Clinical use of USPIO contrast media in the assessment of pelvic lymph node metastasis in rectal cancer.

2024-514831-34-00 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 19 Sep 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 60
Countries 1
Sites 1

Rectal cancer

Assessment of cN-stage accuracy of Ferumoxtran-10-enhanced USPIO-MRI compared to histopathologic pN-stage of newly-diagnosed RC patients

Key facts

Sponsor
Varsinais-Suomen hyvinvointialue
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Trial duration
19 Sep 2024 → ongoing
Decision date (initial)
2024-06-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514831-34-00
EudraCT number
2021-000827-11

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

Assessment of cN-stage accuracy of Ferumoxtran-10-enhanced USPIO-MRI compared to histopathologic pN-stage of newly-diagnosed RC patients

Secondary objectives 1

  1. Effects of Ferumoxtran-10-enhanced USPIO-MRI cN-stage assessment on treatment planning compared to conventional MRI.

Conditions and MedDRA coding

Rectal cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10038038 Rectal cancer 100000004864
21.0 PT 10027459 Metastases to lymph nodes 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. • Voluntarily given and written informed consent. • Males and females over 18 years of age. • Newly diagnosed rectal cancer patients scheduled for direct surgery or SCRT. • Female subjects must be not of child-bearing potential, defined as postmenopausal for at least 1 year or surgically sterile. • Women of childbearing potential (WOCBP) can be included if they take precautions against pregnancy during the study and for at least 3 months thereafter.

Exclusion criteria 1

  1. • Subjects unable to provide written informed consent • Age under 18 • Metastatic disease • T1-disease • Allergy to Ferumoxtran-10 or known hypersensitivity to Ferumoxtran-10 or its components • Known history of drug allergy (including hypersensitivity) to other parenteral iron products • Prior severe allergic reactions, including severe asthma and acute drug-induced severe reactions • Clinically documented or risk of primary or secondary iron overloading (e.g. history of thalassemia, sickle cell anemia, hereditary hemochromatosis, multiple iron transfusions for any reason) • Breastfeeding or pregnant women • Women of childbearing potential who are not willing to use effective contraceptive precautions against pregnancy • Prior abdominopelvic radiation • Prior abdominopelvic malignancies • Patients deemed too frail for surgery • Contraindications for MRI (ferromagnetic metallic implants, claustrophobia, MR-incompatible pacemakers, MR-incompatible prosthetic heart valves, severe obesity etc.)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Accuracy

Secondary endpoints 1

  1. positive predictive value, negative predictive value, sensitivity, specificity.

Investigational products

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

Test 1

SCP2053524 · ATC

Route of administration
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08CB03 — IRON OXIDE, NANOPARTICLES
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Varsinais-Suomen hyvinvointialue

Sponsor organisation
Varsinais-Suomen hyvinvointialue
Address
Kiinamyllynkatu 4-8
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Varsinais-Suomen hyvinvointialue
Contact name
Jaakko Vanhatalo

Public contact point

Organisation
Varsinais-Suomen hyvinvointialue
Contact name
Jaakko Vanhatalo

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 60 1
Rest of world 0

Investigational sites

Finland

1 site · Ongoing, recruiting
Varsinais-Suomen hyvinvointialue
Radiology, Kiinamyllynkatu 4-8, 20520, Turku

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2024-09-19 2024-11-27

Results and documents

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

Documents 3 files

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

TypeTitleVersion
Protocol (for publication) USPIO-MRI Clinical Trial Protocol ver 16-1 16.1
Summary of Product Characteristics (SmPC) (for publication) SPC Ferrotran Lyophilisate 20190207 1
Synopsis of the protocol (for publication) USPIO-MRI synopsis 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-06 Finland Acceptable
2024-06-24
2024-06-24
2 SUBSTANTIAL MODIFICATION SM-1 2024-08-23 Finland Acceptable
2024-10-24
2024-10-24