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Breast CancerPhase 2NeoFINDNCT03724253

[68Ga]-NeoBOMB1 Imaging in Patients With Malignancies Known to Overexpress Gastrin Releasing Peptide Receptor (GRPR)

A Phase 2 study testing [68Ga]-NeoBOMB1 in people with Breast Cancer and Prostate Cancer, run by Advanced Accelerator Applications at 3 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This was a Phase II, multi-center, open label, single dose study in patients with tumor types known to overexpress Gastrin-Releasing Peptide Receptor (GRPR), including breast, prostate, colorectal, Non-Small Cell Lung Cancer (NSCLC) and Small-Cell Lung Cancer (SCLC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer, Prostate Cancer, Colorectal Cancer
What is being tested?
[68Ga]-NeoBOMB1
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
3 sitesin 2 countries
Study dates
3 Jul 2018to 5 Jul 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must be at least 18 years of age
  • Subjects must have signed and dated an informed consent prior to any study-specific procedures
  • Subjects with histologically-confirmed tumor for whom a recent biopsy (not older than 6-months old) has been performed.
  • Dosimetry group: luminal breast cancer, adenocarcinoma of the prostate
  • Non-dosimetry group: luminal breast cancer, adenocarcinoma of the prostate, small cell lung cancer, non-small cell lung cancer, colorectal carcinoma
  • At least one malignant lesion detected via functional or morphological imaging (PET combined to appropriate tracer according to tumor type, CT, MRI) within 3 months prior to [68Ga]-NeoBOMB1 administration
  • The Eastern Cooperative Oncology (ECOG) performance status 0-2.
  • Subjects must agree to use highly effective methods of contraception (female partners of male participants should use highly effective methods of contraception) during the trial.

Who cannot join

  • renal insufficiency or an eGFR <50 ml/min/1.73m2
  • hematological toxicity grade > 2 (Toxicity Grading Scale in vaccine clinical trials)
  • participation in any other investigational trial within 30 days of study entry
  • subjects with positive pregnancy test (urine dipstick), and/or currently breast-feeding
  • concurrent severe illness or clinically relevant trauma within 2 weeks before the administration of the investigational product that might preclude study completion or interfere with study results
  • concurrent bladder outflow obstruction or unmanageable urinary incontinence
Show all 10Show fewer
  • known or expected hypersensitivity to [68Ga]-NeoBOMB1 or any excipient present in [68Ga]-NeoBOMB1
  • any condition that precludes raised arms position
  • prior administration of a radiopharmaceutical within a period corresponding to 8 half-lives of the radionuclide
  • history of somatic or psychiatric disease/condition that may interfere with the objectives and assessments of the study

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

France2 sites
  • University of Grenoble - Hopital Michallon, Service de Medicine Nucleaire

    La Tronche

  • University of Bordeaux, Unite TEP RECHERCHE - Hopital Xavier Arnozan

    Pessac

Other trials in France

Austria1 site
  • Medical University Innsbruck Department of Nuclear Medicine

    Innsbruck

Other trials in Austria

About this study

Official title: Phase II Study of Preliminary Diagnostic Performance of [68Ga]-NeoBOMB1 in Adult Patients With Malignancies Known to Overexpress Gastrin Releasing Peptide Receptor (GRPR)

This was a Phase II, multi-center, open label, single dose study in patients with tumor types known to overexpress Gastrin-Releasing Peptide Receptor (GRPR), including breast, prostate, colorectal, Non-Small Cell Lung Cancer (NSCLC) and Small-Cell Lung Cancer (SCLC).

Read the detailed description

A total of 50 subjects were planned for the study (10 subjects for the dosimetry group and 40 subjects for the non dosimetry group). In total, 22 subjects were screened for eligibility and 19 subjects were enrolled (2 subjects in the dosimetry group and 17 subjects in the non dosimetry group).

Being tested
[68Ga]-NeoBOMB1
Keywords
[68Ga]-NeoBOMB1
Medical subject headings
Breast Neoplasms, Prostatic Neoplasms, Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung, Small Cell Lung Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • [68Ga]-NeoBOMB1Drug

    [68Ga]-radiolabeled bombesin peptide targeting Gastrin Releasing Peptide Receptors

Study groups in NCT03724253
Study groupRoleWhat they receive
Phase II dosimetry groupExperimentalAll eligible participants were to receive recommended dose of [68Ga]-NeoBOMB1 of 3 Mega Becquerel (MBq)/Kg (+/- 10%) [but not more than 250 and not less than 150 MBq. The maximum peptide mass administered was 50 microgram (µg)].
Receives: Drug: [68Ga]-NeoBOMB1
Phase II non-dosimetry groupExperimentalAll eligible participants were to receive recommended dose of [68Ga]-NeoBOMB1 of 3 Mega Becquerel (MBq)/Kg (+/- 10%) [but not more than 250 and not less than 150 MBq. The maximum peptide mass administered was 50 microgram (µg)].
Receives: Drug: [68Ga]-NeoBOMB1

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Lesions Detected by [68Ga]-NeoBOMB1

    The preliminary targeting properties of [68Ga]-NeoBOMB1 were to be assessed by summarizing the number of lesions identified by Positron Emission Tomography (PET) overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  2. Number of Participants With Lesions Detected by [68Ga]-NeoBOMB1 Per Location

    The preliminary targeting properties of [68Ga]-NeoBOMB1 were to be assessed by summarizing the location of lesions identified by PET overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  3. Non-Dosimetry Group: Standard Uptake Value (SUV) Mean by Timepoint and Lesion Location

    Targeting properties of [68Ga]-NeoBOMB1 were to be evaluated by semi-quantitatively assessing radiotracer uptake at lesion level, identified via PET Imaging. The SUVmean and SUVmax (g/mL) of each lesion were to be calculated and reported by lesion location with summary statistics at all imaging time points. SUV was to be calculated overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.05 (only applicable for the Prostate Group), 1.50 and 2.50 hours)

  4. Non-Dosimetry Group: Standard Uptake Value (SUV) Max by Timepoint and Lesion Location

    Targeting properties of [68Ga]-NeoBOMB1 were to be evaluated by semi-quantitatively assessing radiotracer uptake at lesion level, identified via PET Imaging. The SUVmean and SUVmax (g/mL) of each lesion were to be calculated and reported by lesion location with summary statistics at all imaging time points. SUV was to be calculated overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.05 (only applicable for the Prostate Group), 1.50 and 2.50 hours)

  5. Dosimetry Group: Standard Uptake Value (SUV) Mean by Timepoint and Lesion Location

    Targeting properties of [68Ga]-NeoBOMB1 were to be evaluated by semi-quantitatively assessing radiotracer uptake at lesion level, identified via PET Imaging. The SUVmean and SUVmax (g/mL) of each lesion were to be calculated and reported by lesion location with summary statistics at all imaging time points. SUV was to be calculated overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.15, 1.00, 2.00 and 4.00 hours)

  6. Dosimetry Group: Standard Uptake Value (SUV) Max by Timepoint and Lesion Location

    Targeting properties of [68Ga]-NeoBOMB1 were to be evaluated by semi-quantitatively assessing radiotracer uptake at lesion level, identified via PET Imaging. The SUVmean and SUVmax (g/mL) of each lesion were to be calculated and reported by lesion location with summary statistics at all imaging time points. SUV was to be calculated overall and split by GRPR positive and negative patients, as well as by tumor type. Only descriptive analysis performed.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.15, 1.00, 2.00 and 4.00 hours)

  7. Dosimetry Group: Evaluation of Percentage of Injected Dose Reaching the Target (TACs) in Tumors

    For patients included in the dosimetry group, the percentage of injected dose per gram of tissue (%ID/g) reaching tumor lesions was to be calculated using the acquired PET images at each time point. The resulting TACs were to be summarized descriptively.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.15, 1.00, 2.00 and 4.00 hours)

  8. Dosimetry Group: Evaluation of Percentage of Injected Dose Reaching the Target (TACs) in Organs

    For patients included in the dosimetry group, the percentage of injected dose per gram of tissue (%ID/g) reaching source organs was to be calculated using the acquired PET images at each time point. The resulting TACs were to be summarized descriptively.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1 (0.15, 1.00, 2.00 and 4.00 hours)

Secondary outcomes (16)
  1. Treatment Emergent Adverse Events Profile

    Treatment-emergent adverse events (TEAEs) were collected from first dosing (single administration, Day 1) up to last follow-up visit or until the event has resolved to baseline grade or better or the event was assessed stable by the investigator or the patient was lost to follow-up or withdrew consent. The distribution of adverse events was done via the analysis of frequencies for treatment emergent Adverse Event (TEAEs), Grade 3/4/5 TEAEs, Serious Adverse Event TEAEs, Interruption of [68Ga]-NeoBOMB1 Due to Any TEAEs and Deaths due to AEs, through the monitoring of relevant clinical and laboratory safety parameters. Only descriptive analysis performed.

    Measured: From first dosing (single administration, Day 1) up to last follow-up visit or until the event has resolved to baseline grade or better or the event was assessed stable by the investigator or the patient was lost to follow-up or withdrew consent.

  2. Number of Lesions Detected by Conventional Imaging

    The preliminary targeting properties of [68Ga]-NeoBOMB1 were to be assessed by summarizing the number of lesions identified by Positron Emission Tomography (PET) overall and split by GRPR positive and negative patients, as well as by tumor type. The number of lesions identified by aforementioned PET imaging were to be compared with the number of lesions identified by the comparable conventional imaging. Only descriptive analysis performed.

    Measured: Conventional imaging collected within 3 months prior to study entry up to [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  3. Number of Participants With Lesions Detected by Conventional Imaging Per Location

    The preliminary targeting properties of [68Ga]-NeoBOMB1 were to be assessed by summarizing the location of lesions identified by PET overall and split by GRPR positive and negative patients, as well as by tumor type. The location of lesions identified by aforementioned PET imaging were to be compared with the location of lesions identified by the comparable conventional imaging. Only descriptive analysis performed.

    Measured: Conventional imaging collected within 3 months prior to study entry up to [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  4. Lesion-level Analyses of Diagnostics by [68Ga]-NeoBOMB1 Compared With Conventional Imaging

    At lesion level, overall, positive, and negative agreement of [68Ga]-NeoBOMB1 were to be calculated based on the aforementioned tabulations as follows:

    • Overall agreement = 100% x (Double positive + Double negative) / total number of lesions identified by either imaging proceduresg
    • Positive agreement = 100% x Double positive / (Double positive + Comparator single positive)
    • Negative agreement = 100% x Double negative / (Double negative + Comparator single negative).

    Measured: Conventional imaging collected within 3 months prior to study entry up to [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  5. Patient-level Analyses of Diagnostics by [68Ga]-NeoBOMB1 Compared With Conventional Imaging

    At patient level, positive agreement was defined as the proportion of subjects with at least one lesion detected by conventional imaging in the specified location that also have at least one lesion detected by [68Ga]-NeoBOMB1. Overall agreement was defined as the proportion of subjects with at least one lesion detected in either imaging in the specified location that also have at least one lesion detected by [68Ga]-NeoBOMB1.

    Measured: Conventional imaging collected within 3 months prior to study entry up to [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  6. Organ-level Analyses of Diagnostics by [68Ga]-NeoBOMB1 Compared to Histological Evidence

    The diagnostic performance of [68Ga]-NeoBOMB1 to GRPR overexpressing malignancies (lesions) was to be compared with cytology and/or histopathology findings from archival and/or recent biopsy specimens.

    Since the biopsy was performed on 1 lesion (collected either in primary or in metastatic tumors), a direct link may not be possible in case of multiple lesions per organ identified on [68Ga]-NeoBOMB1-PET. In this event, the determination of positive versus negative lesions on [68Ga]-NeoBOMB1-PET was done at organ level, i.e., if any lesion is positive in that organ, then the organ was to be considered positive. The sensitivity was to be calculated as follows: Sensitivity = 100% x True positive / (True positive + False negative).

    Measured: Biopsy specimen collected within 6 months prior to study entry up to [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  7. Dosimetry Group: Absorbed Dose in Target Organs

    The absorbed dose in target organs and the effective radiation dose were to be summarized with descriptive statistics. Lesion number were assigned by dosimetry expert.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  8. Dosimetry Group: Effective Whole-body Dose

    The effective radiation dose was to be summarized with descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  9. Dosimetry Group: Half-life of [68Ga]-NeoBOMB1 in Blood (T^1/2)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. The half-lives of distribution (T^1/2 alpha) and elimination phases (T^1/2 beta) were to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  10. Dosimetry Group: Time of Maximum Observed Drug Concentration Occurrence (Tmax)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. Tmax was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  11. Dosimetry Group: Observed Maximum Plasma Concentration (Cmax)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. Cmax was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  12. Dosimetry Group: Area Under the Plasma Concentration-time Curve From the Time 0 to the Last Observed Quantifiable Concentration (AUC(0-t))

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. AUC(0-t) was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  13. Dosimetry Group: AUC(0-t) Divided by the Dose Administered (AUC(0-t)/D)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. AUC(0-t)/D was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  14. Dosimetry Group: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUCinf)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. AUC(0-inf) was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  15. Dosimetry Group: Total Systemic Clearance for Intravenous Administration (CL)

    Venous whole blood samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. CL was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

  16. Dosimetry Group: Urinary Excretion of [68Ga]-NeoBOMB1 (Vd)

    Urine samples were collected for activity-based pharmacokinetics characterization in the dosimetry group. Vd was to be listed and summarized using descriptive statistics.

    Measured: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2018
  2. Study start3 Jul 2018
  3. Primary completion20 Jun 2019
  4. Study completion5 Jul 2019

Why it stopped: Recruitment was stopped before the target sample size was achieved.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The study design included a dosimetry and non-dosimetry groups and with the following tumor types: * Breast Cancer: dosimetry and non-dosimetry groups * Prostate Cancer: dosimetry and non-dosimetry groups * Colorectal cancer: non-dosimetry group * Non-Small Cell Lung Cancer (NSCLC): non-dosimetry group * Small-Cell Lung Cancer (SCLC): non-dosimetry group All data presentations were to be presented primarily by the overall population but were also to be repeated split by tumor type where relevant. Some presentations were also to be repeated split by whether or not the patient was found to have tumors bearing GRPR expression according to cytology and/or histopathology findings.
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03724253
Sponsor's protocol ID
A005D-E01-201
Other IDs
2017-003432-37, CAAA503A12201, 2017
Acronym
NeoFIND
Status last verified
Oct 2020
First submitted
21 Oct 2018
Last updated
23 Oct 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing [68Ga]-NeoBOMB1 in people with Breast Cancer and Prostate Cancer, run by Advanced Accelerator Applications at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 23 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in France, Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Oct 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Lesions Detected by [68Ga]-NeoBOMB1 (time frame: [68Ga]-NeoBOMB1 PET imaging acquired at Day 1). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2020.

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