[18F]AlF-PSMA-11 PET in advanced thyroid and head and neck carcinoma

2022-503036-13-00 Protocol PANTHEON-18 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Feb 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol PANTHEON-18

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 1

Head and neck squamous cell carcinoma, thyroid carcinoma

demonstrate uptake of [¹⁸F]AlF-PSMA-11 in lesions on PET.

Key facts

Sponsor
Universitair Ziekenhuis Gent
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05], Diseases [C] - Otorhinolaryngologic Diseases [C09], Diseases [C] - Neoplasms [C04], Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Trial duration
1 Feb 2024 → ongoing
Decision date (initial)
2023-08-16
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Ghent University Hospital · Kom op tegen Kanker (KOTK)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

demonstrate uptake of [¹⁸F]AlF-PSMA-11 in lesions on PET.

Secondary objectives 3

  1. compare lesion uptake of [¹⁸F]AlF-PSMA-11 to that of [¹⁸F]FDG on PET
  2. compare lesion uptake of [¹⁸F]AlF-PSMA-11 to that of radioiodine on thyroid scintigraphy
  3. assess biodistribution and organ-specific dosimetry analysis of [¹⁸F]AlF-PSMA-11 using PET

Conditions and MedDRA coding

Head and neck squamous cell carcinoma, thyroid carcinoma

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Proof-of-concept feasibility study
monocentric, national, single-dose, phase II prospective cohort trial, with two cohorts according to disease (tumour) type
Not Applicable None Cohort A: histological proof of
HNSCC, disease in stage III–IVC, [¹⁸F]FDG PET available ≤ 2 months before
inclusion, or planned ≤ 2 months after inclusion.
Cohort B: histological proof of
TC, metastatic disease (regional or distant metastases), [¹⁸F]FDG PET or thyroid
scintigraphy available ≤ 2 months before inclusion, or planned ≤ 2 months
after inclusion.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. 18 years of age or older
  2. willing and mentally and legally capable of providing written informed consent
  3. have ≥ 1 measurable lesion of interest of ≥ 1.0 cm on medical imaging

Exclusion criteria 3

  1. potentially pregnant female patients refusing pregnancy testing at screening
  2. pregnant or breastfeeding female patients
  3. Patients with known hypersensitivity to the [¹⁸F]AlF-PSMA-11 or used excipients

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. qualitative count of lesions with significant [¹⁸F]AlF-PSMA-11 uptake on PET. For each subject, all endpoints are measured within 12 months after the last trial-specific intervention (trial-specific PET/CT or blood sampling) for that subject (LTIS). For the whole trial, all endpoints are measured within 12 months after the overall last trial-specific intervention (LTI), that is, after the last of all LTISs. (analyse PET images and blood and tissue samples until 12 months after the overall LTISs)

Secondary endpoints 2

  1. semiquantitative lesion radiotracer [¹⁸F]AlF-PSMA-11 uptake values on PET. For each subject, all endpoints are measured within 12 months after LTIS. For the whole trial, all endpoints are measured within 12 months after LTI.(analyse PET images and blood and tissue samples until 12 months after the overall LTISs)
  2. semiquantitative organ-level radiotracer [¹⁸F]AlF-PSMA-11 uptake values on PET. For each subject, all endpoints are measured within 12 months after LTIS. For the whole trial, all endpoints are measured within 12 months after LTI.(analyse PET images and blood and tissue samples until 12 months after the overall LTISs)

Investigational products

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

Test 1

[18FPSMA-11

PRD10247135 · Product

Active substance
Gozetotide ALF-18
Substance synonyms
AL(18F)PSMA-11, (AL18F)PSMA-HBED
Other product name
[18F]PSMA-HBED
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
4.4 MBq/kg megabecquerel(s)/kilogram
Max total dose
4.4 MBq/kg megabecquerel(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
UNIVERSITAIR ZIEKENHUIS GENT
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitair Ziekenhuis Gent

Sponsor organisation
Universitair Ziekenhuis Gent
Address
Corneel Heymanslaan 10
City
Gent
Postcode
9000
Country
Belgium

Scientific contact point

Organisation
Universitair Ziekenhuis Gent
Contact name
Michaël Henrotte

Public contact point

Organisation
Universitair Ziekenhuis Gent
Contact name
Michaël Henrotte

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 40 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
Universitair Ziekenhuis Gent
Head and Neck Surgery, Corneel Heymanslaan 10, 9000, Gent

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-02-01 2024-03-27

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1_ Protocol 2022-503036-13-00 public 3.0
Protocol (for publication) D2_ Risk Assessment Plan Study public 1.0
Protocol (for publication) D2_Risk Analysis Matrix Study public 1.0
Recruitment arrangements (for publication) K1_ Recruitment arrangements public 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF adults public 3.0
Subject information and informed consent form (for publication) L1_ SIS and ICF sponsor statement public 2.0
Subject information and informed consent form (for publication) L2_ Other subject information material study emergency card public 2.0
Subject information and informed consent form (for publication) L2_ Other subject information material study emergency card track-changes 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis 2022-503036-13-00 public 3.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-25 Belgium Acceptable with conditions
2023-08-11
2023-08-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-09-14 Belgium Acceptable with conditions
2023-08-11
2023-09-14
3 NON SUBSTANTIAL MODIFICATION NSM-2 2024-12-06 Belgium Acceptable with conditions
2023-08-11
2024-12-06
4 SUBSTANTIAL MODIFICATION SM-2 2025-08-28 Belgium Acceptable
2025-10-07
2025-10-07