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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06337084
Registration number
NCT06337084
Ethics application status
Date submitted
22/03/2024
Date registered
29/03/2024
Date last updated
22/05/2025
Titles & IDs
Public title
Diagnostic Efficacy and Dosimetry of MNPR-101-DFO*-89Zr in Patients With Solid Tumors
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Scientific title
Open Label Pilot Study Evaluating Diagnostic Efficacy and Dosimetry of MNPR-101-DFO*-89Zr in Patients With Solid Tumors
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Secondary ID [1]
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MNPR-101-D001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Solid Tumor, Adult
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Bladder Cancer
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Urothelial Carcinoma
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Triple-negative Breast Cancer
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Lung Cancer
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Colorectal Cancer
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Gastric Cancer
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Ovarian Cancer
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Pancreatic Cancer
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - MNPR-101-DFO*-89Zr
Diagnosis / Prognosis - PET/CT Diagnostic Imaging
Experimental: MNPR-101-DFO*-89Zr Single Infusion and PET/CT Imaging - Participants receive a single injection of MNPR-101-DFO\*-89Zr on Day 1 with administered activity between 37-74 MBq (or 1-2 mCi). PET/CT imaging will occur post-infusion at 2 h (Day 1), once on Days 3-5, and once on Days 7-10.
Treatment: Drugs: MNPR-101-DFO*-89Zr
Participants will receive one dose of MNPR-101-DFO\*-89Zr infused intravenously on Day 1 for PET scans
Diagnosis / Prognosis: PET/CT Diagnostic Imaging
PET/CT imaging will occur post-infusion at 2 h (Day 1), once on Days 3-5, and once on Days 7-10 for tumor lesion observation.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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To assess dosimetry and biodistribution of MNPR-101-DFO*-89Zr
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Assessment method [1]
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The biodistribution of MNPR-101-DFO\*-89Zr is assessed via PET/CT imaging scans, particularly of target safety organs (e.g., liver, kidney, red marrow, and lungs). Dosimetry is calculated using OLINDA/EXM or a similar software.
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Timepoint [1]
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Post infusion at 2 h on Day 1, once on Days 3-5, and once on Days 7-10.
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Primary outcome [2]
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To assess tumor Standard Uptake Value (SUV) of MNPR-101-DFO*-89Zr
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Assessment method [2]
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Tumor SUV is measured via PET/CT imaging by calculating the amount of radiotracer uptake in identified tumors. SUV mean, max, and peak of the tumors will be summarized at each timepoint per subject. Tumor SUV will be analyzed between subjects with the same cancer type as well as between cancer types.
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Timepoint [2]
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Post infusion at 2 h on Day 1, once on Days 3-5, and once on Days 7-10.
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Primary outcome [3]
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To assess safety of MNPR-101-DFO*-89Zr as assessed by CTCAE 5.0
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Assessment method [3]
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The safety profile of MNPR-101-DFO\*-89Zr will be determined through assessment of adverse event (AE) type, incidence, severity, time of appearance, and related causes (detected by physical explorations and laboratory tests). Adverse events will be graded and tabulated using NCI CTCAE v5.0.
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Timepoint [3]
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Screening through Day 30 Safety Visit.
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Secondary outcome [1]
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To assess pharmacokinetics (PK) of MNPR-101-DFO*-89Zr via well or gamma counter
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Assessment method [1]
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PK, mean and standard deviation plasma drug concentration are collected and measured via well or gamma counter to assess the imaging agent's interaction in blood and/or serum at each timepoint per subject.
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Timepoint [1]
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Post infusion at 10 min, 1 h and 2 h on Day 1, once on Days 3-5, and once on Days 7-10.
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Eligibility
Key inclusion criteria
1. Histologically and/or cytologically confirmed solid tumor cancer.
2. Age =18 years.
3. Measurable disease = 1 cm on prior 18F-FDG PET/CT scan. Up to 4 subjects may be enrolled with FDG-avid disease which do not meet = 1 cm measurement on CT.
4. Ability to understand and willingness to sign a written informed consent document.
5. A prior standard-of-care 18F-FDG PET/CT scan within past 60 days.
6. Tumor sample available for IHC testing to demonstrate uPAR expression.
7. Females of childbearing potential must have a negative serum pregnancy test at time of screening and a negative urine pregnancy test on Day 1 prior to study drug administration if screening is >7 days prior to Day 1. A rapid serum pregnancy test result performed as standard-of-care will be accepted if available.
8. Both males and females must agree to use highly effective contraceptive precautions if conception is possible during the dosing period and up to 1 month after dosing.
9. Female patients who are lactating must agree to discontinue breastfeeding prior to the dose of study drug and must refrain from breastfeeding for 1 month following the last dose of study drug.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Chemotherapy, radiotherapy (other than short cycle of palliative radiotherapy), or immunotherapy within 14 days prior to administration of MNPR-101-DFO*-89Zr, or continuing adverse effects (>grade 1, excluding alopecia, anorexia, fatigue, and neuropathy) from such therapy (Common Terminology Criteria for Adverse Events [CTCAE] version 5.0).
2. Prior treatment with any radiopharmaceutical or investigational agents within 4 weeks or 5 effective half-lives, whichever is longer, prior to administration of the first dose of MNPR-101-DFO*-89Zr.
3. Have evidence of impaired organ function at Screening and within 1 week prior to dosing MNPR-101-DFO*-89Zr, particularly:
* Bone marrow i. Platelets <75 K/mcL. ii. ANC <1.0 K/mcL.
* Liver function i. AST/ALT >2.5xULN (institutional upper limits of normal) OR >5×ULN for patients with liver metastases.
ii. Bilirubin >1.5xULN OR >3×ULN for patients with known Gilbert's Syndrome.
* Renal function i. eGFR =45 mL/min determined using BSA-adjusted Chronic Kidney Disease Epidemiology Collaboration CKD-EPI 2021 formula [https://www.kidney.org/professionals/kdoqi/gfr_calculator].
4. Other serious, non-malignant diseases that may interfere (e.g., renal, hepatic, or hematologic) with the objectives of the study, safety, or compliance, as judged by the investigator.
5. Cognitive impairment or contraindications that may compromise the ability to give informed consent or comply with the requirements of the study.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/05/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/04/2026
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Actual
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Melbourne Theranostic Innovation Centre (MTIC) - North Melbourne
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Recruitment postcode(s) [1]
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3051 - North Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Monopar Therapeutics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is an open-label pilot study of a new PET/CT imaging agent MNPR-101-DFO\*-89Zr in patients with solid tumor cancers. These cancers may include bladder/urothelial, triple-negative breast, lung, colorectal, gastric, ovarian, and pancreatic cancers. MNPR-101-DFO\*-89Zr is made of MNPR-101, a humanized IgG1 monoclonal antibody and a radioisotope Zirconium-89. This imaging agent may show where tumors are present in the body using a PET-scan. Participants will be injected with the radioactive tracer once. After injection, participants will have 3 PET-scans. Each PET-scan will take about 30 minutes. The PET-scans are on separate days within 10 days after injection (e.g., 2 hours after injection, plus 3-5 days and 7-10 days after injection). Furthermore, the investigators will take blood samples 6 times (5 mL each). Blood pharmacokinetics (PK) will be measured on Day 1 at 10 min, 1h, 2h, once on Days 3-5, and once on Days 7-10. The study will see if the new imaging agent correctly shows all tumors. In the future, this method may be useful to help predict who will benefit from certain therapies.
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Trial website
https://clinicaltrials.gov/study/NCT06337084
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof. Rod Hicks, MD
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Address
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Melbourne Theranostic Innovation Centre (MTIC)
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Director Clinical Operations
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Address
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Phone
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847-794-8435
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06337084
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