Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06735560

Study Assessing PET Imaging With Zirconium-labelled Girentuximab in Patients With HCC, BTC or NEN

Led by Nantes University Hospital · Updated on 2026-05-13

60

Participants Needed

2

Research Sites

91 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Precision medicine represents a major goal in oncology. It has its underpinning in the identification of biomarkers with diagnostic, prognostic, or predictive values. Gastro-entero-pancreatic neuroendocrine neoplasia (GEP-NENs) are rare tumors, but their frequency is increasing. In this context, the tumor expression of carbonic anhydrase IX (CAIX), complemented by a restricted profile in normal tissues, provides an opportunity for therapeutic targeting and precision medicine. Indeed, radiolabeling the anti-CAIX monoclonal antibody girentuximab with Zirconium 89 has shown promise as a novel positron emission tomography (PET) tracer and labeling with 177 Lutetium promise as a therapeutic agent in clear cell renal cell carcinoma (ccRCC) in the context of a theranostic approach. The purpose of this study is to evaluate the use of 89Zr-labeled girentuximab (89Zr-TLX250) as a novel, carbonic anhydrase IX (CAIX) targeted PET/CT tracer for the imaging of Gastro-Entero-Pancreatic Neuroendocrine Neoplasms, Hepatocellular Carcinoma or IntraHepatic Cholangiocarcinoma.

CONDITIONS

Official Title

Study Assessing PET Imaging With Zirconium-labelled Girentuximab in Patients With HCC, BTC or NEN

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provided written informed consent
  • Age 18 years or older
  • For HCC or ICC: histologically confirmed diagnosis, newly diagnosed or suspected refractory, residual, or recurrent disease
  • For GEP-NENs: progressive disease with low or mixed SSTR2 expression, or progressive pancreatic NENs after at least two systemic treatments (excluding SSA), or pancreatic NENs with VHL mutation or G3 GEP-NENs
  • At least one measurable lesion by RECIST 1.1 on contrast CT or MRI
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
  • For cirrhotic patients: Child-Pugh score of B7 or less
  • Affiliated to or beneficiary of the National Health Service
Not Eligible

You will not qualify if you...

  • Known allergy to zirconium-89, any excipient, or radiographic contrast agents
  • Received chemotherapy, extensive external beam radiation, immunotherapy, targeted therapy, or angiogenesis inhibitors within 2 weeks before 89Zr-TLX250 administration
  • Received radionuclide targeted therapy within 3 months before inclusion
  • Underwent radioembolization within 3 months before inclusion
  • Uncontrolled brain or spinal cord metastasis
  • Cardiac disease classified as New York Heart Association class III or IV
  • Life expectancy less than 4 months
  • Major surgery within 4 weeks before enrollment
  • Uncontrolled significant medical or psychiatric conditions that may affect safety or compliance
  • Other cancers except fully resected non-melanoma skin cancer or cervical cancer in situ unless treated and no recurrence for 2 years
  • Pregnant or breastfeeding women
  • Under guardianship, trusteeship, or judicial protection

AI-Screening

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Trial Site Locations

Total: 2 locations

1

CHU de Nantes

Nantes, France

Actively Recruiting

2

AP-HP - Site de Beaujon

Paris, France

Not Yet Recruiting

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Research Team

C

Clément BAILLY

CONTACT

A

Astrid GARREAU

CONTACT

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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