CAT-VHL - Exploring the role of Carbonic Anhydrase IX as diagnostic and Theranostic target in Von-Hippel Lindau disease

2024-515679-36-01 Protocol CAT-VHL Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites · Protocol CAT-VHL

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 38
Countries 1
Sites 2

Von-Hippel Lindau (VHL) Disease

To explore the role of Carbonic Anhydrase IX as diagnostic and theranostic target in Von-Hippel Lindau disease.

Key facts

Sponsor
Ospedale San Raffaele S.r.l.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Therapeutics [E02], Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Decision date (initial)
2025-10-24
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Diagnosis, Therapy, Safety

To explore the role of Carbonic Anhydrase IX as diagnostic and theranostic target in Von-Hippel Lindau disease.

Conditions and MedDRA coding

Von-Hippel Lindau (VHL) Disease

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-515679-36-00 CAT-VHL - Exploring the role of Carbonic Anhydrase IX as diagnostic and Theranostic target in Von-Hippel Lindau disease Ospedale San Raffaele S.r.l.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Voluntarily given informed consent
  2. Age ≥18 years old
  3. Performance Status ECOG/WHO score 0-2
  4. For females of reproductive potential, negative pregnancy test and use of highly effective contraception for 30 days following IMP administration
  5. For males of reproductive potential, use of highly effective contraception for 30 days following IMP administration
  6. For the Primary Cohort: diagnosis of VHL disease requiring surveillance following confirmation of pathogenic variant at genetic test
  7. For the Secondary Cohort: clinical and/or pathological diagnosis of hemangioblastoma, pheochromocytoma, pancreatic neuroendocrine tumor or clear cell renal cell carcinoma requiring surgery

Exclusion criteria 12

  1. Performance Status ECOG/WHO score >2
  2. Women who are pregnant or breastfeeding or are planning pregnancy during the study
  3. Men who are planning fatherhood during the study
  4. Exposure to any murine or chimeric antibodies within 5 years prior to the planned IMP administration
  5. Exposure to any experimental diagnostic or therapeutic drug within 30 days from the planned IMP administration
  6. Surgery, biopsy, ablative procedure, radiotherapy or any other local treatment for any primary tumor within 4 weeks prior to the planned IMP administration
  7. Exposure to any systemic agent within 4 weeks prior to the planned IMP administration or in case of continuing adverse effects with grade >1 from such therapy
  8. Current exposure to systemic agents or scheduled therapy in the next 6 months following the planned IMP administration
  9. Serious non-malignant disease (e.g. psychiatric, infectious, autoimmune or metabolic) that may interfere with the objectives of the study or within the safety of compliance of the subjects as judged by the Investigator
  10. Known hypersensitivity to [89Zr]Zr-DFO-Girentuximab or DFO (Desferrioxamine)
  11. Severe chronic kidney disease with glomerular filtration rate ≤ 30 mL/min/1.73m2
  12. Other vulnerable categories than rare disease (e.g, being in detention)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. To evaluate the efficacy of CAIX-PET for the detection of tumors in patients with VHL disease.

Secondary endpoints 3

  1. To evaluate the diagnostic accuracy of CAIX-PET in VHL -/- tumors diagnosed in the sporadic setting.
  2. To evaluate the diagnostic accuracy of CAIX-PET in VHL disease.
  3. To evaluate the safety of CAIX-PET.

Investigational products

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

Test 1

Zr-DFO-girentuximab

PRD9614939 · Product

Active substance
Zirconium (89ZR) Girentuximab
Substance synonyms
89Zr-TLX250, 89Zr-DFO-girentuximab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
37 MBq megabecquerel(s)
Max total dose
37 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
TELIX INTERNATIONAL PTY LTD
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ospedale San Raffaele S.r.l.

Sponsor organisation
Ospedale San Raffaele S.r.l.
Address
Via Olgettina 60
City
Milan
Postcode
20132
Country
Italy

Scientific contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Alessandro Larcher

Public contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Alessandro Larcher

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Authorised, recruitment pending 38 2
Rest of world 0

Investigational sites

Italy

2 sites · Authorised, recruitment pending
Azienda Ospedaliera Universitaria San Giovanni Di Dio E Ruggi d'Aragona
U.O.C. Urological Clinic, Largo Citta' D'ippocrate 1, 84131, Salerno
Ospedale San Raffaele S.r.l.
URI - Urological Research Institute, Via Olgettina 60, 20132, Milan

Results and documents

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

Documents 13 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol Signature Page_2024-515679-36-01 3.0
Protocol (for publication) D1_Protocol_2024-515679-36-01_for pubblication 3.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 3.0
Subject information and informed consent form (for publication) L1_SIS adults_privacy_for pubblication 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF adults_for pubblication 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_family doctor letter 1
Subject information and informed consent form (for publication) L2_Other subject information material_patient card 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_URBBAN consent intro_for publication 2
Subject information and informed consent form (for publication) L2_Other subject information material_URBBAN consent_for pubblication 2
Subject information and informed consent form (for publication) L2_Other subject information material_URBBAN privacy_for publication 2
Summary of Product Characteristics (SmPC) (for publication) E1_IB 89Zr-TLX250_V12-1_20-OCT-25_redacted 12.1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ENG_2024-515679-36-01_for pubblication 3.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ITA_2024-515679-36-01_for pubblication 3.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-05-30 Italy Acceptable
2025-10-24
2025-10-24
2 SUBSTANTIAL MODIFICATION SM-1 2025-11-10 Italy Acceptable 2026-01-08
3 SUBSTANTIAL MODIFICATION SM-2 2026-01-24 Italy Acceptable with conditions
2026-04-13
2026-04-15