Mr-Hyperpolarisation Scanning with Hyperpolarised Pyruvate (13C) in Pancreatic Cancer Patients – a Feasibility Study

2024-517358-86-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 13 Sep 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 16
Countries 1
Sites 1

Pancreatic Cancer

To optimise the MR-hyperpolarisation scanning technique in patients using a dose of 13C-Pyruvate established as safe in previous phase I/II-studies. To obtain baseline data on 13C-Pyruvate MR-hyperpolarisation signals in selected anatomical sites including tumorous pancreas, non-tumorous pancreas, liver metastases and …

Key facts

Sponsor
Aarhus Universitet
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]
Trial duration
13 Sep 2024 → ongoing
Decision date (initial)
2024-09-13
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517358-86-00
EudraCT number
2016-004491-22

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

To optimise the MR-hyperpolarisation scanning technique in patients using a
dose of 13C-Pyruvate established as safe in previous phase I/II-studies.
To obtain baseline data on 13C-Pyruvate MR-hyperpolarisation signals in
selected anatomical sites including tumorous pancreas, non-tumorous
pancreas, liver metastases and normal liver.
To confirm safety and feasibility of infusion of 13C-Pyruvate in patients with
pancreatic cancer.
To explore correlations between 13C-Pyruvate MR-hyperpolarisation signals
and evidence of clinical response to chemotherapy to be tested in further
phase II-studies.

Conditions and MedDRA coding

Pancreatic Cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Patients with inoperable (metastatic, locally advanced or localised)or relapsedhistologically or cytologically verified pancreatic adenocarcinoma
  2. Scheduled for first-line palliative chemotherapy of any type or having received at least 4 cycles of chemotherapy
  3. At least 18 years of age
  4. WHO performance status 0-2
  5. Adequate hematologic and organ function, i.e. ANC at least 1.500/uL Platlet count >100/uL Se bilirubin <1.5 UNL ASAT, ALAT and AP up to 2.5 x UNL, up to 5 x UNL with liver metastases Se creatinine up to 1.5 x UNL or creatinine clearance at least 30 ml/min INR and aPTT at most 1.5 x UNL, except for patients on AK treatment
  6. Women who are not postmenopausal or surgically sterile must have a negative serum or urin pregnancy test performed at time of inclusion in the study. Safe and highly effective contraception must be used throughout the study meaning either hormonal anti-conception or an anti-fertility intrauterine device. If the partner is non fertile or the patient has no sexual activities, this is also accepted.
  7. Danish speaking
  8. Able and willing to comply after informed consent

Exclusion criteria 10

  1. Contraindications to contrast enhanced MRI
  2. Contraindication to contrast enhanced CT
  3. Not able or willing to receive chemotherapy
  4. Patients not willing to participate
  5. Uncontrolled serious medical condition, such as uncontrolled heart disease, uncontrolled diabetes, intestinal obstruction, uncontrolled hypertension, or recent cerebral ischemia or cardiac events
  6. Previous or current radiotherapy or chemotherapy
  7. History of acute or chronic pancreatitis
  8. Acute or chronic liver disease incl. cirrhosis
  9. Intolerant to Pyruvate
  10. Predicted remaining survival <3 months

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. C13-Pyruvate spectroscopy imaging generates spectroscopic parameters (quantitative data for lactate, pyruvate, arginine and HCO3-). These will be projected 07-07-22 Projektbeskrivelse: MR-hyperpolarization 8. Version. Page 25 into a high-resolution anatomical image. The quantitative numerical data will be given as ratios, e.g. lactate/pyruvate-ratio, which gives us the possibility to perform comparisons between non-tumor vs. tumor tissue and pre-chemo vs. post-chemo.

Investigational products

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

Test 1

Hyperpolarized [1-13C]pyruvate

PRD10284730 · Product

Active substance
Pyruvic Acid
Pharmaceutical form
INJECTION
Route of administration
INTRAVENOUS
Max daily dose
250 mmol/l millimole(s)/litre
Max total dose
500 mmol/l millimole(s)/litre
Max treatment duration
1 Month(s)
Authorisation status
Not Authorised
MA holder
AARHUS UNIVERSITY
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Aarhus Universitet

Sponsor organisation
Aarhus Universitet
Address
Palle Juul-Jensens Boulevard 11
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Aarhus Universitet
Contact name
Christoffer Laustsen

Public contact point

Organisation
Aarhus Universitet
Contact name
Christoffer Laustsen

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 16 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Aarhus Universitetshospital
Kræftafdeling, J120, Palle Juul-Jensens Boulevard 165, Aarhus N

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-09-13 2025-09-01

Results and documents

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

Documents 4 files

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

TypeTitleVersion
Protocol (for publication) Protocol 9.1
Protocol (for publication) Protocol w track changes 9.1
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) Subject information 6.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-22 Denmark Acceptable
2024-09-13
2024-09-13
2 SUBSTANTIAL MODIFICATION SM-1 2024-12-11 Denmark Acceptable
2025-02-14
2025-02-17
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-09-25 Denmark Acceptable
2025-02-14
2025-09-25