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to evaluate188Re-BMEDA-liposome in Patient With Primary Solid Tumor in Advanced or Metastatic Stage

Phase 1
Terminated
Conditions
Tumors
Interventions
Radiation: 188Re-BMEDA-liposome
Registration Number
NCT02271516
Lead Sponsor
National Atomic Research Institute, Taiwan
Brief Summary

This is a study to determine the maximum tolerance dose (MTD) and to evaluate the safety of 188Re-BMEDA-liposome in patient with primary solid tumor in advanced or metastatic stage.

Detailed Description

Rhenium-188 is an ideal radionuclide for therapeutic use due to its maximum beta emission of 2.12MeV, short physical half-life of 16.9 hours, and its 155-keV gamma emission for imaging purposes. 188Re-BMEDA-liposome consists of 2 separate components (Rhenium-188 and liposome) and BMEDA as a linker. This study aims to find the MTD, evaluate the safety, efficacy profiles and investigate the biodistribution, radioactivity and radiation dosimetry of 188Re-BMEDA-liposome on primary solid tumor in metastatic stage patient by a single intravenous injection course.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
3
Inclusion Criteria
  • Patient with histologically confirmed diagnosis of primary solid tumor, and with pathologically or radiologically documented metastases
  • Disease that is measurable or evaluable by RECIST 1.1 criteria (for Solid Tumors)
  • Patient with metastatic cancer that are refractory to current standard/available therapies
Exclusion Criteria
  • brain metastases
  • serious concurrent infection or nonmalignant illness that is uncontrolled
  • uncontrolled intercurrent illness
  • Immunocompromised
  • significant traumatic injury within 3 weeks before Day 0
  • History of hypersensitivity to any component of study drug

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
188Re-BMEDA-liposome188Re-BMEDA-liposomeStage I: 188Re-BMEDA-liposomes, 14±1.4 mCi, single dose Stage II: 188Re-BMEDA-liposomes, dose-escalation, single dose Dose Level Dose of 188Re-BMEDA-liposome (mCi/kg) 1. 0.42±0.04 mCi/kg 2. 0.63±0.06 mCi/kg 3. 0.84±0.08 mCi/kg 4. 1.05±0.11 mCi/kg 5. 1.26±0.13 mCi/kg 6. 1.47±0.15 mCi/kg
Primary Outcome Measures
NameTimeMethod
Determine the MTDup to 30 days per cohort

The design will use cohort of 3 patients. If none of the first 3 patients experience DLT, then dose escalation will proceed for the next dose level of patients unless the present dose level is level 6 (1.47±0.15 mCi/kg).

Secondary Outcome Measures
NameTimeMethod
Serious Adverse event(s)from day 0 to up t0 60 days per cohort

All AE(s) and SAE(s) which occurred within follow-up visit after the single dose administration of study drug should be followed until resolution or the event is considered stable.

change in vital signs and pysical examinationfrom day 0 to up t0 60 days per cohort

assess the safety issue from the change in vital signs (BP, PR, RR and temperature) and physical examinations

Change in EKGin 24hrs

Patient will be examined the EKG by standard 12-lead at screen visit for eligibility. After enrollment, patient will be attached on a 24h-portable EKG monitor to monitoring EKG before and post-administration of Stage I and II low dose and therapeutic infusion dose for 24hrs

change in lab datafrom day 0 to up t0 60 days per cohort

assess the safety issue from the change in lab data including heatology lab data change, Biochemistry laboratory data change and urinalysis data change

Adverse event(s)from day 0 to up t0 60 days per cohort

assessed by NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) v4.03

Trial Locations

Locations (1)

Taipei Veterans General Hospital (Taiwain)

🇨🇳

Taipei, Taiwan

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