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JOURNAL ONKOLOGIE – STUDIE

Ferumoxtran-10-enhanced MRI in Prostate Cancer Patients

Rekrutierend

NCT-Nummer:
NCT04261777

Studienbeginn:
Mai 2020

Letztes Update:
08.05.2023

Wirkstoff:
Ferrotran® (Ferumoxtran-10)

Indikation (Clinical Trials):
Prostatic Neoplasms

Geschlecht:
Männer

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Saving Patients' Lives Medical B.V.

Collaborator:
ABX-CRO advanced pharmaceutical services Forschungsgesellschaft m.b.H., b.e.imaging GmbH, Radboud University Medical Center,

Kontakt

Studienlocations
(3 von 15)

Charité - Universitätsklinikum Berlin
10117 Berlin
(Berlin)
GermanyRekrutierend» Google-Maps
Vivantes Klinikum Am Urban
10967 Berlin
(Berlin)
GermanyRekrutierend» Google-Maps
Universitätsklinikum Bonn
53127 Bonn
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitätsklinikum Köln
50937 Cologne
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitätsklinikum Carl Gustav Carus
01307 Dresden
(Sachsen)
GermanyRekrutierend» Google-Maps
Darmkrebszentrum Universitätsklinikum Düsseldorf
Moorenstraße 5
40225 Düsseldorf
DeutschlandRekrutierend» Google-Maps
Kinderonkologisches Zentrum Universitätsklinikum Essen
Hufelandstraße 55
45147 Essen
DeutschlandRekrutierend» Google-Maps
Gynäkologisches Tumorzentrum am Universitätsklinikum Leipzig
4103 Leipzig
DeutschlandRekrutierend» Google-Maps
Universitätsklinikum Schleswig-Holstein Lübeck
23538 Lübeck
(Schleswig-Holstein)
GermanyRekrutierend» Google-Maps
Universitätsmedizin Mannheim Medizinische Fakultät Mannheim der Universität Heidelberg
68167 Mannheim
(Baden-Württemberg)
GermanyNoch nicht rekrutierend» Google-Maps
Nederlands Kanker Instituut Antoni van Leeuwenhoek
1006 Amsterdam
NetherlandsRekrutierend» Google-Maps
Radboud University Medical Center
6525 Nijmegen
NetherlandsRekrutierend» Google-Maps
Canisius-Wilhelmina Ziekenhuis Nijmegen
6532 Nijmegen
NetherlandsRekrutierend» Google-Maps
Inselspital-Universitätsspital Bern
3010 Bern
SwitzerlandRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

Potential patients for this study will be recruited by up to 10 centres specialised in

prostate cancer. Study sites will be interdisciplinary, consisting of a uro-oncology

sub-site, and a radiology sub-site with high-quality MRI, surgery and pathology. Study visits

will be typically conducted at the recruiting sub-site, or as institutionally appropriate.

Treatment visits for patients will be performed in the collaborating sub-site. Patients will

be invited for study participation by the investigators in the context of specialised

clinics. Interested patients will be provided with an information sheet and will undergo a

detailed informed consent procedure prior to any study procedures. Recruitment will be

continued until a sufficient number of patients have undergone Ferrotran® imaging and

histopathological evaluation.

To compensate for an expected drop-out rate of 15% to 20%, recruitment will only be stopped

as soon as at least 69 evaluable positive (patients positive) and at least 104 evaluable

negative (patients negative) patients are available for analysis.

Ein-/Ausschlusskriterien

Inclusion Criteria:

1. Voluntarily given and written informed consent.

2. Male ≥18 years of age.

3. Histologically newly-confirmed adenocarcinoma of the prostate.

4. Medium to high risk for lymph node metastasis, defined by either:

1. PSA ≥10 ng/mL or

2. Gleason-Score ≥7 or

3. Stage cT2b or cT2c or T3 or T4

5. Patients scheduled for radical prostatectomy (RP) with extended lymph node dissection

(ePLND) between Day 7 and Day 42 after Ferrotran®-enhanced MRI.

6. Consent to practice contraception until end of study, including female partners of

childbearing potential. Effective contraceptive measures include hormonal oral,

injected or implanted female contraceptives, male condom, vaginal diaphragm, cervical

cap, intrauterine device.

Exclusion Criteria:

1. Any contraindication to MRI, as per standard criteria.

2. Any radiation therapy or systemic antiproliferative (chemo-, immuno, or hormonal)

therapy for prostate cancer (Lupron, Taxotere, Casodex, Eulexin, Zoladex, etc.) prior

to screening and until after post-surgery FUP MRI.

3. Known hypersensitivity to Ferrotran® or its components such as dextran.

4. Known hypersensitivity to other parenteral iron products.

5. Acute allergy, including drug allergies and allergic asthma.

6. Evidence of iron overload or disturbances in the utilisation of iron (e.g.,

haemochromatosis, haemosiderosis, chronic haemolytic anaemia with frequent blood

transfusions).

7. Presence of liver dysfunction.

8. Any other investigational medicinal product within 30 days prior to receiving study

medication until end of study visit.

9. Simultaneous participation in any other clinical trial.

10. Abnormal safety laboratory values at screening or baseline that are assessed by the

principal investigator as clinically relevant.

11. Patients not able to declare meaningful informed consent on their own (e.g. with legal

guardian for mental disorders), or other vulnerable patients (e.g. under arrest).

12. Patients with acute SARS-CoV-2 infection

Studien-Rationale

Primary outcome:

1. Lymph node metastases will be detected by MRI scan (Ferumoxtran-10-enhanced and unenhanced). (Time Frame - up to day 42):
True positive fraction and false positive fraction of identified tumour tissue in pelvic lymph nodes will be analysed by histopathology as established reference method.



Secondary outcome:

1. Number and regions of lymph node metastases present in the follow-up MRI in comparison to pre-surgery MRI (unenhanced and Ferrotran®-enhanced). (Time Frame - up to day 105)

2. Frequency of occurrence and severity of abnormal findings in safety investigations (physical examination, vital signs, 12-lead ECG, clinical laboratory, concomitant medication, adverse events) (Time Frame - day 0 - day 105)

3. Percentage of subjects for whom the patient management plan would be changed based on the Ferrotran®-enhanced MRI. (Time Frame - up to day 105)

Geprüfte Regime

  • Ferrotran® (Ferumoxtran-10) (Ferrotran Lyophilisate):
    Ferrotran® in a dose of 0.13 mL/kg body weight of the reconstituted freeze-dried preparation (i.e. 2.6 mgFe/kg body weight). The recommended dose should be diluted in 100 mL of NaCl 9 mg/mL (0.9%) solution for injection/infusion prior to administration via the infusion filter as a slow intravenous infusion over 30 minutes (at a maximum rate of 4 mL/min). Ferrotran® will be administered once to each patient. Histologically confirmed diagnosis and pre-operative staging are performed prior to the study as part of standard care. Surgery (RP with ePLND) and sampling of tissue specimens is performed after the Ferrotran®-enhanced MRI as part of standard care.

Quelle: ClinicalTrials.gov


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