MedPath

Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node Dissection

Phase 1
Completed
Conditions
Prostate Cancer
Interventions
Registration Number
NCT01572701
Lead Sponsor
Molecular Insight Pharmaceuticals, Inc.
Brief Summary

This is a single arm, open label study of up to 24 high risk prostate cancer patients scheduled for prostatectomy and/or 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/or pelvic lymph node dissection (PLND) within two weeks of study drug dosing. Patients may receive a second injection of study drug within 24 hours of surgery to measure activity counts in tissue samples post-surgery, but prior to pathology processing. 99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
8
Inclusion Criteria
  1. Male aged 21 years or older.

  2. Ability to provide signed informed consent and willingness to comply with protocol requirements.

  3. Past biopsy indicating the presence of adenocarcinoma of the prostate gland.

  4. Participant is deemed to be high-risk with potential for pelvic lymph node involvement. The criteria for high-risk are:

    • Patient has PSA value >10 and clinical stage T2 or higher, and Gleason score 8, 9 or 10.
    • Patient has PSA value >20 and clinical stage T2 or higher, and Gleason score
  5. Participant is or will be scheduled to undergo standard of care prostatectomy and/or pelvic lymph node dissection.

  6. Have had (within previous 2 months) or will undergo diagnostic CT or MRI imaging prior to surgery.

  7. Have had (within previous 2 months) or will undergo bone scan imaging prior to surgery.

  8. Participants must agree to use an acceptable form of birth control throughout the study period. Participants must use condoms for a period of seven days after each injection, if engaged in sexual activity.

Exclusion Criteria
  1. Participants for whom participating would significantly delay the scheduled standard of care therapy.
  2. Participants administered a radioisotope within 5 physical half lives prior to study enrollment.
  3. Participants with 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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
20 (±3) mCi of study drug99mTc-MIP-1404-
Primary Outcome Measures
NameTimeMethod
Tissue distribution of 20 (± 3) mCi 99mTc-MIP-1404Post-procedure

99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Secondary Outcome Measures
NameTimeMethod
Safety of 99mTc-MIP-1404: Change in Vital Signs from Pre-Dose to Post-DoseVital signs measurements will be measured, an expected average of 30 minutes before and after study drug injection

Summary tables will present change from pre-dose to post-dose vital signs measurements.

Intensity of 99mTc-MIP-1404 Uptake with Respect to PSMA expressionPost-procedure

99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Safety of 99mTc-MIP-1404: Summary of Treatment-Emergent Adverse Events (TEAEs)Adverse events will be assessed for the duration of the study participation, an expected average of 3 weeks

TEAEs will be summarized by the Medical Dictionary for Regulatory Activities (MedDRA) body system and preferred term, by intensity, and by causal relationship to study agent.

Trial Locations

Locations (1)

Weill Cornell Medical College

🇺🇸

New York, New York, United States

© Copyright 2025. All Rights Reserved by MedPath