To Evaluate the Optimal Dose of 68Ga-OPS202 as a PET (Positron Emission Tomography) Imaging Agent in Subjects With Gastroenteropancreatic Neuroendocrine Tumour (GEP-NET)

NCT ID: NCT03220217

Last Updated: 2021-01-14

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-26

Study Completion Date

2019-08-05

Brief Summary

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The purpose of this clinical research is to confirm the optimal dose of 68Ga-satoreotide trizoxetan (68Ga-IPN01070), formerly 68Ga-OPS202, as a PET imaging agent to be used to detect and localize gastro-entero-pancreatic neuroendocrine tumors (GEP-NETs). 68Ga-IPN01070 is a radiolabelled imaging agent to be used in association with Positron-Emission-Tomography (PET). 68Ga-IPN01070 is made of two main components: 1) IPN01070, an antagonistic somatostatin analogue which binds to the somatostatin receptor (type 2) present on the surface of the tumor cells and 2) Gallium-68, a radioisotope that combined with IPN01070 can be seen in the PET scanner.

Detailed Description

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Conditions

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Gastro-Enteropancreatic Neuroendocrine Tumor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors
All the primary and secondary imaging endpoints are read by third-party independent readers. Most of the reading will be conducted in blinded manner.

Study Groups

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5-20μg/40-80 MBq, 30-45μg/100-140 MBq

Subjects will receive a first intravenous (i.v.) injection of satoreotide trizoxetan with a peptide mass dose range of 5 to 20 μg and a radioactivity dose range 40 to 80 MBq. After 15 to 21 days the subjects will receive a second i.v. injection of satoreotide trizoxetan with a peptide mass dose range of 30-45 μg and a radioactivity dose range 100 to 140 MBq.

Group Type EXPERIMENTAL

Satoreotide trizoxetan 5-20μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

Satoreotide trizoxetan 30-45μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

5-20μg/100-140 MBq, 30-45μg/160-200 MBq

Subjects will receive a first i.v. injection of satoreotide trizoxetan with a peptide mass dose range of 5 to 20 μg and a radioactivity dose range 100 to 140 MBq. After 15 to 21 days the subjects will receive a second i.v. injection of satoreotide trizoxetan with a peptide mass dose range of 30-45 μg and a radioactivity dose range 160 to 200 MBq.

Group Type EXPERIMENTAL

Satoreotide trizoxetan 5-20μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

Satoreotide trizoxetan 30-45μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

5-20μg/160-200 MBq, 30-45μg/40-80 MBq

Subjects will receive a first i.v. injection of satoreotide trizoxetan with a peptide mass dose range of 5 to 20 μg and a radioactivity dose range 160 to 200 MBq. After 15 to 21 days the subjects will receive a second i.v. injection of satoreotide trizoxetan with a peptide mass dose range of 30-45 μg and a radioactivity dose range 40 to 80 MBq.

Group Type EXPERIMENTAL

Satoreotide trizoxetan 5-20μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

Satoreotide trizoxetan 30-45μg

Intervention Type DRUG

Positron emission tomography (PET) imaging agent

Interventions

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Satoreotide trizoxetan 5-20μg

Positron emission tomography (PET) imaging agent

Intervention Type DRUG

Satoreotide trizoxetan 30-45μg

Positron emission tomography (PET) imaging agent

Intervention Type DRUG

Other Intervention Names

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68Ga-OPS202 5-20μg, 68Ga-IPN01070 5-20μg 68Ga-OPS202 30-45μg, 68Ga-IPN01070 30-45μg

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed, well differentiated functioning or non-functioning metastatic GEP-NET (Grade I and II as per World Health Organisation classification 2010)
* Confirmed presence of somatostatin receptors (type 2) on technically evaluable tumour lesions documented by a positive Somatostatin Receptor Scan acquired within 6 months prior to screening (Visit 1) and showing minimally two lesions in at least one of the key organs; these images shall be available to be sent to the imaging core lab electronically to ascertain quality and admissibility
* Body weight between 50 kg (110 lb) and 110 kg (243 lb), inclusive
* Adequate bone marrow, liver and renal function
* Eastern Cooperative Oncology Group (ECOG) performance status ≤2

Exclusion Criteria

* Fewer than five lesions in total and more than 25 lesions/organ detected by the previous somatostatin receptor scan in key organs: liver, lymph nodes, bone or lungs
* Subject who have received treatment of any somatostatin analogue, including Somatuline® Autogel® /Depot®, Sandostatin® LAR within 28 days, and Sandostatin® within 24 hours prior to first 68Ga-OPS202 administration
* Prior or planned administration of a radiopharmaceutical within 8 half-lives of the radionuclide
* Any condition that precludes the proper performance of PET and/or CT scan: a) Subjects who are not able to tolerate the CT contrast agent, b) Subjects with metal implants or arthroplasty, or any other objects that might interfere with the PET and/or CT analysis, c) Subjects unable to raise arms for prolonged imaging purposes, d) Subjects unable to lie still for the entire imaging time, e) Subjects weighing greater than 110 kg (243 lb)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ipsen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ipsen Medical Director

Role: STUDY_DIRECTOR

Ipsen

Locations

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UCLA Medical Center

Los Angeles, California, United States

Site Status

Medical University of Innsbruck

Innsbruck, , Austria

Site Status

University Clinic for Radiology and Nuclear Medicine

Vienna, , Austria

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Rigshospitalet, University of Copenhagen

Copenhagen, , Denmark

Site Status

Countries

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United States Austria Denmark

References

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Miller CG, Gronbaek H, Virgolini I, Kjaer A, Terve P, Bahri S, Iversen P, Svirydenka H, Rohban T, McEwan S. A novel read methodology to evaluate the optimal dose of 68Ga-satoreotide trizoxetan as a PET imaging agent in patients with gastroenteropancreatic neuroendocrine tumours: a phase II clinical trial. EJNMMI Res. 2021 Sep 6;11(1):84. doi: 10.1186/s13550-021-00819-1.

Reference Type DERIVED
PMID: 34487283 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-004928-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D-FR-01070-002

Identifier Type: -

Identifier Source: org_study_id

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