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99mTc-MIP-1404

Phase 3

Prostate Cancer | Small molecule | Oncology |Insight Molecular Diagnostics Inc.|Last Updated: Apr 10, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment570
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02615067Study to Evaluate 99mTc-MIP-1404 SPECT/CT Imaging in Men With Biopsy Proven Low-Grade Prostate CancerPHASE3 COMPLETED 531Dec 1, 2015Dec 28, 2017Apr 10, 201945 United States, Canada
NCT0165487499mTc-MIP-1404 for Imaging Prostate Cancer: Phase I Clinical Study to Assess the Image Quality of a Simplified Kit Formulation Compared to a Multi-step Preparation of 99mTc-MIP-1404PHASE1 COMPLETED 6Jul 1, 2012 -Nov 25, 20151 United States
NCT01615406A Phase 1 Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging to Histology in Men With Prostate CancerPHASE1 COMPLETED 9Apr 1, 2012 -Nov 25, 20151 United States
NCT01572701Pilot Study of 99mTc-MIP-1404 SPECT/CT Imaging in Men With Prostate Cancer Undergoing Prostatectomy and/or Pelvic Lymph Node DissectionPHASE1 COMPLETED 8Jan 1, 2012 -Nov 25, 20151 United States
NCT01261754A Study of 99mTc-MIP-1404 and 99mTc-MIP-1405 in Patients With Metastatic Prostate Adenocarcinoma and Healthy VolunteersPHASE1 COMPLETED 16Dec 1, 2010 -Nov 25, 20151 United States
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Study Endpoints
Primary Endpoints
Specificity of 99mTc-MIP-1404 to detect clinically significant prostate cancer when compared to histopathology following either RP [Cohort A] or prostate biopsy [Cohort B]
Within 3-6 hours of dosing, SPECT/CT and whole body planar images will be taken

Tissue distribution of 99mTc-MIP-1404 SPECT/CT imaging in tumor and non-tumorous regions of the prostate and pelvic lymph nodes, if applicable, (as determined by histopathology) in patients undergoing RP (with or without extended pelvic lymph node dissection) or routine prostate biopsy. Pathology results will be used as the truth standard for all imaging analyses.

Sensitivity of 99mTc-MIP-1404 to detect clinically significant prostate cancer when compared to histopathology following either RP [Cohort A] or prostate biopsy [Cohort B]
Within 3-6 hours of dosing, SPECT/CT and whole body planar images will be taken

Tissue distribution of 99mTc-MIP-1404 SPECT/CT imaging in tumor and non-tumorous regions of the prostate and pelvic lymph nodes (as determined by histopathology) in patients undergoing standard of care prostatectomy with or without extended pelvic lymph node dissection. Pathology results will be used as the truth standard for all imaging analyses.

To assess the image quality of a simplified kit formulation of 99mTc-MIP-1404 (study drug) compared to a multi-step preparation of 99mTc-MIP-1404 in patients with confirmed metastatic prostate adenocarcinoma and in healthy volunteers
Whole-body planar scintigraphic images will be acquired at 30 min, 2 and 4 hours post administration. A pelvic SPECT/CT image will be acquired at 3 hours post study drug administration
Tissue distribution of 99mTc-MIP-1404 SPECT/CT imaging in tumor and non-tumorous regions of the prostate
Within 3-6 hours of dosing SPECT/CT images will be taken

Tissue distribution of 99mTc-MIP-1404 SPECT/CT imaging in tumor and non-tumorous regions of the prostate (as determined by histopathology) in patients undergoing standard of care prostatectomy

Tissue distribution of 20 (± 3) mCi 99mTc-MIP-1404
Post-procedure

99mTc-MIP-1404 image data will be evaluated for visible uptake and compared with histopathology.

Safety of Administered dose
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)

The safety data will be summarized for all patients receiving at least one dose of study drug. Summary tables, including change from pre dose to post dose where applicable, will be presented for the following safety endpoints: * Treatment emergent adverse events * Clinical Laboratory Evaluations * Physical examination, vital signs, and ECGs

Pharmacokinetics of Administered Dose
From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)

Standard PK parameters of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be calculated, including but not limited to: clearance, distribution half-life, elimination half-life, mean residence time and maximum concentration. These PK parameters will be listed by subject and summarized. Blood clearance and urinary recovery over time will be displayed in figures. Urine metabolites and impurities of 99mTc-MIP-1404 and 99mTc-MIP-1405 will be listed by subject and summarized. The PK population will be used in the analysis of pharmacokinetics and metabolism.

Biodistribution of Administered Dose
: From the time of signed ICF through 2 weeks post injection of the second study drug administration (up to 8 weeks total for each subject)

Percent of injected activity (%IA) in a set of source organs will be determined by comparing a reference whole body scan to subsequent whole body scans to determine percentage of administered activity for source organs at the various scanning times. This biodistribution data will then be used to mathematically model source organ residence times, which will be used to estimate radiation absorbed dose to target organs. Percent injected activity and estimated residence times will be summarized by organ.

Secondary Endpoints
Sensitivity of 99mTc-MIP-1404 in prostate segments as compared to histopathology following RP [Cohort A only]
Within 3-6 hours of dosing, SPECT/CT and whole body planar images will be taken
Specificity of 99mTc-MIP-1404 in prostate segments as compared to histopathology following RP [Cohort A only]
Within 3-6 hours of dosing, SPECT/CT and whole body planar images will be taken
Clinical safety of 99mTc-MIP-1404
Changes in vital signs and clinical laboratory test results from time of screening until pre-surgery (Day 0 - 42). Treatment-emergent adverse events from study drug injection until pre-surgery or pre-biopsy (within 42 days)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
99mTc-MIP-1404 InjectionEXPERIMENTAL20 ± 3 millicurie (mCi) intravenous (IV) injection of 99mTc-MIP-1404
Preparation AEXPERIMENTAL20 (±3) mCi 99mTc-MIP-1404 (preparation A)
Preparation BEXPERIMENTAL20 (±3) mCi 99mTc-MIP-1404 (preparation B)
Drug: 99mTc-MIP-1404EXPERIMENTAL20 ±3 mCi intravenous (IV) injection of 99mTc MIP 1404
20 (±3) mCi of study drugEXPERIMENTAL -
Metastatic prostate adenocarcinomaACTIVE_COMPARATOR -
Healthy VolunteersACTIVE_COMPARATOR -
Newly Diagnosed, High-Risk Prosate Cancer PatientsACTIVE_COMPARATOR -
Interventions
NameTypeDescription
99mTc-MIP-1404 InjectionDRUGA single dose of 20 (±3) mCi intravenous (IV) injection of 99mTc-MIP-1404.
Whole-Body Planar and pelvic SPECT/CT scanDIAGNOSTIC_TESTA whole-body planar and pelvic SPECT/CT scan will be obtained 3-6 hours after injection of 99mTc-MIP-1404.
99mTc-MIP-1404DRUG -
99mTc MIP 1404DRUGA single dose of 20 ±3 mCi intravenous (IV) injection of 99mTc MIP 1404
99mTc MIP 1405RADIATIONSubjects will be administered a single 20 (± 3) mCi intravenous (IV) injection of 99mTc MIP 1405
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites45

INCLUSION CRITERIA: * Ability to provide informed consent and willingness to comply with protocol requirements * Life expectancy ≥ 6 months Cohort A only: * A diagnostic trans-rectal ultrasound (TRUS)-guided biopsy within 12 months of enrollment showing adenocarcinoma of the prostate gland * With...

Countries:United StatesCanada
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Competitive Landscape -Prostate Cancer 259 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK7PHASE3Pembrolizumab, Enzalutamide, Ifinatamab deruxtecan, Docetaxel, Prednisone
AstraZeneca PLCAZN20PHASE3olaparib, abiraterone, Saruparib, Abiraterone, Darolutamide
Pfizer Inc.PFE12PHASE3Talazoparib with enzalutamide, PF-06821497, Docetaxel, Enzalutamide, Leuprolide Open Label
Johnson & JohnsonJNJ21PHASE3Apalutamide, Androgen Deprivation Therapy, Niraparib, Abiraterone, Prednisone
Eli Lilly and CompanyLLY9PHASE3Abemaciclib, Abiraterone, Prednisone or Prednisolone, -PNT2002, Enzalutamide
Amgen Inc.AMGN7PHASE3Xaluritamig, Abiraterone, Enzalutamide, Cabazitaxel, Docetaxel
Novartis AG Sponsored ADRNVS28PHASE3177Lu-PSMA-617, 68Ga-PSMA-11, ARDT, ADT, AAA617
Exelixis, Inc.EXEL4PHASE3Cabozantinib, Atezolizumab, Abiraterone, Enzalutamide, Prednisone
Candel Therapeutics, Inc.CADL3PHASE3Aglatimagene besadenovec + valacyclovir, aglatimagene besadenovec, valacyclovir, aglatimagene besadenovec + valacyclovir
Bristol-Myers Squibb CompanyBMY2PHASE3BMS-986365, Enzalutamide, Abiraterone, Docetaxel, Predinsone/Prednisolone
BioNTech SE Sponsored ADRBNTX1PHASE3BNT324, Docetaxel, Prednisone/prednisolone
Telix Pharmaceuticals Limited Sponsored ADRTLX3PHASE368Ga-PSMA-11, 177Lu-TLX591, Enzalutamide, Abiraterone, Docetaxel
Sanofi SA Sponsored ADRSNY2PHASE3abiraterone, Docetaxel, Cabazitaxel
Regeneron Pharmaceuticals, Inc.REGN4PHASE2REGN2810, Degarelix, Leuprolide, Docetaxel, BPX-601
Veracyte, Inc.VCYT2PHASE2Darolutamide, Zoladex, Zoladex LA, Decapeptyl sustained release, Depo-Eligard
Kyntra Bio, Inc.KYNB2PHASE2FG-3246, FOR46, Enzalutamide, Pegfilgrastim
Lantheus Holdings IncLNTH3PHASE3Undisclosed
IDEAYA Biosciences, Inc.IDYA3PHASE1IDE-161, Pembrolizumab, IDE034, IDE574, Fulvestrant
Xencor, Inc.XNCR1PHASE2vudalimab
GSK plc Sponsored ADRGSK2PHASE1GSK5471713, GSK5458514
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