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Prostate CancerPhase 2NCT01667536

A Phase 2 Study With MIP-1404 in Men With High-Risk PC Scheduled for RP and EPLND Compared to Histopathology

A Phase 2 study testing Drug: 99mTc-MIP-1404 in people with Prostate Cancer, run by Molecular Insight Pharmaceuticals, Inc. at 35 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This was a multicenter, multi-reader, open-label, Phase 2 study assessing the safety and performance characteristics of MIP 1404 imaging in the detection of prostate gland and pelvic lymph node cancer. Read more about this study

Who is it for?
Ages 21 years and older, men only
Conditions the study is for
Prostate Cancer
What is being tested?
Drug: 99mTc-MIP-1404
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
105 participants
Where
35 sitesin 8 countries
Study dates
Aug 2012to Dec 2013
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 21 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male aged 21 years or older.
  • Ability to provide signed informed consent and willingness to comply with protocol requirements.
  • Biopsy confirmed presence of adenocarcinoma of the prostate gland.
  • At high-risk for metastatic disease by a stage of cT3, cT4, or a total nomogram score of greater than or equal to 130.
  • Scheduled to undergo radical prostatectomy with extended pelvic lymph node dissection.
  • Agree to use an acceptable form of birth control for a period of 7 days after the 99mTc MIP-1404 injection.

Who cannot join

  • Participating would significantly delay the scheduled standard of care therapy.
  • Administered a radioisotope within 5 physical half lives prior to study drug injection.
  • Have any medical condition or other circumstances that, in the opinion of the investigator, would significantly decrease obtaining reliable data, achieving study objectives or completing the study.
  • Have a contraindication for MR imaging.

Trial locations and contacts

35 sites in 8 countries.

35 sites in 8 countries

United States10 sites
  • Medical University of South Carolina

    Charleston, South Carolina, 29435

  • Glickman Urology & Kidney Institute, Cleveland Clinic

    Cleveland, Ohio, 44195

  • City of Hope National Cancer Center

    Duarte, California, 91010

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of Texas Vanguard Urologic Research Foundation

    Houston, Texas, 77030

  • University of Wisconsin

    Madison, Wisconsin, 53792

  • New York Presbyterian Hospital - Cornell

    New York, New York, 10021

  • Thomas Jefferson University / Jefferson Urology Associates

    Philadelphia, Pennsylvania, 19107

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of Washington School of Medicine

    Seattle, Washington, 98109

Other trials in United States

Russia8 sites
  • City Clinical Hospital # 57

    Moscow, 105077

  • Federal Public State Institution "Russian Oncology Research Center n.a. N.N. Blokhin under the Russian Academy of medical sciences"

    Moscow, 115478

  • Moscow Oncology Research Institute n.a. P.A. Hertsen

    Moscow, 125284

  • Federal State Public Institution "Medical Radiology Research Center" of Healthcare Ministry and Social Development of Russian Federation

    Obninsk, 249036

  • All-Russia Centre for Urgent Care and Radiation Medicine named after A.M. Nikiforov under the Ministry of the Russian Federation for Civil Defence, Emergencies and Elimination of Consequences of Natural Disasters

    Saint Petersburg, 197374

  • Federal State Public Institution Russian Research center for Radiology and Surgical Technologies under the Federal agency for High-tech medical care

    Saint Petersburg, 197758

  • Research Institute of Oncology n.a. Professor N.N. Petrov under the Federal Agency for Healthcare and Social Development

    Saint Petersburg, 197758

  • St. Petersburg State Public Medical Institution: "Clinical Oncological Center"

    Saint Petersburg, 198255

Other trials in Russia

Czechia6 sites
  • University Hospital Olomouc, Clinic of Urology

    Olomouc, 779 00

  • University Hospital Plzen, Department of Urology

    Pilsen, 30599

  • General University Hospital in Prague, Clinic of Urology

    Prague, 128 08

  • Thomayer's Hospital

    Prague, 140 59

  • University Hospital Motol, Clinic of Urology

    Prague, 15006

  • Hospital Na Bulovce, Department of Urology

    Prague, 180 01

Other trials in Czechia

Poland4 sites
  • University Clinical Centre, Department of Urology

    Gdansk, 80952

  • University Hospital Plzen, Department of Urology

    Warsaw, 00909

  • 4th Military Teaching Hospital and Polyclinic,

    Wroclaw, 50981

  • "Provincial Specialist Hospital in Wroclaw, Department of Urology

    Wroclaw, 51124

Other trials in Poland

Hungary3 sites
  • Bajcsy-Zsilinszky Hospital, Department of Urology

    Budapest, 8991

  • Peterfy Sandor Street Hospital, Department of Urology

    Budapest, H-1076

  • Jahn Ferenc South Pest Hospital, Department of Urology

    Budapest, H1204

Other trials in Hungary

Italy2 sites
  • Vita-Salute University San Raffaele

    Milan, 20132

  • University of Turin

    Torino, 10126

Other trials in Italy

Belgium1 site
  • University Hospitals Leuven

    Leuven, 3000

Other trials in Belgium

Netherlands1 site
  • UMC St. Radboud Nijmegen

    Nijmegen, 6525 GA

Other trials in Netherlands

About this study

Official title: A Phase 2 Assessment of the Diagnostic Accuracy of 99mTc-MIP-1404 Imaging in Men With High-Risk Prostate Cancer Scheduled for Radical Prostatectomy (RP) and Extended Pelvic Lymph Node Dissection (EPLND) Compared to Histopathology

This was a multicenter, multi-reader, open-label, Phase 2 study assessing the safety and performance characteristics of MIP 1404 imaging in the detection of prostate gland and pelvic lymph node cancer. Comparative performance characteristics between MIP 1404 imaging and MRI were also assessed, as judged by histopathology results.

Read the detailed description

This is a single arm, open label study of approximately 100 high-risk prostate cancer patients scheduled for prostatectomy and extended pelvic lymph node dissection. Patients receive a single IV dose of 99mTc-MIP-1404 (study drug) followed by SPECT/CT scan 3-6 hours after injection. As standard of care, patients will undergo prostatectomy and extended pelvic lymph node dissection (EPLND) within three weeks of study drug dosing. 99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Conditions
Prostate Cancer
Being tested
Drug: 99mTc-MIP-1404
Keywords
PROSTATE CANCER, HIGH-RISK, PROSTATECTOMY SURGERY, NEWLY DIAGNOSED
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • Drug: 99mTc-MIP-1404Drug

    Also called MIP-1404

    A single dose of 20 ±3 mCi intravenous (IV) injection of 99mTc-MIP-1404

Study groups in NCT01667536
Study groupRoleWhat they receive
Drug: 99mTc-MIP-1404Experimental20 ±3 mCi intravenous (IV) injection of 99mTc-MIP-1404
Receives: Drug: Drug: 99mTc-MIP-1404

What is being measured

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

  1. Assess the Ability of 99mTc-MIP-1404 to Detect Prostate Cancer Within the Prostate Gland.

    For the prostate gland, sensitivity values refer to the number of subjects in the study, i.e., the percentages of true positive subjects correctly identified by the imaging technique. Pathology results were used as the truth standard for all imaging analyses.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

Secondary outcomes (5)
  1. Assess the Ability of MIP-1404 to Detect Metastatic Prostate Cancer Within Pelvic Lymph Nodes

    For lymph nodes, sensitivity values refer to the number of subjects in the study, i.e., the percentages of true positive subjects correctly identified by the imaging technique. Pathology results were used as the truth standard for all imaging analyses.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

  2. Assess the Ability of MIP-1404 to Detect the Extent and Location of Prostate Cancer Within the Prostate Gland

    For specific segments of the prostate, a sensitivity value refers to the number of evaluable segments (histologically examined "tissue-segments") from all subjects, i.e., the percentages of true positive segments correctly identified by the imaging technique.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

  3. Assess the Ability of MIP-1404 to Detect the Specific Location of Metastatic Prostate Cancer Within Anatomic Pelvic Lymph Node Regions

    For specific segments of the lymph nodes, a sensitivity value refers to the number of evaluable segments (histologically examined "tissue-segments") from all subjects, i.e., the percentages of true positive segments correctly identified by the imaging technique.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

  4. Assess the Comparative Performance of MIP-1404 Against MRI for Detection of Prostate Cancer Within the Prostate Gland.

    Comparative performance characteristics between MIP-1404 imaging and MRI were analyzed for the prostate gland. MIP-1404 and MRI sensitivities were derived from case positive histopathology results.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

  5. Assess the Comparative Performance of MIP-1404 Against MRI for Detection of Metastatic Prostate Cancer Within Pelvic Lymph Nodes.

    Comparative performance characteristics between MIP-1404 imaging and MRI were analyzed for the lymph nodes. MIP-1404 and MRI sensitivities were derived from case positive histopathology results.

    Measured: Within 3-6 hours of dosing SPECT/CT images will be taken

Timeline

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

  1. First posted17 Aug 2012 (estimated)
  2. Study startAug 2012
  3. Primary completionDec 2013
  4. Study completionDec 2013

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
105 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01667536
Sponsor's protocol ID
MIP-1404-201
Status last verified
Dec 2016
First submitted
13 Aug 2012
Last updated
7 Feb 2017
Data monitoring committee
No

Publications

  • American Cancer Society, Inc., Surveillance Research; Cancer Facts & Figures, 2012

  • Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011 Mar-Apr;61(2):69-90. doi: 10.3322/caac.20107. Epub 2011 Feb 4.

    PubMed 21296855
  • Hovels AM, Heesakkers RA, Adang EM, Jager GJ, Strum S, Hoogeveen YL, Severens JL, Barentsz JO. The diagnostic accuracy of CT and MRI in the staging of pelvic lymph nodes in patients with prostate cancer: a meta-analysis. Clin Radiol. 2008 Apr;63(4):387-95. doi: 10.1016/j.crad.2007.05.022. Epub 2008 Feb 4.

    PubMed 18325358
  • Pinto JT, Suffoletto BP, Berzin TM, Qiao CH, Lin S, Tong WP, May F, Mukherjee B, Heston WD. Prostate-specific membrane antigen: a novel folate hydrolase in human prostatic carcinoma cells. Clin Cancer Res. 1996 Sep;2(9):1445-51.

    PubMed 9816319
  • Smith-Jones PM, Vallabahajosula S, Goldsmith SJ, Navarro V, Hunter CJ, Bastidas D, Bander NH. In vitro characterization of radiolabeled monoclonal antibodies specific for the extracellular domain of prostate-specific membrane antigen. Cancer Res. 2000 Sep 15;60(18):5237-43.

    PubMed 11016653
  • Kinoshita Y, Kuratsukuri K, Landas S, Imaida K, Rovito PM Jr, Wang CY, Haas GP. Expression of prostate-specific membrane antigen in normal and malignant human tissues. World J Surg. 2006 Apr;30(4):628-36. doi: 10.1007/s00268-005-0544-5.

    PubMed 16555021
  • Murphy GP, Elgamal AA, Su SL, Bostwick DG, Holmes EH. Current evaluation of the tissue localization and diagnostic utility of prostate specific membrane antigen. Cancer. 1998 Dec 1;83(11):2259-69.

    PubMed 9840525
  • Ghosh A, Heston WD. Tumor target prostate specific membrane antigen (PSMA) and its regulation in prostate cancer. J Cell Biochem. 2004 Feb 15;91(3):528-39. doi: 10.1002/jcb.10661.

    PubMed 14755683
  • Perner S, Hofer MD, Kim R, Shah RB, Li H, Moller P, Hautmann RE, Gschwend JE, Kuefer R, Rubin MA. Prostate-specific membrane antigen expression as a predictor of prostate cancer progression. Hum Pathol. 2007 May;38(5):696-701. doi: 10.1016/j.humpath.2006.11.012. Epub 2007 Feb 22.

    PubMed 17320151
  • Silver DA, Pellicer I, Fair WR, Heston WD, Cordon-Cardo C. Prostate-specific membrane antigen expression in normal and malignant human tissues. Clin Cancer Res. 1997 Jan;3(1):81-5.

    PubMed 9815541
  • Luthi-Carter R, Barczak AK, Speno H, Coyle JT. Molecular characterization of human brain N-acetylated alpha-linked acidic dipeptidase (NAALADase). J Pharmacol Exp Ther. 1998 Aug;286(2):1020-5.

    PubMed 9694964
  • Troyer JK, Beckett ML, Wright GL Jr. Detection and characterization of the prostate-specific membrane antigen (PSMA) in tissue extracts and body fluids. Int J Cancer. 1995 Sep 4;62(5):552-8. doi: 10.1002/ijc.2910620511.

    PubMed 7665226
  • Chang SS, Reuter VE, Heston WD, Bander NH, Grauer LS, Gaudin PB. Five different anti-prostate-specific membrane antigen (PSMA) antibodies confirm PSMA expression in tumor-associated neovasculature. Cancer Res. 1999 Jul 1;59(13):3192-8.

    PubMed 10397265
  • Maresca KP, Hillier SM, Femia FJ, Keith D, Barone C, Joyal JL, Zimmerman CN, Kozikowski AP, Barrett JA, Eckelman WC, Babich JW. A series of halogenated heterodimeric inhibitors of prostate specific membrane antigen (PSMA) as radiolabeled probes for targeting prostate cancer. J Med Chem. 2009 Jan 22;52(2):347-57. doi: 10.1021/jm800994j.

    PubMed 19111054
  • Hillier SM, Maresca KP, Femia FJ, Marquis JC, Foss CA, Nguyen N, Zimmerman CN, Barrett JA, Eckelman WC, Pomper MG, Joyal JL, Babich JW. Preclinical evaluation of novel glutamate-urea-lysine analogues that target prostate-specific membrane antigen as molecular imaging pharmaceuticals for prostate cancer. Cancer Res. 2009 Sep 1;69(17):6932-40. doi: 10.1158/0008-5472.CAN-09-1682. Epub 2009 Aug 25.

    PubMed 19706750

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Drug: 99mTc-MIP-1404 in people with Prostate Cancer, run by Molecular Insight Pharmaceuticals, Inc. at 35 sites in 8 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 6 inclusion and 4 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: finished, as of the sponsor's last update on 7 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Russia, Czechia, Poland, Hungary and 3 more countries. 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 30 Mar 2016). 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?

Assess the Ability of 99mTc-MIP-1404 to Detect Prostate Cancer Within the Prostate Gland. (time frame: Within 3-6 hours of dosing SPECT/CT images will be taken). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01667536, which also lists 19 linked publications.

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 7 Feb 2017.

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