, MD

Role: PRINCIPAL_INVESTIGATOR

Universitaire Ziekenhuizen KU Leuven

Alberto Briganti, MD

Role: PRINCIPAL_INVESTIGATOR

Vita-Salute University San Raffaele

Paolo Gontero, MD

Role: PRINCIPAL_INVESTIGATOR

University of Turin, Italy

Mikhail I Shkolnik, MD

Role: PRINCIPAL_INVESTIGATOR

Federal State Public Institution Russian Research center for Radiology and Surgical Technologies under the Federal agency for High-tech medical care

Petr A Karlov, MD

Role: PRINCIPAL_INVESTIGATOR

St. Petersburg State Public Medical Institution: "Clinical Oncological Center"

Vsevolod B Matveev, MD

Role: PRINCIPAL_INVESTIGATOR

Federal Public State Institution "Russian Oncology Research Center n.a. N.N. Blokhin under the Russian Academy of medical sciences"

Boris Ya Alexeev, MD

Role: PRINCIPAL_INVESTIGATOR

Moscow Oncology Research Institute n.a. P.A. Hertsen

Sergey V Mishugin, MD

Role: PRINCIPAL_INVESTIGATOR

City Clinical Hospital # 57

Oleg B Karyakin

Role: PRINCIPAL_INVESTIGATOR

Federal State Public Institution "Medical Radiology Research Center" of Healthcare Ministry and Social Development of Russian Federation

Alexander K Nosov, MD

Role: PRINCIPAL_INVESTIGATOR

Research Institute of Oncology n.a. Professor N.N. Petrov under the Federal Agency for Healthcare and Social Development

Sergey B Petrov, MD

Role: PRINCIPAL_INVESTIGATOR

All-Russia Centre for Urgent Care and Radiation Medicine named after A.M. Nikiforov under the Ministry of the Russian Federation for Civil Defence, Emergencies and Elimination of Consequences of Natural Disasters

Milan Hora, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Plzen, Department of Urology

Josef Stolz, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Motol, Clinic of Urology

Vladimir Student, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Olomouc, Clinic of Urology

Marek Krolupper, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Na Bulovce, Department of Urology

Michael Pesl,, MD

Role: PRINCIPAL_INVESTIGATOR

General University Hospital in Prague, Clinic of Urology

Roman Zachoval,, MD, PhD, MBA

Role: PRINCIPAL_INVESTIGATOR

Thomayer's Hospital

Marcin Matuszewski, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Clinical Centre, Department of Urology

Henryk Zielinski, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Plzen, Department of Urology

Jerzy Sokolowski, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Provincial Specialist Hospital in Wroclaw, Department of Urology

Tomasz Szydelko, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

4th Military Teaching Hospital and Polyclinic,

Geza Boszormenyi-Nagy, MD

Role: PRINCIPAL_INVESTIGATOR

Bajcsy-Zsilinszky Hospital, Department of Urology

Peter Tenke, MD

Role: PRINCIPAL_INVESTIGATOR

Jahn Ferenc South Pest Hospital, Department of Urology

Istvan Buzogany, MD

Role: PRINCIPAL_INVESTIGATOR

Peterfy Sandor Street Hospital, Department of Urology

Michiel Sedelaar, MD

Role: PRINCIPAL_INVESTIGATOR

UMC St. Radboud Nijmegen

Locations

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City of Hope National Cancer Center

Duarte, California, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

New York Presbyterian Hospital - Cornell

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Glickman Urology & Kidney Institute, Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Thomas Jefferson University / Jefferson Urology Associates

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

University of Texas Vanguard Urologic Research Foundation

Houston, Texas, United States

Site Status

University of Washington School of Medicine

Seattle, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

University Hospitals Leuven

Leuven, , Belgium

Site Status

University Hospital Olomouc, Clinic of Urology

Olomouc, , Czechia

Site Status

University Hospital Plzen, Department of Urology

Pilsen, , Czechia

Site Status

General University Hospital in Prague, Clinic of Urology

Prague, , Czechia

Site Status

Thomayer's Hospital

Prague, , Czechia

Site Status

University Hospital Motol, Clinic of Urology

Prague, , Czechia

Site Status

Hospital Na Bulovce, Department of Urology

Prague, , Czechia

Site Status

Bajcsy-Zsilinszky Hospital, Department of Urology

Budapest, , Hungary

Site Status

Peterfy Sandor Street Hospital, Department of Urology

Budapest, , Hungary

Site Status

Jahn Ferenc South Pest Hospital, Department of Urology

Budapest, , Hungary

Site Status

Vita-Salute University San Raffaele

Milan, , Italy

Site Status

University of Turin

Torino, , Italy

Site Status

UMC St. Radboud Nijmegen

Nijmegen, , Netherlands

Site Status

University Clinical Centre, Department of Urology

Gdansk, , Poland

Site Status

University Hospital Plzen, Department of Urology

Warsaw, , Poland

Site Status

4th Military Teaching Hospital and Polyclinic,

Wroclaw, , Poland

Site Status

"Provincial Specialist Hospital in Wroclaw, Department of Urology

Wroclaw, , Poland

Site Status

City Clinical Hospital # 57

Moscow, , Russia

Site Status

Federal Public State Institution "Russian Oncology Research Center n.a. N.N. Blokhin under the Russian Academy of medical sciences"

Moscow, , Russia

Site Status

Moscow Oncology Research Institute n.a. P.A. Hertsen

Moscow, , Russia

Site Status

Federal State Public Institution "Medical Radiology Research Center" of Healthcare Ministry and Social Development of Russian Federation

Obninsk, , Russia

Site Status

All-Russia Centre for Urgent Care and Radiation Medicine named after A.M. Nikiforov under the Ministry of the Russian Federation for Civil Defence, Emergencies and Elimination of Consequences of Natural Disasters

Saint Petersburg, , Russia

Site Status

Federal State Public Institution Russian Research center for Radiology and Surgical Technologies under the Federal agency for High-tech medical care

Saint Petersburg, , Russia

Site Status

Research Institute of Oncology n.a. Professor N.N. Petrov under the Federal Agency for Healthcare and Social Development

Saint Petersburg, , Russia

Site Status

St. Petersburg State Public Medical Institution: "Clinical Oncological Center"

Saint Petersburg, , Russia

Site Status

Countries

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United States Belgium Czechia Hungary Italy Netherlands Poland Russia

References

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American Cancer Society, Inc., Surveillance Research; Cancer Facts & Figures, 2012

Reference Type BACKGROUND

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Smith-Jones PM, Vallabahajosula S, Goldsmith SJ, Navarro V, Hunter CJ, Bastidas D, Bander NH. In vitro characterization of radiolabeled monoclonal antibodies specific for the extracellular domain of prostate-specific membrane antigen. Cancer Res. 2000 Sep 15;60(18):5237-43.

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Ghosh A, Heston WD. Tumor target prostate specific membrane antigen (PSMA) and its regulation in prostate cancer. J Cell Biochem. 2004 Feb 15;91(3):528-39. doi: 10.1002/jcb.10661.

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Perner S, Hofer MD, Kim R, Shah RB, Li H, Moller P, Hautmann RE, Gschwend JE, Kuefer R, Rubin MA. Prostate-specific membrane antigen expression as a predictor of prostate cancer progression. Hum Pathol. 2007 May;38(5):696-701. doi: 10.1016/j.humpath.2006.11.012. Epub 2007 Feb 22.

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Maresca KP, Hillier SM, Femia FJ, Keith D, Barone C, Joyal JL, Zimmerman CN, Kozikowski AP, Barrett JA, Eckelman WC, Babich JW. A series of halogenated heterodimeric inhibitors of prostate specific membrane antigen (PSMA) as radiolabeled probes for targeting prostate cancer. J Med Chem. 2009 Jan 22;52(2):347-57. doi: 10.1021/jm800994j.

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Reference Type DERIVED
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Other Identifiers

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MIP-1404-201

Identifier Type: -

Identifier Source: org_study_id

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