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CompletedNCT02002312Updated Aug 13, 2015

Phase II Study of Lutetium-177 Labeled Girentuximab in Patients With Advanced Renal Cancer

A Phase 2 interventional study of Lu-177-DOTA-girentuximab in Metastatic Clear Cell Renal Cell Carcinoma, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-13.

Sponsored by Radboud University Medical Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

To determine the efficacy of multiple doses Lutetium-177-DOTA-girentuximab in patients with advanced clear cell renal cell carcinoma using RECIST criteria.

Read the detailed description

This is a Phase II study using Lu-177-DOTA-girentuximab for treatment of patients with advanced clear cell renal cell carcinoma. The trial requires 14 patients. CT scans will be carried out at baseline and after 12 weeks, for response assessment using RECIST criteria.

Patients will initially receive 5 mCi/10 mg Indium-111-DOTA-girentuximab antibody (an imaging dose preceeding Lu-177-girentuximab treatment). Whole body and blood measurements of radioactivity will be obtained on at least three occasions for one week to determine targeting and dosimetry. Only if at least one known and evaluable metastatic lesion is visualized with In-111-DOTA-girentuximab, therapeutic Lu-177-DOTA- girentuximab will be administered the following week. In the absence of disease progression and after recovery from toxicity, patients may be retreated no sooner than 12 weeks after the prior treatment with a dose of no more than 75% of the previous dose, for a total of not more than three treatments. Only patients who have normal pharmacokinetics on the preceding diagnostic In-111-girentuximab study (indicative of human antichimeric antibodies (HACA) negativity) are eligible for retreatment.

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Conditions studied

  • Metastatic Clear Cell Renal Cell Carcinoma

Keywords

  • Advanced Renal Cell Carcinoma
  • Clear Cell Renal Cell Carcinoma (ccRCC)
  • Lutetium-177
  • Lu-177
  • girentuximab
  • cG250
  • Monoclonal Antibody
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In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 14 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with proven advanced and progressive RCC of the clear cell type
  • Presence of RECIST v.1.1 evaluable lesions, all \< 5 cm
  • Performance status: Karnofsky > 70 %
  • Laboratory values: • White blood cells (WBC) > 3.5 x 109/l • Platelet count > 150 x 109/l • Hemoglobin > 6 mmol/l • Total bilirubin \< 2 x upper limit of normal (ULN) • ASAT, ALAT \< 3 x ULN (\< 5 x ULN if liver metastases present) • MDRD ≥ 40 ml/min
  • Negative pregnancy test for women of childbearing potential (urine or serum)
  • Age over 18 years
  • Written informed consent

Exclusion criteria

Exclusion criteria:

  • Known or suspected CNS metastases including leptomeningeal metastases. History or clinical evidence of (CNS) metastases (unless they are previously-treated CNS metastases and patients meet all 3 of the following criteria: are asymptomatic, have had no evidence of active CNS metastases for ≥3 months prior to enrollment, and have had no requirement for steroids or enzyme inducing anticonvulsants in the last 14 days)
  • Untreated hypercalcemia
  • Chemotherapy, external beam radiation, immunotherapy or angiogenesis inhibitors or mTOR inhibitors within 4 weeks prior to study. Limited field external beam radiotherapy to prevent pathological fractures is allowed , when unirradiated, evaluable lesions elsewhere are present.
  • Cardiac disease with New York Heart Association classification of III or IV
  • Patients who are pregnant, nursing or of reproductive potential and are not practicing an effective method of contraception
  • Any unrelated illness, e.g. active infection, inflammation, medical condition or laboratory abnormalities, which in the judgment of the investigator will significantly affect patients' clinical status
  • Life expectancy shorter than 4 months.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Lu-177-DOTA-girentuximab

    Patients in receive 10 mg of girentuximab coupled to DOTA and labeled with 65 mCi/m2 of Lu-177 if targeting of In-111-DOTA-girentuximab is observed in at least 1 lesion. Patients may be retreated no sooner than 12 weeks after the prior treatment with a dose of no more than 75% of the previous dose, for a total of not more than three treatments.

    Drug: Lu-177-DOTA-girentuximab

Interventions

  • DrugLu-177-DOTA-girentuximab

    Drug: In-111-DOTA-girentuximab At day 1, every patient received girentuximab at a dose of 10 mg coupled to DOTA and labeled with 5 mCi of In-111. Drug: Lu-177-DOTA-girentuximab At day 8-10, every patient receives girentuximab at a dose of 10 mg coupled to DOTA and labeled with 65 mCi/m2 of Lu-177. If eligible, patients are retreated at a dose 75% of the previous dose, for a total of not more than three treatments.

    Also known as: Lu-177-DOTA-cG250

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What researchers measure

Primary outcomes

  1. Tumor response

    Evaluation according to RECIST criteria

    Time frame: 12 weeks

Secondary outcomes

  1. Progression free survival

    Progression free survival is defined as the time measured from the day of first administration of Lu-177-girentuximab to first progression or death, whichever comes first.

    Time frame: 3 years

  2. Toxicity

    Toxicity defined by NCI Common Terminology Criteria for Adverse Events (CTCAE v3.0)

    Time frame: up to 14 weeks after last therapeutic infusion

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Study locations

1 site
  • Radboud University Medical Center
    Nijmegen, Gelderland 6500 HB, Netherlands
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References and documents

Publications

  • Muselaers CH, Boers-Sonderen MJ, van Oostenbrugge TJ, Boerman OC, Desar IM, Stillebroer AB, Mulder SF, van Herpen CM, Langenhuijsen JF, Oosterwijk E, Oyen WJ, Mulders PF. Phase 2 Study of Lutetium 177-Labeled Anti-Carbonic Anhydrase IX Monoclonal Antibody Girentuximab in Patients with Advanced Renal Cell Carcinoma. Eur Urol. 2016 May;69(5):767-70. doi: 10.1016/j.eururo.2015.11.033. Epub 2015 Dec 23. PubMed 26706103 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02002312
Lead sponsor
Radboud University Medical Center
Responsible party
Sponsor
First posted
Dec 5, 2013
Start date
Aug 2011
Primary completion
Jun 2015
Completion
Jun 2015
Last update
Aug 13, 2015

Study contacts

W. J. Oyen, MD, PhD
principal investigator · Department of Nuclear Medicine, Radboud University Medical Center Nijmegen
P. F. Mulders, MD, PhD
principal investigator · Department of Urology, Radboud University Medical Center Nijmegen

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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