About this trial
The goal of this Phase I clinical trial is to evaluate how the imaging drug 203Pb- RMX-VH-PIB distributes in the body and how much radiation different organs receive in patients with glioblastoma multiforme (GBM) or pancreatic ductal adenocarcinoma (PDAC).
The main questions it aims to answer are:
How does 203Pb-RMX-VH-PIB spread in the body (biodistribution)? What is the radiation dose delivered to organs (dosimetry)?
Participants will:
Receive a single intravenous (IV) injection of 203Pb-RMX-VH-PIB. Undergo multiple single-photon emission computed tomography/computed tomography (SPECT/CT) imaging scans.
Have blood, urine, vital signs, and electrocardiogram (ECG) monitored for safety.
Be followed for any side effects for up to 30 days.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent.
Subjects aged ≥18 years.
Karnofsky status ≥60.
Negative urine pregnancy test in women of childbearing potential.
Disqualifiers
Known hypersensitivity to RMX-VH peptide analogue, 203Pb-RMX-VH-PIB, 203Pb (Lead) , or any of the excipients of 203Pb-RMX-VH-PIB.
Inability to undergo MRI or CT/SPECT/CT scans
Current somatic or psychiatric disease/condition that may interfere with consent or the objectives and assessments of the study.
Pregnancy or plans to conceive during the course of study participation.
Trial design
Single group
Treatments tested in this trial
203Pb-RMX-VHPIB injection
DrugA single intravenous (IV) injection of the investigational radiopharmaceutical 203Pb-RMX-VHPIB administered to eligible patients.
SPECT/CT Imaging
Diagnostic testSerial whole-body and region-specific SPECT/CT scans performed after IP administration to assess biodistribution and dosimetry
Treatment groups
Trial outcomes
Primary outcomes
Whole-body and organ-specific absorbed radiation dose for 203Pb-RMX-VH-PIB
Whole-body and organ-specific absorbed radiation doses will be estimated using serial quantitative SPECT/CT imaging and available blood and urine radioactivity data following a single intravenous administration of 203Pb-RMX-VH-PIB. Absorbed radiation doses will be summarized per unit of administered activity, such as mGy/MBq.
Organ-Specific Absorbed Dose of 203Pb-RMX-VH-PIB
For each participant, volumes of interest (VOIs) will be delineated over critical organs, including the kidneys, liver, spleen, red marrow, pancreas, brain, thyroid, and salivary glands, as well as target lesions. Time-activity curves will be fitted, and residence times will be derived. The absorbed dose per unit of injected activity will be calculated using the standard Medical Internal Radiation Dose (MIRD) schema with Organ Level Internal Dose Assessment/Exponential Modeling (OLINDA/EXM) software or an equivalent method.
Sponsors and contacts
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