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Zirconium Zr 89 Girentuximab

Phase 2

Clear Cell Renal Cell Carcinoma | Small molecule | Oncology |Telix Pharmaceuticals Limited|Last Updated: Jun 12, 2025

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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment91
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06447103An Investigational Scan (89Zr-DFO-GmAb PET/CT) Compared to Contrast-Enhanced CT for the Detection of Recurrent Clear Cell Renal Cell Cancer After Surgery Comparing Carbonic Anhydrase IX (CAIX) PET CT to Conventional PET CT for Post-Op Staging in Kidney CancerPHASE2 RECRUITING 91Aug 6, 2024Dec 1, 2030Jun 12, 20251 United States
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Study Endpoints
Primary Endpoints
Lesion detection rate
Up to 16 weeks from surgical resection

Patients will be treated as binary categorization as follows: (i) Patients who have ≥ 1 lesion confirmed to be recurrent disease will be designated positive (recurrence). (ii) Patients with no lesions detected will be designated negative (no recurrence). The analysis of the primary objective will utilize McNemar's test to compare the detection rate between the imaging techniques.

Secondary Endpoints
Incidence of adverse events (AEs)
Up to day 14
Positive predictive value (PPV)
Up to 2 years
Recurrence-free survival
Up to 2 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
Diagnostic (89Zr-DFO-GmAb PET/CT)EXPERIMENTALPatients receive 89Zr-DFO-GmAb IV over 3 minutes on day 0 then undergo whole body PET/CT and SOC diagnostic contrast-enhanced CT scan on day 7. Patients also blood sample collection on study. In addition, patients may undergo bone scan and CT or MRI of the brain on study as clinically indicated.
Interventions
NameTypeDescription
Biospecimen CollectionPROCEDUREUndergo blood sample collection
Bone ScanPROCEDUREUndergo bone scan
Computed TomographyPROCEDUREUndergo CT, PET/CT, and CT of the brain
Magnetic Resonance ImagingPROCEDUREUndergo MRI of the brain
Positron Emission TomographyPROCEDUREUndergo PET/CT
Questionnaire AdministrationOTHERAncillary studies
Zirconium Zr 89 GirentuximabDRUGGiven IV
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Age ≥ 18 * Histologically confirmed clear cell renal cell carcinoma (RCC) (ccRCC) (based on partial/radical nephrectomy/metastasectomy) * For tumors with extensive sarcomatoid features, if there is evidence of areas of clear cell and high CAIX expression throughout the tumo...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06447103primaryCompletionDate: changed
LOWMay 24, 2026NCT06447103studyFirstPostDate: changed