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Safety, Tolerability, Pharmacokinetics, Radiation Dosimetry, and PET Imaging Properties of 89Zr-labeled hNd2 (NMK89) in Patients With Pancreatic Cancer


2023-10-31


2025-11-30


2025-11-30


10

Study Overview

Safety, Tolerability, Pharmacokinetics, Radiation Dosimetry, and PET Imaging Properties of 89Zr-labeled hNd2 (NMK89) in Patients With Pancreatic Cancer

This trial will be a non-randomized, Phase I trial to evaluate safety, tolerability, biodistribution, radiation dosimetry, pharmacokinetics and PET imaging properties following an infusion of 37 MBq (1 mCi) of 89Zr-labeled hNd2* (NMK89) in patients with pancreatic cancer that are positive for MUC5AC. Image acquisition is conducted using a PET/CT machine. * hNd2: Recombinant humanized Nd2 (anti-human MUC5AC monoclonal antibody)

N/A

  • Pancreatic Cancer
  • DRUG: NMK89
  • NMK89P101

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2023-10-27  

N/A  

2025-06-10  

2023-11-08  

N/A  

2025-06-11  

2023-11-13  

N/A  

2025-06  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Diagnostic


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: NMK89

Patients will receive a single infusion of NMK89

DRUG: NMK89

  • Route of administration: intravenous infusion
Primary Outcome MeasuresMeasure DescriptionTime Frame
Safety and tolerability of a single infusion of NMK89: physical examination 1Body weightScreening to Day 8
Safety and tolerability of a single infusion of NMK89: physical examination 2HeightScreening
Safety and tolerability of a single infusion of NMK89: vital sign 1Body temperatureScreening to Day 8
Safety and tolerability of a single infusion of NMK89: vital sign 2Heart rateScreening to Day 8
Safety and tolerability of a single infusion of NMK89: vital sign 3Systolic blood pressure (SBP)Screening to Day 8
Safety and tolerability of a single infusion of NMK89: vital sign 4Diastolic blood pressure (DBP)Screening to Day 8
Safety and tolerability of a single infusion of NMK89: 12-lead ECG (Electrocardiogram) 1PR intervalScreening to Day 8
Safety and tolerability of a single infusion of NMK89: 12-lead ECG 2RR intervalScreening to Day 8
Safety and tolerability of a single infusion of NMK89: 12-lead ECG 3QRS intervalScreening to Day 8
Safety and tolerability of a single infusion of NMK89: 12-lead ECG 4QTScreening to Day 8
Safety and tolerability of a single infusion of NMK89: 12-lead ECG 5Corrected QTScreening to Day 8
Safety and tolerability of a single infusion of NMK89: Frequency and severity of abnormal adverse events (AEs) (National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v 5.0))Baseline up to Day 60
Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - hematologyHematology included hemoglobin, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), white blood cell count (total and differential: leukocytes, neutrophils, eosinophils, basophils, lymphocytes, monocytes), red blood cells, platelets.Screening to Day 8
Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - serum chemistrySerum chemistry included sodium, potassium, chloride, calcium, glucose, creatinine, urea or BUN, albumin, total bilirubin, aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase, gamma-glutamyl transferase (GGT), lipase, amylase and total protein.Screening to Day 8
Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - clotting factorsClotting factors included prothrombin time (quick), reagent-independent prothrombin ratio (international normalized ratio; INR), activated partial thromboplastin time (aPTT).Screening to Day 8
Safety and tolerability of a single infusion of NMK89: Clinical laboratory finding - urinalysisUrinalysis included specific gravity, pH, protein, glucose, blood, leukocytes, ketones, nitrite, albumin, creatinine.Screening to Day 8
Safety and tolerability of a single infusion of NMK89: Frequency and severity of abnormal ECOG PS (Eastern Cooperative Oncology Group Performance Status)Screening to Day 8
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Biodistribution: Fractional injected 89Zr radioactivity values (percentage of injected dose(%ID))PET/CT image acquisitions will be obtained to assess biodistribution of NMK89 in normal tissues and tumors in patients.Day 1 to Day 8
Biodistribution: Time-integrated activity coefficients (TIACs) (hr)PET/CT image acquisitions will be obtained to assess biodistribution of NMK89 in normal tissues and tumors in patients.Day 1 to Day 8
Radiation Dosimetry of NMK89: Normalized radiation absorbed doses and normalized effective doseWhole-body radiation dosimetry of NMK89 in patients will be estimated.Day 1 to Day 8
Optimization of positron emission tomography (PET) Scan Protocol: Optimal time from injection to start of PETOptimal time from injection to start of PET acquisition will be determined.Day 1 to Day 8
Predictive radiation dosimetry of hNd2 labeled with therapeutic radionuclide: Normalized absorbed doses and normalized effective doseWhole-body radiation dosimetry (if hNd2 will be labeled with a therapeutic radionuclide) will be estimated.Day 1 to Day 8
Blood Pharmacokinetics (PK): Concentration of total antibody in bloodPK will be evaluated based on concentration of total antibody obtained within defined volumes of blood.Pre-infusion (baseline) to Day 8
Blood Pharmacokinetics (PK): Concentration of total radioactive counts in bloodPK will be evaluated based on concentration of total radioactive counts obtained within defined volumes of blood.Day 1 to Day 8
Blood Pharmacokinetics (PK): Abundance ratio of unmetabolized 89Zr-labeled hNd2(%)To calculate this ratio, the count of metabolites and non-metabolic components is obtainedDay 1 to Day 8
Urine Pharmacokinetics (PK): Concentration of total antibody in urinePK will be evaluated based on concentration of total antibody obtained within defined volumes of urine.Pre-infusion (baseline) to Day 8
Urine Pharmacokinetics (PK): Concentration of total radioactive counts in urinePK will be evaluated based on concentration of total radioactive counts obtained within defined volumes of urine.Day 1 to Day 8
Urine Pharmacokinetics (PK): Radioactivity counts of 89Zr-labeled hNd2 and metabolites componentsRadioactivity counts of 89Zr-labeled hNd2 and metabolites components are measured by magnetic separation, and the abundance ratio of unmetabolized 89Zr-labeled hNd2 (%) will be calculated.Day 1 to Day 8
Biological half-life of the radionuclide (hr)Biological half-life of the radionuclide (hr) will also be estimated.Day 1 to Day 8
Public Safety: Radiation measurementPublic safety will be assessed by acquiring dosimeter readings of a patient following infusion.Day 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Willing and able to provide informed consent. 2. Male or female ≥ 18 years of age. 3. Histologically confirmed diagnosis of pancreatic adenocarcinoma. 4. Willing to provide biopsy specimens for purposes of confirmation of MUC5AC expression. 5. Confirmed MUC5AC expression at pre-screening. 6. Measurable disease. 7. Female patients of child-bearing potential must have a negative serum pregnancy test within 30 days prior to infusion of NMK89. 8. Willing to comply with the study protocol requirements. 9. Willing to provide a tumor resection specimen or biopsy specimen, if the patient undergoes tumor resection or biopsy between Day 16 and Day 60.
    Exclusion Criteria:
    1. Known hypersensitivity to the investigational medicinal product (IMP) or any of the excipients. 2. History of another primary cancer within the 2 years prior to enrollment, except for the curatively treated in situ cancers. 3. Exposure to any investigational treatments within 30 days prior to the planned date of infusion of NMK89. 4. Ongoing toxicity ≥ Grade 2. 5. Pleural effusion or peritoneal fluid ≥ Grade 3. 6. Active hepatitis B, hepatitis C, HIV, or other progressing infectious disease. 7. Uncontrolled diabetes. 8. Autoimmune disease or idiopathic thrombocytopenic purpura. 9. Exposure to any radiopharmaceuticals. 10. Planned antineoplastic therapies on the planned date of NMK89 infusion. 11. Use of bevacizumab or any other anti-angiogenic agent. 12. Uncontrolled intercurrent illness. 13. ECOG PS: ≥ 2. 14. Participants do not have adequate organ and marrow function. 15. Female patients that are pregnant or breast-feeding. 16. Positive urine screen for illegal drugs, or abuse of prescribed drugs at Screening. 17. Participants with contraindications to contrast agent injection used for diagnostic CT. 18. Deemed inappropriate to participate by the investigator.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Nakata N, Kobashi N, Okumura Y, Sato M, Matono M, Otsuki K, Tanaka A, Hayashi A. Radiation dosimetry and efficacy of an 89Zr/225Ac-labeled humanized anti-MUC5AC antibody. Nucl Med Biol. 2022 May-Jun;108-109:33-43. doi: 10.1016/j.nucmedbio.2022.02.003. Epub 2022 Feb 26.
  • Kulkarni HR, Maupin KA, Brennan T, Forsberg J, Rogers D, Olson M, Mancini BR, Chang A, Chandana SR, Kobayashi R. First-in-Human Total-Body PET/CT Imaging Using 89Zr-Labeled MUC5AC Antibody in a Patient with Pancreatic Adenocarcinoma. J Nucl Med. 2024 Nov 1;65(11):1815. doi: 10.2967/jnumed.124.268074. No abstract available.