Molecular Imaging of Prostate-Specific Membrane Antigen Using Labeled Technetium-99m BQ0413

Sponsor
Tomsk National Research Medical Center of the Russian Academy of Sciences (Other)
Overall Status
Enrolling by invitation
CT.gov ID
NCT06101927
Collaborator
Uppsala University (Other)
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Study Details

Study Description

Brief Summary

The study should evaluate the biological distribution of [99mTc]Tc-BQ0413 in patients with prostate cancer.

The primary objective are:
  1. To assess the distribution of [99mTc]Tc- BQ0413 in normal tissues and tumors at different time intervals.

  2. To evaluate dosimetry of [99mTc]Tc- BQ0413.

  3. To study the safety and tolerability of the drug [99mTc]Tc- BQ0413 after a single injection in a diagnostic dosage.

The secondary objective are:
  1. To compare the obtained [99mTc]Tc- BQ0413 SPECT imaging results with the data of CT and/or MRI and/or ultrasound examination and immunohistochemical (IHC) studies in prostate cancer patients.
Condition or Disease Intervention/Treatment Phase
  • Drug: Whole body study and SPECT with [99mTc]Tc-BQ0413
Phase 1

Detailed Description

The overall goal is to study the effectiveness of SPECT imaging prostate cancer patients Using technetium-99m labeled BQ0413.

Phase I of the study:

Biodistribution of [99mTc]Tc-BQ0413 in patients with prostate cancer.

The main objectives of the study:
  1. To evaluate the distribution of [99mTc]Tc-BQ0413 in normal tissues and tumors in patients with prostate cancer at different time intervals.

  2. To evaluate dosimetry of [99mTc]Tc-BQ0413 based on the pharmacokinetic parameters of the drug after a single intravenous administration.

  3. To study the safety of use and tolerability of the drug [99mTc]Tc-BQ0413 after a single intravenous administration in a diagnostic dosage.

Additional research tasks:
  1. To conduct a comparative analysis of the diagnostic information obtained in the visualization of prostate cancer by SPECT using [99mTc]Tc-BQ0413 with data obtained by CT and/or MRI and/or ultrasound examination and immunohistochemical (IHC) research of postoperative material.
Methodology:

Open-label, exploratory, single centre study. The subjects will receive a single injection of the labeled tracer.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
10 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Diagnostic
Official Title:
SPECT Imaging of Prostate-Specific Membrane Antigen Using Labeled Technetium-99m BQ0413 ([99mTc]Tc- BQ0413) in Prostate Cancer Patients
Actual Study Start Date :
Oct 19, 2023
Anticipated Primary Completion Date :
May 31, 2024
Anticipated Study Completion Date :
Oct 30, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Experimental: Prostate cancer 50 mkg

At least five (5) evaluable subjects with prostate cancer with [99mTc]Tc-BQ0413 (50 mkg)

Drug: Whole body study and SPECT with [99mTc]Tc-BQ0413
One single intravenous injection of [99mTc]Tc-BQ0413, followed by gamma camera imaging after 2, 4, 6 and 24 hours.
Other Names:
  • Diagnostic Test:
  • Experimental: Experimental: Prostate cancer 100 mkg

    At leaAt least five (5) evaluable subjects with prostate cancer with [99mTc]Tc-BQ0413 (100 mkg)

    Drug: Whole body study and SPECT with [99mTc]Tc-BQ0413
    One single intravenous injection of [99mTc]Tc-BQ0413, followed by gamma camera imaging after 2, 4, 6 and 24 hours.
    Other Names:
  • Diagnostic Test:
  • Outcome Measures

    Primary Outcome Measures

    1. Gamma camera-based whole-body [99mTc]Tc-BQ0413 uptake value (%) [24 hours]

      Whole-body [99mTc]Tc-BQ0413 uptake coinciding with normal organs and tissues will be assessed using gamma camera and calculated as percentage (%) of the injected dose of the radiopharmaceutical

    2. SPECT-based [99mTc]Tc-BQ0413 value in tumor lesions (counts) [6 hours]

      [99mTc]Tc-BQ0413 uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts

    3. SPECT-based [99mTc]Tc-BQ0413 uptake value (counts) [6 hours]

      Focal uptake of [99mTc]Tc-BQ0413 in the regions without pathological findings will be assessed with SPECT and measured in counts

    4. Tumor-to-background ratio (SPECT) [6 hours]

      The SPECT-based tumor-to-background ratio will be calculated as follows: the value of [99mTc]Tc-BQ0413 uptake coinciding with tumor lesions (counts) will be divided by the value of [99mTc]Tc-BQ0413 uptake coinciding with the regions without pathological findings (counts)

    Secondary Outcome Measures

    1. Percent of cases with abnormal findings relative to baseline [Safety and Tolerability] [24 hours]

      The safety attributable to [99mTc]Tc-BQ0413 injections will be evaluated based on the assessments of physical examination, vital signs, and ECG (percent of cases with abnormal findings relative to baseline)

    2. Percent of participants with abnormal laboratory values that are related to diagnostic imaging procedure [Safety and Tolerability] [24 hours]

      The safety attributable to [99mTc]Tc-BQ0413 injections will be evaluated based on the blood and urine laboratory tests (percent of cases with abnormal findings relative to baseline)

    3. Percent of participants with adverse events that are related to diagnostic imaging procedure [Safety and Tolerability] [24 hours]

      The safety attributable to [99mTc]Tc-BQ0413 injections will be evaluated based on the rate of adverse events (percent)

    4. Percent of participants requiring administration of medication due to side effects that are related to diagnostic imaging procedure [Safety and Tolerability] [24 hours]

      The safety attributable to [99mTc]Tc-BQ0413 injections will be evaluated based on the rate of administration of concomitant medication (percent)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subject is > 18 years of age

    • Clinical and radiological diagnosis of prostate cancer with histological verification.

    • White blood cell count: > 2.0 x 10^9/L

    • Haemoglobin: > 80 g/L

    • Platelets: > 50.0 x 10^9/L

    • Bilirubin =< 2.0 times Upper Limit of Normal

    • Serum creatinine: Within Normal Limits

    • Blood glucose level not more than 5.9 mmol/L

    • Subject is capable to undergo the diagnostic investigations to be performed in the study

    • Informed consent

    Exclusion Criteria:
    • Active current autoimmune disease or history of autoimmune disease

    • Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening)

    • Known HIV positive or chronically active hepatitis B or C

    • Administration of other investigational medicinal product within 30 days of screening

    • Ongoing toxicity > grade 2 from previous standard or investigational therapies, according to US National Cancer Institute's

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 TomskNRMC Tomsk Russian Federation

    Sponsors and Collaborators

    • Tomsk National Research Medical Center of the Russian Academy of Sciences
    • Uppsala University

    Investigators

    • Study Director: Vladimir I Chernov, MD,Prof, Tomsk NRMC

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Tomsk National Research Medical Center of the Russian Academy of Sciences
    ClinicalTrials.gov Identifier:
    NCT06101927
    Other Study ID Numbers:
    • [99mTc]Tc- BQ0413
    First Posted:
    Oct 26, 2023
    Last Update Posted:
    Oct 30, 2023
    Last Verified:
    Oct 1, 2023
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Tomsk National Research Medical Center of the Russian Academy of Sciences
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 30, 2023