ImmunoPET Imaging of Pancreatic Cancer
- Conditions
- Neoplasms Pancreatic
- Interventions
- Diagnostic Test: [89Zr]Zr-DFO-SHR1920Diagnostic Test: [18F]F-RESCA-3A12Diagnostic Test: [68Ga]Ga-NOTA-3A12
- Registration Number
- NCT06602037
- Lead Sponsor
- RenJi Hospital
- Brief Summary
Pancreatic cancer remains one of the most aggressive cancer types. Target-specific targeted therapy is an attractive therapeutic alternative for the treatment of patients with a wide range of cancers, including pancreatic cancer. Companion diagnostic technique is critical for the success of targeted therapies. SHR-A1921 is a TROP2-directed antibody-drug-conjugate (ADC) approved for several clinical trials for advanced solid tumors. SHR1920 is the humanized anti-Trop2 monoclonal antibody (hIgG1) of SHR-A1921. Radio-labeling SHR1920 with radionuclide Zirconium-89 (89Zr) enables non-invasive imaging and quantification of SHR-A1921 distribution in cancer patients. Performing a \[89Zr\]Zr-DFO-SHR1920 PET scan before treatment with SHR-A1921 can evaluate tracer uptake in the primary and metastatic tumor lesions and normal organ distribution. CLND18.2 is another potential therapeutic target for pancreatic cancer. Target-specific immunoPET imaging may help identify patients more likely to benefit from targeted therapy.
- Detailed Description
Enrolled patients with pancreatic cancer will undergo whole-body \[89Zr\]Zr-DFO-SHR1920 immunoPET/CT scans at 0,1, 3, 5, or 7 days after tracer injection (1-3 mCi). Uptake of \[89Zr\]Zr-DFO-SHR1920 in tumor and normal organs/tissues will be scored visually and quantitatively. For immunoPET imaging with 18F or 68Ga-labeled 3A12 (a nanobody targeting CLDN18.2), immunoPET/CT scan will be performed 1h after tracer injection (0.05-0.1 mCi/kg).
Tumor uptake will be quantified by the maximum standard uptake value (SUVmax). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy will be calculated to evaluate the diagnostic efficacy. The correlation between lesion uptake and protein expression level determined by immunohistochemistry staining will be further analyzed. The exploration endpoint will be the imaging feasibility and preliminary diagnostic value of the above tracers.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 90
- Histologically confirmed diagnosis of pancreatic cancer or suspected pancreatic cancer by diagnostic imaging.
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
- Known or suspected hypersensitivity to SHR1920, DFO/RESCA/NOTA, 89Zr/18F or 68Ga or any of the excipients.
- Pregnancy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description ImmunoPET imaging in patients with pancreatic cancers [89Zr]Zr-DFO-SHR1920 Enrolled pancreatic cancer patients (locally advanced or metastatic cancer) will undergo a Trop2/CLDN18.2-targeted immunoPET/CT scanning. ImmunoPET imaging in patients with pancreatic cancers [18F]F-RESCA-3A12 Enrolled pancreatic cancer patients (locally advanced or metastatic cancer) will undergo a Trop2/CLDN18.2-targeted immunoPET/CT scanning. ImmunoPET imaging in patients with pancreatic cancers [68Ga]Ga-NOTA-3A12 Enrolled pancreatic cancer patients (locally advanced or metastatic cancer) will undergo a Trop2/CLDN18.2-targeted immunoPET/CT scanning.
- Primary Outcome Measures
Name Time Method SUV 7 days Standardized uptake value (SUV) of \[89Zr\]Zr-DFO-SHR1920、\[18F\]F-RESCA-3A12 or \[68Ga\]Ga-NOTA-3A12 for each primary tumor of subject or suspected metastasis.
Biodistribution and radiation dosimetry of [89Zr]Zr-DFO-SHR1920 7 days Measurement of absorbed radiation doses to organs (Gy/MBq), tumour(s) and whole body (Sv/MBq).
- Secondary Outcome Measures
Name Time Method Sensitivity, Specificity, Positive predictive value (PPV), Negative predictive value (NPV) and accuracy 30 days The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of \[89Zr\]Zr-DFO-SHR1920、\[18F\]F-RESCA-3A12 or \[68Ga\]Ga-NOTA-3A12 PET/CT will be calculated.
Trop2 expression and SUV 30 days The Standardized uptake value (SUV) of \[89Zr\]Zr-DFO-SHR1920 will be calculated and the correlation between pathological results and tumor uptake of \[89Zr\]Zr-DFO-SHR1920 will be analyzed
CLDN18.2 expression and SUV 30 days The Standardized uptake value (SUV) of \[18F\]F-RESCA-3A12 or \[68Ga\]Ga-NOTA-3A12 will calculated and the correlation between pathological results and tumor uptake of \[18F\]F-RESCA-3A12 or \[68Ga\]Ga-NOTA-3A12 will be analyzed.
Trial Locations
- Locations (1)
Renji Hospital, School of Medicine, Shanghai Jiao Tong University
🇨🇳Shanghai, China