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MelanomaPhase 2iPREDICTNCT05013099

Study of Zirconium Zr 89 Crefmirlimab Berdoxam PET/CT in Subjects With Advanced or Metastatic Malignancies

A Phase 2 study testing zirconium Zr 89 crefmirlimab berdoxam in people with Melanoma and Merkel Cell Carcinoma, Unspecified, run by ImaginAb, Inc. at 16 sites in 6 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to evaluate whether zirconium Zr 89 crefmirlimab berdoxam (other names 89Zr-crefmirlimab berdoxam, 89Zr-Df-crefmirlimab, 89Zr-Df-IAB22M2C) PET/CT can predict the response of advanced or metastatic melanoma, Merkel cell carcinoma, renal cell carcinoma, or non-small cell lung cancer tumors… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
zirconium Zr 89 crefmirlimab berdoxam
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
16 sitesin 6 countries
Study dates
9 Dec 2021to Jul 2025
Phase
Phase 2
Are there results?
None posted in the registry

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 will be eligible for enrollment in the study if they meet ONE criteria a, b or c in point 1 and ALL the criteria in points 2-9.
  • Subjects must meet ONE of the criteria a, b or c below:
  • For enrollment into Cohort A: Subjects with histologically confirmed advanced or metastatic non-uveal/non-mucosal melanoma or merkel cell carcinoma (MCPyV positive and negative) who are not amenable to surgical cure and are candidates to receive single- or combined IOT alone (not to include cytotoxic chemotherapy) as first or second line treatment.
  • For enrollment into Cohort B: Subjects with histologically confirmed advanced or metastatic clear cell Renal Cell Carcinoma or Renal Cell Carcinoma with sarcomatoid features (regardless of subtype) as defined on pathologic examination by a component of clear cell or sarcomatoid, who are not amenable to surgical cure and are candidates to receive single- or combined IOT alone or IOT in combination with VEGFR-directed or tyrosine kinase inhibitor (not to include cytotoxic chemotherapy) as first or second line treatment
  • For enrollment into Cohort C: Subjects with histologically confirmed advanced or metastatic non-small cell lung cancer without non-smoker/driver mutations who are not amenable to surgical cure, and are candidates to receive single- or combined IOT alone (not to include cytotoxic chemotherapy) as first or second line treatment as per the label/prescribing information at the physicians discretion.
  • Patients with driver mutations that are expected to show significant benefit from first line checkpoint inhibiter treatment (such as KRAS G12C mutations) are eligible if all other I/E criteria are met
Show all 15Show fewer
  • Subjects must meet All of the criteria 2-9 below:
  • At least 1 RECIST 1.1-measurable. non-irradiated, non-osseous (unless there is an associated measurable soft-tissue component) lesion documented on intravenous (IV) contrast-enhanced CT or MRI (per RECIST criteria 1.1) prior to first zirconium Zr 89 crefmirlimab berdoxam administration.
  • Has an adequate amount of time between their prior treatment/procedure and the 1st administration of zirconium Zr 89 crefmirlimab berdoxam.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2 and anticipated survival of at least 6 months.
  • Meeting all clinical safety lab values per institution's SOC, or investigator's discretion, for subjects receiving cancer treatment.
  • Male or female age ≥18 years.
  • Ability to understand the purposes and risks of the trial and has signed an Institutional Review Board (IRB) approved informed consent form.
  • Willingness and ability to comply with all protocol required procedures.
  • For men and women of child-producing potential, use of effective double barrier contraceptive methods during the study, up to 30 days after the last administration of the investigational product.

Who cannot join

  • Subjects will NOT be eligible for enrollment in the study if they meet ANY of the following criteria:
  • Bone-only disease without a measurable soft tissue component on conventional imaging (MRI, PET, CT).
  • Subjects with skin-only (cutaneous) lesions will be excluded from the tumor biopsy assessment.
  • Serious nonmalignant disease, additional active malignant disease or conditions that in the opinion of the investigator and/or ImaginAb could compromise protocol objectives.
  • Subjects with splenic dysfunction or who are status post splenectomy. Post-splenectomy subjects who develop an accessory spleen with clinical and radiographic evidence of splenic function will be allowed with prior approval from the Sponsor.
  • Corticosteroid therapy is prohibited if used for the treatment of inflammatory or autoimmune conditions. Patients with adrenal insufficiency from prior surgery or immunotherapy toxicity may be on standard chronic replacement doses of hydrocortisone that also require sporadic use of stress doses of steroid .
  • Pregnant women or nursing mothers.

Trial locations and contacts

16 sites in 6 countries.

16 sites in 6 countries

United States6 sites
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • City of Hope

    Duarte, California, 91010

  • CARTI Cancer Center

    Little Rock, Arkansas, 72205

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Providence Saint John's Cancer Institute

    Santa Monica, California, 90404

  • University of Washington

    Seattle, Washington, 98109

Other trials in United States

Australia5 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Olivia Newton-John Cancer Research Insititute

    Heidelberg, Victoria, 3084

  • Macquarie University Hospital

    Macquarie Park, New South Wales, 2109

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria

  • Princess Alexandra Hospital

    Woolloongabba, Queensland

Other trials in Australia

Netherlands2 sites
  • Leiden University Medical Center

    Leiden

  • Radboud University Medical Center

    Nijmegen, Gelderland, 6525

Other trials in Netherlands

Belgium1 site
  • University Hospitals Leuven

    Leuven

Other trials in Belgium

Switzerland1 site
  • Lausanne University Hospital

    Lausanne

Other trials in Switzerland

United Kingdom1 site
  • Northern Centre for Cancer Care and Newcastle University

    Newcastle upon Tyne

Other trials in United Kingdom

About this study

Official title: A Phase IIB, Open Label, Study of Zirconium Zr 89 Crefmirlimab Berdoxam PET/CT in Subjects With Advanced or Metastatic Malignancies, Scheduled to Receive Immunotherapy (IOT) as a Single Agent or Combination, to Predict Response to Therapy

The purpose of this study is to evaluate whether zirconium Zr 89 crefmirlimab berdoxam (other names 89Zr-crefmirlimab berdoxam, 89Zr-Df-crefmirlimab, 89Zr-Df-IAB22M2C) PET/CT can predict the response of advanced or metastatic melanoma, Merkel cell carcinoma, renal cell carcinoma, or non-small cell lung cancer tumors to immuno-oncology therapy.

Being tested
zirconium Zr 89 crefmirlimab berdoxam
Medical subject headings
Melanoma, Carcinoma, Merkel Cell, Carcinoma, Renal Cell, Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • zirconium Zr 89 crefmirlimab berdoxamBiological

    Also called 89Zr-Df-crefmirlimab, 89Zr-Df-IAB22M2C

    Up to three zirconium Zr 89 crefmirlimab berdoxam PET scans (up to 1.0 mCi ± 20% at 1.5 mg API per scan, for a total of up to 3.0 mCi ± 20% and 4.5 mg API) as an IV infusion or slow bolus injection as follows: First (PETbaseline) within 14 days prior to the onset of IOT, and a second (PETEOC1) 4 to 6 weeks after start of immunotherapy. The second zirconium Zr 89 crefmirlimab berdoxam administration and scan (PETEOC1) should be completed prior to the start of the third cycle of IOT. Subjects who are determined by the treating physician to have PD on immunotherapy can receive the optional third zirconium Zr 89 crefmirlimab berdoxam PET scan at the principal investigator's (PI's) discretion.

Study groups in NCT05013099
Study groupRoleWhat they receive
Subjects with melanoma, Merkel cell, renal cell, or NSCLCExperimentalEligible subjects will receive up to three zirconium Zr 89 crefmirlimab berdoxam PET scans (up to 1.0 mCi ± 20% at 1.5 mg API per scan, for a total of up to 3.0 mCi ± 20% and 4.5 mg API) as an IV infusion or slow bolus injection as follows: First scan within 14 days prior to the onset of IOT, and a second scan 4 to 6 weeks after start of immunotherapy. The second zirconium Zr 89 crefmirlimab berdoxam administration and scan should be completed prior to the start of the third cycle of IOT. Subjects who are determined by the treating physician to have PD on immunotherapy can receive the optional third zirconium Zr 89 crefmirlimab berdoxam PET scan at the principal investigator's (PI's) discretion.
Receives: Biological: zirconium Zr 89 crefmirlimab berdoxam

What is being measured

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

  1. Best overall response (BOR) assessed by conventional imaging CT and/or MRI using RECIST 1.1 tomography/computed tomography (PET/CT)

    Best overall response (BOR) assessed by conventional imaging CT and/or MRI using RECIST 1.1 from 3 (or up to 3) consecutive imaging assessments (CT and/or MRI) following onset of immuno-oncology treatment.

    Measured: Baseline to at least 24 or 27 weeks after the start of IOT, depending on treatment schedule.

Secondary outcomes (24)
  1. Largest measured difference from baseline in the lesion major axis from three (or up to three) consecutive standard of care imaging assessments (CT and/or MRI)

    Largest measured difference from baseline in the lesion major axis from three (or up to three) consecutive standard of care imaging assessments (CT and/or MRI) following onset of immuno-oncology treatment.

    Measured: Baseline to at least 24 or 27 weeks after the start IOT, depending on treatment schedule.

  2. Incidence and severity of AEs

    Incidence and severity of AEs

    Measured: Up to 48 weeks or end of treatment.

  3. Incidence and severity of infusion or injection reactions

    Incidence and severity of infusion or injection reactions reported during or shortly after administration of the investigational product.

    Measured: 33 days post infusion

  4. Incidence of withdrawal from scanning protocol due to zirconium Zr 89 crefmirlimab berdoxam related AEs

    Incidence of withdrawal from scanning protocol due to zirconium Zr 89 crefmirlimab berdoxam related AEs

    Measured: Up to 48 weeks or end of treatment

  5. 12-lead ECG ventricular rate (bpm)

    Ventricular rate (bpm) will be recorded from the 12-lead ECG

    Measured: baseline to 48 weeks or end of study

  6. 12-lead ECG PR interval (msec)

    PR interval (msec) will be recorded from the 12-lead ECG

    Measured: baseline to 48 weeks or end of study

  7. 12-lead ECG QRS interval (msec)

    QRS interval (msec) will be recorded from the 12-lead ECG

    Measured: baseline to 48 weeks or end of study

  8. 12-lead ECG QT interval (msec)

    QT interval (msec) will be recorded from the 12-lead ECG

    Measured: baseline to 48 weeks or end of study

  9. 12-lead ECG QTc interval (msec)

    QTc interval (msec) will be recorded from the 12-lead ECG

    Measured: baseline to 48 weeks or end of study

  10. 12-lead ECG Overall Result

    Investigator's overall assessment of the ECG reading will be recorded as normal or abnormal. If abnormal, as either "not clinically significant" or "clinically significant"

    Measured: baseline to 48 weeks or end of study

  11. Anti-drug antibody

    Detection of anti-drug antibodies

    Measured: baseline to 48 weeks or end of study

  12. Change in blood AST levels (U/L) from baseline.

    Blood AST levels (U/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  13. Change in blood ALT levels (U/L) from baseline.

    Blood ALT levels (U/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  14. Change in blood ALP levels (U/L) from baseline.

    Blood ALP levels (U/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  15. Change in blood bilirubin levels (mg/dL) from baseline.

    Blood bilirubin levels (mg/dL) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  16. Change in blood LDH levels (U/L) from baseline.

    Blood LDH levels (U/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  17. Change in blood BUN levels (mg/dL) from baseline.

    Blood BUN levels (mg/dL) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  18. Change in blood GGT levels (U/L) from baseline.

    Blood GGT levels (U/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  19. Change in serum creatinine levels (mg/dL) from baseline.

    Serum creatinine levels (mg/dL) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  20. Change in blood uric acid levels (mg/dL) from baseline.

    Blood uric acid levels (mg/dL) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  21. Change in blood sodium levels (mmol/L) from baseline.

    Blood sodium (mmol/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  22. Change in blood potassium levels (mmol/L) from baseline.

    Blood potassium (mmol/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  23. Change in blood chloride levels (mmol/L) from baseline.

    Blood chloride (mmol/L) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

  24. Change in blood glucose levels (mg/dL) from baseline.

    Blood glucose (mg/dL) will be obtained at baseline and collected prior to each administration and 60 minutes post administration.

    Measured: Baseline through 48 weeks or end of treatment.

Timeline

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

  1. First posted19 Aug 2021
  2. Study start9 Dec 2021
  3. Primary completionJul 2025 (estimated)
  4. Study completionJul 2025 (estimated)

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
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05013099
Sponsor's protocol ID
IAB-CD8-203
Acronym
iPREDICT
Status last verified
Jul 2024
First submitted
30 Jul 2021
Last updated
22 Jul 2024
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing zirconium Zr 89 crefmirlimab berdoxam in people with Melanoma and Merkel Cell Carcinoma, Unspecified, run by ImaginAb, Inc. at 16 sites in 6 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 15 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 22 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Australia, Netherlands, Belgium, Switzerland and 1 more country. 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?

Results are not available in the source record.

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?

Best overall response (BOR) assessed by conventional imaging CT and/or MRI using RECIST 1.1 tomography/computed tomography (PET/CT) (time frame: Baseline to at least 24 or 27 weeks after the start of IOT, depending on treatment schedule.). 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 22 Jul 2024.

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