Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06750419

A Confirmatory, Open-label, Single-arm, Multi-centre Study to Evaluate Safety, Tolerability and Diagnostic Performance of 89Zirconium-labelled Girentuximab (89Zr-TLX250) to Non-invasively Detect Clear Cell Renal Cell Carcinoma (ccRCC) by PET/CT Imaging in Chinese Patients With Indeterminate Renal Masses

Led by Telix Pharmaceuticals (Innovations) Pty Limited · Updated on 2024-12-27

82

Participants Needed

8

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying 89Zr-TLX250, a diagnostic imaging agent, to detect clear cell renal cell carcinoma (ccRCC) in Chinese patients with indeterminate renal masses. This Phase 3, open-label, single-arm study aims to confirm the safety, tolerability, sensitivity, and specificity of 89Zr-TLX250 PET/CT imaging. The study supports prior ZIRCON trial data and involves adult patients scheduled for partial or total nephrectomy as part of their standard care. Participants will receive a single intravenous dose of 37 MBq of 89Zr-TLX250 containing 10 mg of girentuximab. Imaging of the abdomen using PET/CT will be performed 5 days post-administration, with possible whole-body imaging if widespread disease is suspected. Nephrectomy will occur any time after imaging but within 90 days. Histological analysis of tumor samples will confirm diagnosis. The study includes approximately seven visits over 4 to 6 months. Assessments include baseline exams, PET/CT imaging, surgery, and follow-up visits. Imaging and histological data will be centrally analyzed to evaluate diagnostic accuracy. Safety and tolerability will be monitored throughout. The study is expected to last about 12 months with 4 months of follow-up per participant.

CONDITIONS

Brief Title

89Zr-TLX250 for PET/CT Imaging of ccRCC - ZIRCON-CP Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provide written informed consent
  • Mainland Chinese male or female aged 18 years or older
  • Imaging shows a single indeterminate renal mass 7 cm or smaller, done within 90 days before study start
  • Scheduled for partial or total nephrectomy within 90 days after 89Zr-TLX250 administration
  • Negative serum pregnancy test for women of childbearing potential at screening and urine test within 24 hours before study drug
  • Life expectancy sufficient to justify nephrectomy
  • Agree to use highly effective contraception until at least 42 days after study drug administration
Not Eligible

You will not qualify if you...

  • Only biopsy planned instead of partial or total nephrectomy
  • Renal mass known to be metastasis from another primary tumor
  • Active non-renal cancer requiring treatment during study participation
  • Multiple indeterminate renal masses on one or both kidneys
  • Chemotherapy, radiotherapy, targeted therapy, or immunotherapy within 4 weeks before study drug or ongoing significant side effects from such treatments
  • Planned cancer treatments between study drug administration and imaging
  • Exposure to murine or chimeric antibodies within last 5 years
  • Previous radionuclide administration within 10 half-lives
  • Serious non-cancer diseases affecting safety or study compliance
  • Mental impairment affecting consent or study compliance
  • Exposure to experimental drugs within 4 weeks or 5 half-lives before study drug
  • Pregnant or breastfeeding women
  • Known allergy to girentuximab or desferoxamine
  • Kidney function with glomerular filtration rate 45 mL/min/1.73 m² or less
  • Vulnerable individuals such as those in detention

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - Up to 30 days

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Day 0 to Day 5 (±2 days)

Participants receive a single intravenous administration of 89Zr-TLX250 followed by PET/CT imaging to non-invasively detect clear cell renal cell carcinoma.

1 administration visit and 1 imaging visit

Surgery and Immediate Post-operative Care

Duration - Up to 90 days post imaging

Participants undergo partial or total nephrectomy as part of their standard care any time after PET/CT imaging, but no later than 90 days post 89Zr-TLX250 administration.

Surgery visit with timing depending on clinical schedule

Post-operative Follow-up

Duration - 35 to 42 days after surgery depending on timing of nephrectomy

Participants attend a final study visit for safety and diagnostic follow-up after nephrectomy.

1 follow-up visit (in-person)

Trial Site Locations

Total: 8 locations

1

Beijing Cancer Hospital

Beijing, China

Actively Recruiting

2

Zhejiang Provincial People's Hospital

Hangzhou, China

Not Yet Recruiting

3

Union Hospital Tongji Medical College Huazhong University Of Science And Technology

Hubei, China

Not Yet Recruiting

4

Zhongshan Hospital, Fudan University

Shanghai, China

Not Yet Recruiting

5

The First Affiliated Hospital of Soochow University

Suzhou, China

Not Yet Recruiting

6

Tianjin Cancer Hospital Airport Hospital

Tianjin, China

Not Yet Recruiting

7

Affiliated Hospital Of Jiangnan University

Wuxi, China

Not Yet Recruiting

8

Zhejiang Cancer Hospital

Zhejiang, China

Not Yet Recruiting

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Research Team

L

Lily Nahidi

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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Published Research Related To This Trial

[89Zr]Zr-girentuximab for PET-CT imaging of clear-cell renal cell carcinoma: a prospective, open-label, multicentre, phase 3 trial.

Brian Shuch, Allan J Pantuck, Jean-Christophe Bernhard...

https://pubmed.ncbi.nlm.nih.gov/39270701

ImmunoPET imaging of renal cell carcinoma with (124)I- and (89)Zr-labeled anti-CAIX monoclonal antibody cG250 in mice.

Alexander B Stillebroer, Gerben M Franssen, Peter F A Mulders...

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Phase 1 radioimmunotherapy study with lutetium 177-labeled anti-carbonic anhydrase IX monoclonal antibody girentuximab in patients with advanced renal cell carcinoma.

Alexander B Stillebroer, Otto C Boerman, Ingrid M E Desar...

https://pubmed.ncbi.nlm.nih.gov/22980441

Tumor retention of 186Re-MAG3, 111In-DTPA and 125I labeled monoclonal antibody G250 in nude mice with renal cell carcinoma xenografts.

M G Steffens, M H Kranenborg, O C Boerman...

https://pubmed.ncbi.nlm.nih.gov/10850349

Incidence of benign lesions for clinically localized renal masses smaller than 7 cm in radiological diameter: influence of sex.

Mark E Snyder, Ariadne Bach, Michael W Kattan...

https://pubmed.ncbi.nlm.nih.gov/17085108