Macrophage imaging GCA

2024-514491-40-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 12 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 10
Countries 1
Sites 2

giant cell arteritis

Primary Objective: to evaluate arterial [18F]fluor-PEG-folate uptake on PET/CT in patients with active, large vessel GCA; and in the same patients after 9 months of standard treatment.

Key facts

Sponsor
Universitair Medisch Centrum Groningen
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
12 Nov 2024 → ongoing
Decision date (initial)
2024-09-11
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514491-40-00
EudraCT number
2020-001019-26

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Diagnosis

Primary Objective: to evaluate arterial [18F]fluor-PEG-folate uptake on PET/CT in patients with active, large vessel GCA; and in the same patients after 9 months of standard treatment.

Conditions and MedDRA coding

giant cell arteritis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Age ≥ 50 years at time of disease onset - Erythrocyte sedimentation rate (ESR) ≥50 mm/hr or C-reactive protein (CRP) ≥ 10 mg/L - Clinical symptoms of large vessel GCA (at least one of the following) at time of inclusion: constitutional symptoms (fatigue, fever, weight loss, and/or night sweats), limb claudication, or symptoms of polymyalgia rheumatica (i.e. shoulder and/or hip girdle pain associated with morning stiffness). - Imaging findings consistent with large vessel GCA at the time of inclusion (e.g. ultrasound, FDG-PET/CT) - Patients must be able to adhere to the study appointments and other protocol requirements. - Patients must be capable of giving informed consent and the consent must have been obtained prior to the study related procedures.

Exclusion criteria 1

  1. - Clinical symptoms suggestive of cranial GCA (at least one of the following): new-onset localized headache, scalp tenderness, temporal artery abnormality (thickening, tenderness, and/or decreased pulsation), ischemia-related vision loss, stroke, transients ischemic attack, jaw or tongue claudication (pain upon mastication). - Ultrasound findings consistent with cranial GCA (e.g. halo sign in temporal or facial artery). - A prior positive temporal artery biopsy. - Initiation or dose escalation of systemic glucocorticoid therapy (oral, IM, IV) in the 4 weeks prior to inclusion - Initiation or dose escalation of disease-modifying antirheumatic drugs (DMARDs) within 3 months prior to inclusion - Treatment with any investigational drug within 3 months prior to inclusion. - Females with child bearing potential. Post-menopausal women with >12 months of amenorrhoea are considered to have no child bearing potential. Given the age distribution of patients with GCA, exclusion of females with child bearing potential will not lead to recruitment bias in the study. - Research-related radiation exposure (cumulative ≥5 mSv) in the year before inclusion.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Arterial [18F]fluor-PEG-folate uptake on PET/CT in patients with active, large vessel GCA; and in the same patients after 9 months of standard treatment.

Investigational products

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

Test 1

[18F]Fluor-PEG-Folate

PRD11535297 · Product

Active substance
[18FFLUORO-PEG-FOLATE
Substance synonyms
31-(4-(((2-amino-4-oxo-3,4-dihydropteridin-6-yl)methyl)amino)-benzamido)-1-(4-fluorophenyl)-1,6,28-trioxo-9,12,15,18,21,24-hexaoxa-2,5,27-triazadotriacontan-32-oic acid
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS BOLUS USE
Max daily dose
200 MBq megabecquerel(s)
Max total dose
400 MBq megabecquerel(s)
Max treatment duration
9 Month(s)
Authorisation status
Not Authorised
MA holder
AMSTERDAM UMC
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitair Medisch Centrum Groningen

Sponsor organisation
Universitair Medisch Centrum Groningen
Address
Hanzeplein 1
City
Groningen
Postcode
9713 GZ
Country
Netherlands

Scientific contact point

Organisation
Universitair Medisch Centrum Groningen
Contact name
K.S.M. van der Geest

Public contact point

Organisation
Universitair Medisch Centrum Groningen
Contact name
K.S.M. van der Geest

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 10 2
Rest of world 0

Investigational sites

Netherlands

2 sites · Ongoing, recruiting
Universitair Medisch Centrum Groningen
Rheumatology and Clinical Immunology, P. O. Box 30001, 9700 RB, Groningen
Amsterdam University Medical Center, VUmc Boelelaan
Rheumatology and Clinical Immunology, De Boelelaan 1117, 1081 HV, Amsterdam

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 2024-11-12

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-514491-40-00_redacted 4.0
Recruitment arrangements (for publication) Blanc document 1
Subject information and informed consent form (for publication) L1_SIS_and_ICF_Dynamic_Scan_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS_and_ICF_Static_Scan_redacted 2.1
Summary of Product Characteristics (SmPC) (for publication) Blanc document 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-02 Netherlands Acceptable with conditions
2024-09-11
2024-09-11