HEAT Trial (HER2 Antibody Therapy With Lutetium-177)

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorRadiopharm Theranostics, Ltd

About this trial

This is a first-in-human, Phase 0/1, open-label study of177Lu-RAD202 to determine the recommended dose(s) for future exploration of 177Lu-RAD202 in participants with HER2 expressing advanced solid tumours.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 18 years and older.

Written, voluntary, informed consent of the participants must be obtained in compliance with institutional, regional, and federal guidelines.

Participants with histologically or cytologically confirmed, HER2 positive or HER2-low, advanced solid tumours that are relapsed/refractory, locally advanced not amenable to curative-intent therapy, or metastatic, with documented disease progression during or after their most recent line of anti-cancer therapy. Participants must be refractory to or intolerant of standard of care therapy or have no standard of care therapy available that is likely to provide clinical benefit.

Must have at least 1 measurable target lesion according to RECIST version 1.1.

Disqualifiers

Participants who have any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or nonmelanoma skin cancer. Participants with a history of malignancies of low recurrence potential who have received curative-intent therapy may be approved on a case-by-case basis in discussion with the study Sponsor, if it is determined not to put the participant at an increased risk of adverse drug effects and/or interfere with the integrity of study outcome.

Participants who have any medical condition that would, in the Investigator's judgment, prevent the participant's full participation in the clinical study due to safety concerns or compliance with clinical study procedures such as participants with severe claustrophobia who are unresponsive to oral anxiolytics, participants with low back pain who cannot lie comfortably on an imaging table, participants who are hyperactive or hyperkinetic such that they cannot tolerate lying still for multiple time-point imaging procedures, etc.

Residual toxicity Grade ≥ 2 from previously administered therapy (except for alopecia). Patients with Grade 2 or higher toxicity due to prior treatment may be allowed on a case-by-case basis in discussion with study Sponsor provided it is deemed not to put the participant at a higher risk of treatment-related toxicity or interfere with the integrity of study data, e.g., participants with endocrinopathy on stable replacement therapy

Creatinine clearance or Body Surface Area (BSA) adjusted Estimated glomerular filtration rate (eGFR) (calculated using any clinically validated formula, preferably Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), or measured) < 60 mL/min

Trial design

Design model

Single group

Treatments tested in this trial

  • 177Lu-RAD202

    Drug

    177Lu-RAD202 administered at treatment doses

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: 177Lu-RAD202Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Safety and tolerability of 177Lu-RAD202

The properties, incidence, nature and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) per Common Terminology Criteria for Adverse Events (CTCAE) v5.0

Time frame
6 weeks
2

Recommended dose(s) of 177Lu-RAD202 for future exploration

Incidence of dose-limiting toxicities (DLTs) during the first 6 weeks following 177Lu-RAD202 injection cycle of treatment

Time frame
6 weeks

Secondary outcomes

1

Preliminary antitumor activity of 177Lu-RAD202

Objective response rates (ORR) as assessed by RECIST v1.1

Time frame
Up to 30 weeks
2

Time Activity Curves (TACs)

Percent of the injected activity vs time for selected organs and tumors

Time frame
72 hours
3

Radiation dosimetry of 177Lu-RAD202

Absorbed radiation doses of 177Lu-RAD202tr in critical organs (e.g., kidneys, bone marrow)

Time frame
72 hours
4

Pharmacokinetics of 177Lu-RAD202

Half-life of 177Lu-RAD202 in blood

Time frame
72 hours

Other outcomes

1

To explore the use of SPECT/CT as a measure of preliminary anti-tumor activity of 177Lu-RAD202

Longitudinal assessments of quantitative tumor uptake of 177Lu-RAD202 using SPECT/CT

Time frame
Up to 30 weeks
2

To study the effect of amino acid infusion on 177Lu-RAD202 radiation absorption

Absorbed radiation doses of 177Lu-RAD202 in critical organs (e.g. kidneys, bone marrow)

Time frame
Up to 30 weeks
3

Level of agreement between 177Lu-RAD202 and standard of care imaging

Standard of care imaging may include but is not limited to 18F-FDG-PET, CT-scan and/or 99mTc-MDP-bone

Time frame
Up to 30 weeks

Sponsors and contacts

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