Advanced Malignant Neoplasm
Conditions
Brief summary
The purpose of this study is to evaluate the retention in tumour and distribution behavior of \[Lu-177\]-Catalase after intratumoral injection,and preliminary evaluation the efficacy and safety of \[Lu-177\]-Catalase.
Detailed description
After being informed about the study and potential risks, all patients giving written informed consent will undergo a 2-week screening period to determine eligibility for study entry. At day1, patients who meet the eligibility requirements will be intratumoral injection the \[Lu-177\]-Catalase.The efficacy evaluation will be conducted at one month p.i., whether to continue intratumoral injection the \[Lu-177\]-Catalase, depending on the patient's efficacy and safety results.
Interventions
\[ 177Lu\]-Catalase is administered by intratumoral puncture every four weeks, and the specific dose is related to the size of the tumor
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or female patients, aged 18-70 years; ECOG score 0 or 1; 2. Patients with advanced malignant tumors, such as liver cancer, ovarian cancer, prostate cancer, and so on, clearly diagnosed by pathology and/or cytology; 3. Patients with advanced solid tumors who have failed or cannot tolerate standard treatment; 4. Expected survival of more than 3 months; 5. According to the solid tumor efficacy evaluation criteria , the patient had at least one measurable or evaluable tumor lesion with the longest diameter ≥10 mm at baseline (in the case of lymph nodes, the short diameter ≥15 mm). This lesion is suitable for intratumoral injection (the length of the lesion is at least 1 cm or equal). 6. Blood routine and liver and kidney function meet the following criteria: Blood routine: WBC≥4.0×109L or neutrophil ≥1.5×109L, PLT≥100×109/L, Hb≥90g/L; PT or APTT≤1.5ULN; Liver and kidney function: T-Bil≤1.5×ULT(upper limit of normal),ALT/AST≤2.5ULN or ≤5×ULT(subjects with liver metastasis), ALP≤2.5ULN(ALP≤ 4.5ULN if there is bone metastasis or liver metastasis); BUN≤1.5×ULT, SCr≤1.5×ULT; 7. Women must use effective contraception during the study period and for 6 months after the study (effective contraception means sterilization, intrauterine hormone devices, condoms, contraceptives/pills, abstinence or partner vasectomy, etc.); Men should consent to subjects who must use contraception during the study period and for 6 months after the end of the study period; 8. Can understand and voluntarily sign informed consent, compliance is good The
Exclusion criteria
1. Severe abnormal liver and kidney function; 2. Pregnant, pregnant and lactating women; 3. Can not lie flat for half an hour; 4. Refuse to join the clinical investigator; 5. Suffering from claustrophobia or other mental illness; 6. Other conditions deemed unsuitable for participation in the trial by the investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The absorbed radiation dose of tumor and normal organs | From first dose of study drug through 8 weeks post dose | Calculation of effective absorbed dose of tumor in situ injection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preliminary efficacy of [ Lu-177]-Catalase based on tumor response | From first dose of study drug through 8 weeks post dose | Tumor volume based on RECIST 1.1. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adverse events for [ Lu-177]-Catalase | From first dose of [ Lu-177]-Catalase through 8 weeks post dose. | Occurrence of adverse events for \[ Lu-177\]-Catalase |
Countries
China