Trial Outcomes & Findings for A Microdose Evaluation Study of ABY-029 in Recurrent Glioma (NCT NCT02901925)

NCT ID: NCT02901925

Last Updated: 2024-12-13

Results Overview

The primary study endpoint is to determine if the fluorescence signal from ABY-029, as measured by Biological Variance Ratio (BVR), can be detected in brain tissue during surgery. This will help researchers determine if ABY-029 functions well for imaging brain tumor tissue during surgery.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

14 participants

Primary outcome timeframe

during procedure

Results posted on

2024-12-13

Participant Flow

Participants were recruited and enrolled at 1 academic medical center between February 2017 and June 2021. Of 14 participants enrolled (patients met the inclusion criteria and signed the consent form), a total of 12 received the study drug and started the study across the 3 dose groups: 3 patients in the 1X dose group, 3 patients in the 3X dose group, and 6 patients in the 6X dose group.

Participant milestones

Participant milestones
Measure
ABY-029 1X Dose Group
A 1X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: In 3 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
ABY-029 3X Dose Group
A 3X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: In 3 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
ABY-029 6X Dose Group
A 6X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: In 3-6 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
Overall Study
STARTED
3
3
6
Overall Study
COMPLETED
3
3
6
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Microdose Evaluation Study of ABY-029 in Recurrent Glioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ABY-029 1X Dose Group
n=3 Participants
A 1X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: Using a sample size of 3 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
ABY-029 3X Dose Group
n=3 Participants
A 3X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: Using a sample size of 3 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
ABY-029 6X Dose Group
n=6 Participants
A 6X dose of ABY-029 will be administered prior to surgery. Probe will be used in vivo to determine if signal is detectable, and ex vivo tissue pathology will measure extent of binding with EGFR positive tumor tissue. ABY-029: Using a sample size of 3-6 patients, ABY-029 will be administered via single intravenous injection to subjects with recurrent glioma, approximately 1-3 hours prior to surgery. Microdose levels of ABY-029 have been selected to determine if a fluorescence signal can be detected by wide-field imaging technology with a signal-to-noise ratio of 10, which is considered necessary for subsequent assessment of diagnostic performance of ABY-029 as a tumor biomarker sufficient to guide surgical resection in the future. Administration of the study drug is not intended to alter the extent of planned brain tumor resection during the surgical procedure.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=93 Participants
3 Participants
n=4 Participants
3 Participants
n=27 Participants
7 Participants
n=483 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
0 Participants
n=4 Participants
3 Participants
n=27 Participants
5 Participants
n=483 Participants
Sex: Female, Male
Female
2 Participants
n=93 Participants
0 Participants
n=4 Participants
4 Participants
n=27 Participants
6 Participants
n=483 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants
3 Participants
n=4 Participants
2 Participants
n=27 Participants
6 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
12 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
White
3 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
11 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
United States
3 participants
n=93 Participants
3 participants
n=4 Participants
6 participants
n=27 Participants
12 participants
n=483 Participants

PRIMARY outcome

Timeframe: during procedure

The primary study endpoint is to determine if the fluorescence signal from ABY-029, as measured by Biological Variance Ratio (BVR), can be detected in brain tissue during surgery. This will help researchers determine if ABY-029 functions well for imaging brain tumor tissue during surgery.

Outcome measures

Outcome measures
Measure
1X Dose Group
n=3 Participants
Patients received 30 nanomoles or 237µg of ABY-029
3X Dose Group
n=3 Participants
Patients received 90 nanomoles or 711µg of ABY-029
6X Dose Group
n=6 Participants
Patients received 180 nanomoles or 1.42 mg of ABY-029
Fluorescence Signal Detection
6.2 Biological variance ratio
Standard Deviation 2.4
5.0 Biological variance ratio
Standard Deviation 1.2
8.8 Biological variance ratio
Standard Deviation 3.7

SECONDARY outcome

Timeframe: during procedure

A secondary study endpoint is to calculate the ratio of the average (mean) fluorescence intensity of ABY-029 measured in the tumor, to the average (mean) fluorescence intensity of ABY-029 measured in the surrounding tissues in the brain during surgery. This will help researchers determine how well ABY-029 works for imaging tumor tissue.

Outcome measures

Outcome measures
Measure
1X Dose Group
n=3 Participants
Patients received 30 nanomoles or 237µg of ABY-029
3X Dose Group
n=3 Participants
Patients received 90 nanomoles or 711µg of ABY-029
6X Dose Group
n=6 Participants
Patients received 180 nanomoles or 1.42 mg of ABY-029
Mean Tumor-to-background Ratio
1.7 tumor-to-background ratio
Standard Deviation 0.1
2.1 tumor-to-background ratio
Standard Deviation 0.6
2.6 tumor-to-background ratio
Standard Deviation 0.7

SECONDARY outcome

Timeframe: post surgical

Another secondary study endpoint is to quantify the relationship between the dose of ABY-029 administered and the fluorescence intensity produced by ABY-029 in ex vivo tissue samples after they have been transferred to the pathology department. This endpoint will be measured in relative fluorescence units, and will help researchers conduct analyses on how well ABY-029 works for imaging in tissue following surgery.

Outcome measures

Outcome measures
Measure
1X Dose Group
n=3 Participants
Patients received 30 nanomoles or 237µg of ABY-029
3X Dose Group
n=3 Participants
Patients received 90 nanomoles or 711µg of ABY-029
6X Dose Group
n=6 Participants
Patients received 180 nanomoles or 1.42 mg of ABY-029
Ex Vivo Fluorescence Intensity
61.4 relative fluorescence units
Standard Deviation 25.1
215.2 relative fluorescence units
Standard Deviation 109.1
884.1 relative fluorescence units
Standard Deviation 475.4

Adverse Events

ABY-029 1X Dose Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ABY-029 3X Dose Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ABY-029 6X Dose Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Roberts

Dartmouth-Hitchcock

Phone: 603-650-

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place