Clear Cell Renal Cell Carcinoma (ccRCC)Phase 1OncoCAIXNCT06840548
A Study to Evaluate the Safety and Dosimetry of 68Ga-OncoCAIX in Patients With CAIX-positive Cancer
A Phase 1 study testing [68Ga]Ga-OncoCAIX in people with Clear Cell Renal Cell Carcinoma (ccRCC), run by Philogen S.p.A. at 3 sites in Italy.
Trial summary
Phase I and multicenter study to evaluate the safety and dosimetry of 68Ga-OncoCAIX in patients with clear cell renal cell carcinoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Clear Cell Renal Cell Carcinoma (ccRCC)
- What is being tested?
- [68Ga]Ga-OncoCAIX
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 3 sitesItaly
- Study dates
- 16 Apr 2025to 28 Nov 2025
- Phase
- Phase 1
- 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
- Patients with suspected ccRCC (based on standard diagnostic workup).
- Requirement for diagnostic imaging or diagnostic imaging recently performed.
- For female patients: negative serum pregnancy test for women of childbearing potential* (WOCBP). WOCBP must agree to use, from the screening to six months following the study drug administration, highly effective contraception methods, as defined by the "Recommendations for contraception and pregnancy testing in clinical trials" issued by the Head of Medicine Agencies' Clinical Trial Facilitation Group (www.hma.eu/ctfg.html) and which include, for instance, progesterone only or combined hormonal contraception associated with inhibition of ovulation, intrauterine devices, intrauterine hormone-releasing systems, bilateral tubal occlusion or vasectomized partner.
- For male patients: Subjects able to father children must agree to practice effective contraception for three months starting from the study drug administration.
- Age ≥ 18
- ECOG ≤ 1
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- Patient must not have any concomitant infections or active concomitant disease.
- All acute toxic effects (excluding alopecia and fatigue) of any prior therapy (including surgery, radiation therapy, chemotherapy) must have resolved to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) (v. 5.0) Grade ≤ 1.
- Life expectancy of more than 12 weeks.
- Ability to undergo imaging study procedures.
- Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study.
- Willingness and ability to comply with the scheduled visits, plan, laboratory tests and other study procedures.
Who cannot join
- Chronically impaired renal function as expressed by creatinine clearance < 60 mL/min or serum creatinine > 1.5 x ULN.
- Presence of active hepatitis.
- Presence of significant cardiac disorders (congestive heart failure, NYHA class III-IV, myocardial infarction within one year prior to study entry, uncontrolled hypertension, or arrhythmia).
- Any concomitant condition which in the opinion of investigators makes it undesirable for the patient to participate in the study or which could jeopardize compliance with the protocol.
- Major trauma including major surgery (such as abdominal/cardiac/thoracic surgery) within 4 weeks of administration of the study drug. Minimally invasive procedures such as biopsies are not considered as exclusion criteria.
- Serious, non-healing wound, ulcer, or bone fracture.
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- Allergy to study medication or excipients in study medication.
- Any anti-cancer therapy (e.g. cytotoxic chemotherapy, immunotherapy, radiation, surgery, etc.) within 3 weeks before [68Ga]Ga-OncoCAIX-PET/CT scan.
- Subject has received, or is scheduled to receive, another investigational medicinal product (IMP) from one month before [68Ga]Ga-OncoCAIX injection to end of study participation.
Trial locations and contacts
3 sites in 1 country.
Italy3 sites
ASST Papa Giovanni XXIII
Bergamo, BG, 24127
IRCCS Ospedale San Raffaele
Milan, Milano, 20132
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Milano, 20133
About this study
Official title: A Phase I Study to Evaluate the Safety and Dosimetry of 68Ga-OncoCAIX in Patients With CAIX-positive Cancer
Phase I and multicenter study to evaluate the safety and dosimetry of 68Ga-OncoCAIX in patients with clear cell renal cell carcinoma.
Read the detailed description
The Carbonic Anhydrase IX (CAIX) is a clinically validated marker of clear-cell renal cell carcinoma (ccRCC) and hypoxic tumors. OncoCAIX is a new ligand for CAIX.
This is a Phase I, multicenter study in patients with suspected ccRCC to evaluate the safety, dosimetry and biodistribution of 68Ga-OncoCAIX for imaging of ccRCC. In this trial, 68Ga-OncoCAIX is offered to ccRCC patients who already received standard of care imaging and might therefore complement available modalities.
All patients will undergo PET/CT imaging with [68Ga]Ga-OncoCAIX. The principal objective of the study is to evaluate safety and dosimetry of a single administration of [68Ga]Ga-OncoCAIX. In addition, data on the uptake, biodistribution, PK and excretion of [68Ga]Ga-OncoCAIX is collected and technical parameters are evaluated.
Patients are divided into two cohorts:
- Cohort A: 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs.
- Cohort B: all patients who meet the eligibility criteria (up to 14 patients)
Both cohorts are recruited in parallel, and patients are assigned to the respective cohort based on their disease extent. Whenever possible, patients are enrolled in cohort A, unless they are unsuitable for cohort A, or the required number of patients of a given sex has already been enrolled in cohort A.
All patients will receive a single intravenous bolus administration of [68Ga]Ga-OncoCAIX and biodistribution, PK, and dosimetry of [68Ga]Ga-OncoCAIX will be assessed based on a series of PET/CT scans, blood and urine sampling.
Full dosimetry evaluations will be performed for all patients in cohort A. Additional dosimetry in the other patients may be performed to the extent that it is possible based on their disease burden (i.e., only organs not affected by malignant lesions can be evaluated).
All patients will be assessed for safety. In addition, relative uptake to appropriate reference tissue of [68Ga]Ga-OncoCAIX as well as semiquantitative parameters such as SUVmax/SUVmean/SUVsd, are determined. The correlation of [68Ga]Ga-OncoCAIX uptake with immunopathology staining for CAIX will be evaluated in patients undergoing surgery or tumor biopsy collection. The lesion detection rate will be compared to 18F-FDG-PET/CT in patients who receive this as part of their standard diagnostic workup.
- Conditions
- Clear Cell Renal Cell Carcinoma (ccRCC)
- Being tested
- [68Ga]Ga-OncoCAIX
- Keywords
- clear cell renal cell carcinoma
- Medical subject headings
- Carcinoma, Renal Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
[68Ga]Ga-OncoCAIXDrug
Single intravenous bolus administration.
| Study group | Role | What they receive |
|---|---|---|
| Coort A | Experimental | 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs. Receives: Drug: [68Ga]Ga-OncoCAIX |
| Cohort B | Experimental | all patients who meet the eligibility criteria (up to 14 patients) Receives: Drug: [68Ga]Ga-OncoCAIX |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cohort A: Dosimetry - Effective dose equivalent (mSv)
Whole-body effective dose (mSv) following administration of a single dose of [68Ga]Ga-OncoCAIX.
Measured: Assessed on day 1
Cohort A: Dosimetry - Effective dose absorbed doses (mGy)
Absorbed doses (mGy) of normal organs following administration of a single dose of [68Ga]Ga-OncoCAIX.
Measured: Assessed on day 1
All patients: Safety (AEs and SAEs)
Safety of administration of [68Ga]Ga-OncoCAIX, according to Common Terminology Criteria for Adverse Events (CTCAE v.5.0).
Measured: Throughout the study, until a maximum of 7 days after the administration of the study drug.
Secondary outcomes (5)
Biodistribution profile: SUVmax
Uptake of [ 68Ga]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVmax
Measured: Assessed on day 1
Biodistribution profile: SUVmean
Uptake of [68Ga]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVmean
Measured: Assessed on day 1
Biodistribution profile: SUVsd
Uptake of [68Ga]Ga-OncoCAIX in tumor lesions and healthy organs in terms of SUVsd
Measured: Assessed on day 1
Pharmacokinetics (PK) - Blood
Pharmacokinetics (PK) of [68Ga]Ga-OncoCAIX based on measurement on blood of residual radioactivity over time [kBq/mL].
Measured: Assessed on day 1
Excretion - Urine
Excretion of [68Ga]Ga-OncoCAIX based on measurement of residual radioactivity in the urine over time [kBq]
Measured: Assessed on day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Feb 2025
- Study start16 Apr 2025
- Primary completion28 Nov 2025
- Study completion28 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Clear Cell Renal Cell Carcinoma (ccRCC)Studies of the same condition, open and under way.
- More trials run by Philogen S.p.A.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Patients are divided into two cohorts: * Cohort A: 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs. * Cohort B: all patients who meet the eligibility criteria (up to 14 patients)
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Philogen S.p.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06840548
- Sponsor's protocol ID
- PH-CAIXGA-02/24
- Other IDs
- 2024-515607-19-00
- Acronym
- OncoCAIX
- Status last verified
- Jan 2026
- First submitted
- 17 Feb 2025
- Last updated
- 13 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Study to Evaluate the Safety and Dosimetry of 68Ga-OncoCAIX in Patients With CAIX-positive Cancer
- ClinicalTrials.gov ID
- NCT06840548
- Acronym / sponsor ID
- OncoCAIX / PH-CAIXGA-02/24
- Conditions
- Clear Cell Renal Cell Carcinoma (ccRCC)
- Keywords
- clear cell renal cell carcinoma
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Philogen S.p.A.Industry (pharma, biotech, devices)
- Study start
- 16 Apr 2025 (actual)
- Primary completion
- 28 Nov 2025 (actual)
- Study completion
- 28 Nov 2025 (actual)
- First posted
- 21 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Phase I and multicenter study to evaluate the safety and dosimetry of 68Ga-OncoCAIX in patients with clear cell renal cell carcinoma.
Detailed description
The Carbonic Anhydrase IX (CAIX) is a clinically validated marker of clear-cell renal cell carcinoma (ccRCC) and hypoxic tumors. OncoCAIX is a new ligand for CAIX.
This is a Phase I, multicenter study in patients with suspected ccRCC to evaluate the safety, dosimetry and biodistribution of 68Ga-OncoCAIX for imaging of ccRCC. In this trial, 68Ga-OncoCAIX is offered to ccRCC patients who already received standard of care imaging and might therefore complement available modalities.
All patients will undergo PET/CT imaging with [68Ga]Ga-OncoCAIX. The principal objective of the study is to evaluate safety and dosimetry of a single administration of [68Ga]Ga-OncoCAIX. In addition, data on the uptake, biodistribution, PK and excretion of [68Ga]Ga-OncoCAIX is collected and technical parameters are evaluated.
Patients are divided into two cohorts:
- Cohort A: 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs.
- Cohort B: all patients who meet the eligibility criteria (up to 14 patients)
Both cohorts are recruited in parallel, and patients are assigned to the respective cohort based on their disease extent. Whenever possible, patients are enrolled in cohort A, unless they are unsuitable for cohort A, or the required number of patients of a given sex has already been enrolled in cohort A.
All patients will receive a single intravenous bolus administration of [68Ga]Ga-OncoCAIX and biodistribution, PK, and dosimetry of [68Ga]Ga-OncoCAIX will be assessed based on a series of PET/CT scans, blood and urine sampling.
Full dosimetry evaluations will be performed for all patients in cohort A. Additional dosimetry in the other patients may be performed to the extent that it is possible based on their disease burden (i.e., only organs not affected by malignant lesions can be evaluated).
All patients will be assessed for safety. In addition, relative uptake to appropriate reference tissue of [68Ga]Ga-OncoCAIX as well as semiquantitative parameters such as SUVmax/SUVmean/SUVsd, are determined. The correlation of [68Ga]Ga-OncoCAIX uptake with immunopathology staining for CAIX will be evaluated in patients undergoing surgery or tumor biopsy collection. The lesion detection rate will be compared to 18F-FDG-PET/CT in patients who receive this as part of their standard diagnostic workup.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Patients are divided into two cohorts: * Cohort A: 3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs. * Cohort B: all patients who meet the eligibility criteria (up to 14 patients)
| Arm | Type | Receives |
|---|---|---|
| Coort A | Experimental | Drug: [68Ga]Ga-OncoCAIX3 female + 3 male patients without visceral or bone metastases, which would interfere with dosimetry evaluation of healthy organs. |
| Cohort B | Experimental | Drug: [68Ga]Ga-OncoCAIXall patients who meet the eligibility criteria (up to 14 patients) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Patients with suspected ccRCC (based on standard diagnostic workup).
- Requirement for diagnostic imaging or diagnostic imaging recently performed.
- For female patients: negative serum pregnancy test for women of childbearing potential* (WOCBP). WOCBP must agree to use, from the screening to six months following the study drug administration, highly effective contraception methods, as defined by the "Recommendations for contraception and pregnancy testing in clinical trials" issued by the Head of Medicine Agencies' Clinical Trial Facilitation Group (www.hma.eu/ctfg.html) and which include, for instance, progesterone only or combined hormonal contraception associated with inhibition of ovulation, intrauterine devices, intrauterine hormone-releasing systems, bilateral tubal occlusion or vasectomized partner.
- For male patients: Subjects able to father children must agree to practice effective contraception for three months starting from the study drug administration.
- Age ≥ 18
Key exclusion criteria (9 listed)
- Chronically impaired renal function as expressed by creatinine clearance < 60 mL/min or serum creatinine > 1.5 x ULN.
- Presence of active hepatitis.
- Presence of significant cardiac disorders (congestive heart failure, NYHA class III-IV, myocardial infarction within one year prior to study entry, uncontrolled hypertension, or arrhythmia).
- Any concomitant condition which in the opinion of investigators makes it undesirable for the patient to participate in the study or which could jeopardize compliance with the protocol.
- Major trauma including major surgery (such as abdominal/cardiac/thoracic surgery) within 4 weeks of administration of the study drug. Minimally invasive procedures such as biopsies are not considered as exclusion criteria.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| [68Ga]Ga-OncoCAIXSingle intravenous bolus administration. | Drug | Cohort B, Coort A |
Primary outcome
Cohort A: Dosimetry - Effective dose equivalent (mSv)
Time frame: Assessed on day 1
Whole-body effective dose (mSv) following administration of a single dose of [68Ga]Ga-OncoCAIX.
Cohort A: Dosimetry - Effective dose absorbed doses (mGy)
Time frame: Assessed on day 1
Absorbed doses (mGy) of normal organs following administration of a single dose of [68Ga]Ga-OncoCAIX.
All patients: Safety (AEs and SAEs)
Time frame: Throughout the study, until a maximum of 7 days after the administration of the study drug.
Safety of administration of [68Ga]Ga-OncoCAIX, according to Common Terminology Criteria for Adverse Events (CTCAE v.5.0).
5 secondary outcomes
Biodistribution profile: SUVmax
Time frame: Assessed on day 1
Biodistribution profile: SUVmean
Time frame: Assessed on day 1
Biodistribution profile: SUVsd
Time frame: Assessed on day 1
Pharmacokinetics (PK) - Blood
Time frame: Assessed on day 1
Excretion - Urine
Time frame: Assessed on day 1
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jan 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing [68Ga]Ga-OncoCAIX in people with Clear Cell Renal Cell Carcinoma (ccRCC), run by Philogen S.p.A. at 3 sites in Italy.
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 12 inclusion and 9 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 13 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Italy. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Cohort A: Dosimetry - Effective dose equivalent (mSv) (time frame: Assessed on day 1). The study lists 3 primary outcomes in all. 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 13 Jan 2026.