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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

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment570

FDA Designations

No designations recorded

Clinical trial landscape

99mTc-MIP-1404 · 5 trials · 1 indication

Phase 3 1Phase 1 4
NCT02615067Study to Evaluate 99mTc-MIP-1404 SPECT/CT Imaging in Men With Biopsy Proven Low-Grade Prostate CancerProstate Cancer
COMPLETED531 Analytics
PHASE3COMPLETED
Study to Evaluate 99mTc-MIP-1404 SPECT/CT Imaging in Men With Biopsy Proven Low-Grade Prostate Cancer
Prostate CancerUnlock trial analytics

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 to 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 254 trials

Frequently asked questions about 99mTc-MIP-1404

What is 99mTc-MIP-1404 used for?

99mTc-MIP-1404 is an investigational small molecule imaging agent being developed for prostate cancer. It is a radiopharmaceutical used with SPECT/CT imaging to visualize prostate cancer lesions. The drug is currently in Phase 3 clinical development and is not yet approved by regulatory authorities.

Who makes 99mTc-MIP-1404?

99mTc-MIP-1404 is being developed by Insight Molecular Diagnostics Inc., a company listed under the ticker IMDX. The company is conducting clinical trials to evaluate the imaging agent in patients with prostate cancer.

What phase is 99mTc-MIP-1404 in?

99mTc-MIP-1404 is currently in Phase 3 clinical development for prostate cancer. It is an investigational agent, meaning it has not yet received regulatory approval and is still being studied in clinical trials to assess its safety and effectiveness.

What clinical trials is 99mTc-MIP-1404 in?

99mTc-MIP-1404 has been studied in five completed clinical trials with a total enrollment of 570 participants. Notable trials include NCT01261754, NCT01572701, NCT01615406, and NCT01654874, all of which were Phase 1 studies in men with prostate cancer. The drug is now in Phase 3 development.

How does 99mTc-MIP-1404 work?

99mTc-MIP-1404 is a small molecule radiopharmaceutical that binds to prostate-specific membrane antigen (PSMA), a protein highly expressed on prostate cancer cells. When labeled with technetium-99m, it enables SPECT/CT imaging to detect and localize prostate cancer lesions.