mFBG PET-CT for neuroblastoma

2022-501694-39-01 Protocol PS22PET Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 12 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol PS22PET

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 58
Countries 1
Sites 1

(suspision on) Neuroblastoma

To compare the diagnostic performance of [18F]mFBG PET-CT to conventional [123I]mIBG SPECT-CT for the detection of skeletal lesions in patients with neuroblastoma

Key facts

Sponsor
Princess Maxima Center For Pediatric Oncology
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Trial duration
12 Nov 2024 → ongoing
Decision date (initial)
2024-09-23
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
KiKa (Foundation)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis, Efficacy

To compare the diagnostic performance of [18F]mFBG PET-CT to conventional [123I]mIBG SPECT-CT for the detection of skeletal lesions in patients with neuroblastoma

Secondary objectives 4

  1. To compare the diagnostic performance of [18F]mFBG PET-CT to conventional [123I]mIBG SPECT-CT for the detection of soft tissue lesions in patients with neuroblastoma
  2. To calculate, in a subset of patients that undergo dynamic PET scanning, the absorbed radiation dose of [18F]mFBG in normal organs and tumour lesions
  3. To assess interobserver agreement and reliability for lesion detection on [18F]mFBG PET-CT
  4. To establish reference values for [18F]mFBG uptake for different tissues

Conditions and MedDRA coding

(suspision on) Neuroblastoma

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2019-003713-33 Diagnostic accuracy of neuroblastoma patient imaging with [18F]-mFBG PET-CT compared to [123]I-mIBG scanning , Diagnostische nauwkeurigheid van beeldvorming van neuroblastoompatiënten met [18F]mFBG PET-CT in vergelijking met [123I]mIBG beeldvorming.
2022-501694-39-00 A Prospective Study Comparing [18F]mFBG PET-CT to [123I]mIBG Scanning in Neuroblastoma Princess Maxima Center For Pediatric Oncology

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Patient with (a clinical suspicion of) neuroblastoma who is referred for conventional [123I]mIBG imaging
  2. Written informed consent from patients and/or from parents or legal guardians, according to local law and regulations

Exclusion criteria 2

  1. [18F]mFBG imaging cannot be scheduled within two weeks of [123I]mIBG imaging
  2. Pregnancy of patient

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Detected skeletal lesions on [18F]mFBG PET-CT and [123I]mIBG scanning

Secondary endpoints 4

  1. Detected soft tissue lesions on [18F]mFBG and [123I]mIBG scanning
  2. Radiation absorbed doses (mSv) for organs and tumour of [18F]mFBG imaging
  3. Mean difference in number of detected lesions and limits of agreement, Cohen’s kappa
  4. SUVmean for normal organs, SUVmax for tumour lesions

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[18F]meta-fluorobenzylguanidine

PRD9915467 · Product

Active substance
[18FMETA-FLUOROBENZYLGUANIDINE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Authorisation status
Not Authorised
MA holder
PRINCESS MÁXIMA CENTER FOR PEDIATRIC ONCOLOGY
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/07/525

Comparator 1

Iodine (123I) Iobenguane

SCP18777979 · ATC

Active substance
Iodine (123I) Iobenguane
Substance synonyms
IOBENGUANE I 123, Iobenguane (123I)
Route of administration
SOLUTION FOR INJECTION
Authorisation status
Authorised
ATC code
V09IX01 — IOBENGUANE (123I)
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/07/525
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Princess Maxima Center For Pediatric Oncology

5 Total trials 5 Recruiting
Academic / Non-commercial
Sponsor organisation
Princess Maxima Center For Pediatric Oncology
Address
Heidelberglaan 25
City
Utrecht
Postcode
3584 CS
Country
Netherlands

Scientific contact point

Organisation
Princess Maxima Center For Pediatric Oncology
Contact name
Prof. Dr. G.A.M. Tytgat

Public contact point

Organisation
Princess Maxima Center For Pediatric Oncology
Contact name
Secretary TDC

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 58 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
Princess Maxima Center For Pediatric Oncology
Solid Tumors, Heidelberglaan 25, 3584 CS, Utrecht

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-11-12 2025-09-02

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_[2022-501694-39-01]_redacted 2-1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_NL 2-1
Subject information and informed consent form (for publication) L1_SIS and ICF_NL_12-16 yr_Redacted 2-1
Subject information and informed consent form (for publication) L1_SIS and ICF_NL_16 yr and older_Redacted 2-1
Subject information and informed consent form (for publication) L1_SIS and ICF_NL_Parents_older child_Redacted 2-1
Subject information and informed consent form (for publication) L1_SIS and ICF_NL_Parents_Redacted 2-1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_mIBG 1
Synopsis of the protocol (for publication) D1_Protocol Lay Synopsis_NL[2022-501694-39-01] 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-27 Netherlands Acceptable with conditions
2024-09-23
2024-09-23
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-08 Netherlands Acceptable with conditions
2025-07-07
2025-07-10
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-10-16 Netherlands Acceptable with conditions
2025-07-07
2025-10-16