A Performance Study of SGM-101, a Fluorochrome-labeled Anti-carcinoembryonic Antigen Monoclonal Antibody for Fluorescence-guided Imaging to Determine Local Extent and Resectability During Surgical Resection of Pancreatic Ductal Adenocarcinoma After Neoadjuvant Treatment

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

Pancreatic carcinoma has a dismal prognosis at time of diagnosis, due to late onset of clinical symptoms, patients present with advance disease. Complete surgical resection is the only potential curative treatment, however only a small percentage is eligible for upfront total surgical resection due to extension into anatomical related important vascular structures. Neoadjuvant chemo(radio)therapy has become the standard treatment modality for non-primary resectable disease (borderline resectable and locally advanced pancreatic cancer (LAPC)), where subsequent downstaging can make identification of the primary tumor more challenging during surgery. Near-infrared (NIR) fluorescence imaging can aid surgeons by providing real-time visualization of tumors, suspect lymph nodes and vital structures during surgery. Additional intra-operative feedback could possibly reduce the frequency of positive resection margins and increase complete removal of locally spread tumor and involved lymph nodes and could thereby improve patient outcomes as well as overall survival. SGM-101 is a targeted NIR-fluorophore, with specific binding capacity for Carcino Embryonic Antigen (CEA) which is overexpressed on tumor cells in the gastro-intestinal tract, including pancreatic cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
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⁃ Part A: To be eligible for inclusion in this study, patients must meet all of the following criteria:

• Signed informed consent prior to any study-mandated procedure;

• Patients aged over 18 years old;

• Has the ability to communicate well with the Investigator in the Dutch/English language and willing to comply with the study restrictions.

• Neoadjuvant treated (borderline) resectable or locally advanced pancreatic cancer scheduled for a surgical resection

⁃ Part B: To be eligible for inclusion in this study, healthy volunteers must meet all of the following criteria:

• Signed informed consent prior to any study-mandated procedure;

• Patients aged over 18 years old;

• Has the ability to communicate well with the Investigator in the Dutch/English language.

Locations
Other Locations
Netherlands
Leiden University Medical Center
RECRUITING
Leiden
Time Frame
Start Date: 2024-03-18
Estimated Completion Date: 2026-12
Participants
Target number of participants: 20
Treatments
Experimental: 10mg, administered 3-5 days before surgery
Drug: SGM-101 Intravenous single injection of the targeted NIR fluorophore SGM-101. This targeted 700nm fluorophore developed by SurgiMab S.A.S., Montpellier, France.~Device: Intraoperative near-infrared fluorescence imaging Intraoperative imaging will be performed with the following CE-marked near-infrared (NIR) fluorescence imaging system: Quest Spectrum imaging platform (v2/3.0). With a NIR-imaging system a potential fluorescent signal of the tumor can be evaluated. Furthermore, the Quest Spectrum platform will also be used for evaluation of ex-vivo fluorescence of resected tissue on the back table (Back table imaging) and pathology department (ex-vivo imaging), which shall be performed during and after every procedure.
Sponsors
Collaborators: Surgimab, Dutch Cancer Society
Leads: Leiden University Medical Center

This content was sourced from clinicaltrials.gov