Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT07098806

Multiple Dose Intraventricular Administration of Rhenium-186 NanoLiposome for Leptomeningeal Metastases

Led by Plus Therapeutics · Updated on 2025-08-01

24

Participants Needed

1

Research Sites

326 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is an open-label, multicenter, Phase 1 study to determine the safety and efficacy of multiple doses at defined intervals of rhenium (186Re) obisbemeda (rhenium-186 nanoliposome, 186RNL) administered via intraventricular catheter for any primary solid tumor cancer with leptomeningeal metastases to identify an MTD/MFD for a given dose, interval duration, and number of doses.

CONDITIONS

Official Title

Multiple Dose Intraventricular Administration of Rhenium-186 NanoLiposome for Leptomeningeal Metastases

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years of age
  • Able to understand the study and provide written informed consent
  • Documented leptomeningeal metastases from any primary solid tumor cancer per clinical guidelines
  • Karnofsky performance status between 70 and 100
  • Acceptable liver function: bilirubin ≤ 1.5 times upper limit of normal; AST and ALT ≤ 3 times upper limit for normal liver or ≤ 5 times for liver metastasis
  • Acceptable kidney function: creatinine clearance ≥ 60 mL/min (Cockcroft-Gault Equation)
  • Acceptable blood counts without support: ANC ≥ 1000 cells/μL; platelet count ≥ 75,000/μL; hemoglobin ≥ 9.0 g/dL
  • Negative pregnancy test for women of childbearing potential
  • Agreement to use effective contraception during and for 6 months after last dose
  • Normal cerebrospinal fluid flow confirmed by accepted CSF flow study
  • Corticosteroids allowed as needed
Not Eligible

You will not qualify if you...

  • Not recovered to Grade ≤1 from adverse events due to prior cancer treatments, except alopecia, anemia, neutropenia, and lymphopenia
  • Contraindications to intraventricular catheter placement
  • Presence or need for ventriculo-peritoneal or ventriculo-atrial shunt
  • Pregnant, breastfeeding, or possibly pregnant females without negative pregnancy test
  • Serious illnesses interfering with treatment schedule
  • Prior whole brain radiation therapy (with some exceptions for spinal cord or stereotactic radiosurgery within defined dose and timing limits)
  • Concurrent or recent intrathecal therapy within 14 days
  • Concurrent systemic therapy unless leptomeningeal metastases developed during therapy and without more than grade 1 myelosuppression
  • Systemic therapy within 28 days prior to study
  • Expected survival less than 60 days

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

The Cancer Therapy and Research Center at UTHSCSA

San Antonio, Texas, United States, 78229

Actively Recruiting

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Research Team

R

Rachael Hershey

CONTACT

A

Andrew Brenner, M.D.,Ph.D

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

1

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