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This trial will be a non-randomized, Phase I trial to evaluate safety, tolerability, biodistribution, radiation dosimetry, pharmacokinetics and PET imaging properties following an infusion of 37 MBq (1 mCi) of 89Zr-labeled hNd2* (NMK89) in patients with pancreatic cancer that are positive for MUC5AC. Image acquisition is conducted using a PET/CT machine.
* hNd2: Recombinant humanized Nd2 (anti-human MUC5AC monoclonal antibody)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NMK89 | Experimental | Patients will receive a single infusion of NMK89 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NMK89 | Drug | Route of administration: intravenous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of a single infusion of NMK89: physical examination 1 | Body weight | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: physical examination 2 | Height | Screening |
| Safety and tolerability of a single infusion of NMK89: vital sign 1 | Body temperature | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: vital sign 2 | Heart rate | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: vital sign 3 | Systolic blood pressure (SBP) | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: vital sign 4 | Diastolic blood pressure (DBP) | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: 12-lead ECG (Electrocardiogram) 1 | PR interval | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: 12-lead ECG 2 | RR interval | Screening to Day 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Biodistribution: Fractional injected 89Zr radioactivity values (percentage of injected dose(%ID)) | PET/CT image acquisitions will be obtained to assess biodistribution of NMK89 in normal tissues and tumors in patients. | Day 1 to Day 8 |
| Biodistribution: Time-integrated activity coefficients (TIACs) (hr) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Moffitt Cancer Center | Tampa | Florida | 33612 | United States | ||
| BAMF Health |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35276446 | Background | Nakata N, Kobashi N, Okumura Y, Sato M, Matono M, Otsuki K, Tanaka A, Hayashi A. Radiation dosimetry and efficacy of an 89Zr/225Ac-labeled humanized anti-MUC5AC antibody. Nucl Med Biol. 2022 May-Jun;108-109:33-43. doi: 10.1016/j.nucmedbio.2022.02.003. Epub 2022 Feb 26. | |
| 39237345 | Background | Kulkarni HR, Maupin KA, Brennan T, Forsberg J, Rogers D, Olson M, Mancini BR, Chang A, Chandana SR, Kobayashi R. First-in-Human Total-Body PET/CT Imaging Using 89Zr-Labeled MUC5AC Antibody in a Patient with Pancreatic Adenocarcinoma. J Nucl Med. 2024 Nov 1;65(11):1815. doi: 10.2967/jnumed.124.268074. No abstract available. |
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| Safety and tolerability of a single infusion of NMK89: 12-lead ECG 3 | QRS interval | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: 12-lead ECG 4 | QT | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: 12-lead ECG 5 | Corrected QT | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: Frequency and severity of abnormal adverse events (AEs) (National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v 5.0)) | Baseline up to Day 60 |
| Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - hematology | Hematology included hemoglobin, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), white blood cell count (total and differential: leukocytes, neutrophils, eosinophils, basophils, lymphocytes, monocytes), red blood cells, platelets. | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - serum chemistry | Serum chemistry included sodium, potassium, chloride, calcium, glucose, creatinine, urea or BUN, albumin, total bilirubin, aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase, gamma-glutamyl transferase (GGT), lipase, amylase and total protein. | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - clotting factors | Clotting factors included prothrombin time (quick), reagent-independent prothrombin ratio (international normalized ratio; INR), activated partial thromboplastin time (aPTT). | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - urinalysis | Urinalysis included specific gravity, pH, protein, glucose, blood, leukocytes, ketones, nitrite, albumin, creatinine. | Screening to Day 8 |
| Safety and tolerability of a single infusion of NMK89: Frequency and severity of abnormal ECOG PS (Eastern Cooperative Oncology Group Performance Status) | Screening to Day 8 |
PET/CT image acquisitions will be obtained to assess biodistribution of NMK89 in normal tissues and tumors in patients. |
| Day 1 to Day 8 |
| Radiation Dosimetry of NMK89: Normalized radiation absorbed doses and normalized effective dose | Whole-body radiation dosimetry of NMK89 in patients will be estimated. | Day 1 to Day 8 |
| Optimization of positron emission tomography (PET) Scan Protocol: Optimal time from injection to start of PET | Optimal time from injection to start of PET acquisition will be determined. | Day 1 to Day 8 |
| Predictive radiation dosimetry of hNd2 labeled with therapeutic radionuclide: Normalized absorbed doses and normalized effective dose | Whole-body radiation dosimetry (if hNd2 will be labeled with a therapeutic radionuclide) will be estimated. | Day 1 to Day 8 |
| Blood Pharmacokinetics (PK): Concentration of total antibody in blood | PK will be evaluated based on concentration of total antibody obtained within defined volumes of blood. | Pre-infusion (baseline) to Day 8 |
| Blood Pharmacokinetics (PK): Concentration of total radioactive counts in blood | PK will be evaluated based on concentration of total radioactive counts obtained within defined volumes of blood. | Day 1 to Day 8 |
| Blood Pharmacokinetics (PK): Abundance ratio of unmetabolized 89Zr-labeled hNd2(%) | To calculate this ratio, the count of metabolites and non-metabolic components is obtained | Day 1 to Day 8 |
| Urine Pharmacokinetics (PK): Concentration of total antibody in urine | PK will be evaluated based on concentration of total antibody obtained within defined volumes of urine. | Pre-infusion (baseline) to Day 8 |
| Urine Pharmacokinetics (PK): Concentration of total radioactive counts in urine | PK will be evaluated based on concentration of total radioactive counts obtained within defined volumes of urine. | Day 1 to Day 8 |
| Urine Pharmacokinetics (PK): Radioactivity counts of 89Zr-labeled hNd2 and metabolites components | Radioactivity counts of 89Zr-labeled hNd2 and metabolites components are measured by magnetic separation, and the abundance ratio of unmetabolized 89Zr-labeled hNd2 (%) will be calculated. | Day 1 to Day 8 |
| Biological half-life of the radionuclide (hr) | Biological half-life of the radionuclide (hr) will also be estimated. | Day 1 to Day 8 |
| Public Safety: Radiation measurement | Public safety will be assessed by acquiring dosimeter readings of a patient following infusion. | Day 1 |
| Grand Rapids |
| Michigan |
| 49503 |
| United States |
| Fred Hutchinson Cancer Center | Seattle | Washington | 98109 | United States |
| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
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