About this trial
This phase I/II tests the safety, side effects, best dose and how well giving RYZ101 works for the treatment of patients with intracranial meningioma that is growing, spreading, or getting worse (progressive) or that has come back after a period of improvement (recurrent). RYZ101 is a radioactive drug. It binds to a protein called somatostatin receptor, which is found on some neuroendocrine tumor cells. Lutetium Lu 177-dotatate builds up in these cells and gives off radiation that may kill them. It is a type of radioconjugate and a type of somatostatin analog. Giving RYZ101 may be safe, tolerable and/or effective in treating patients with progressive or recurrent intracranial meningioma.
Eligibility criteria
Qualifiers
Male or female patients of age > 18 years
Patients with 68Ga-DOTATATE positive recurrent or progressive meningiomas, any World Health Organization (WHO) grade, who have progressed after first line treatment.
Progressive disease after at least surgical resection and radiotherapy, as defined as an increase in size of the measurable primary lesion (bidirectional area) on imaging by 25% or more between scans separated by no more than 12 months; or
Progressive residual tumor after maximal safe resection, located at or near critical organs at-risk and considered to be high-risk for radiation injury by the treating investigator. Prior external beam radiotherapy is not required for these subjects.
Disqualifiers
Eastern Cooperative Oncology Group (ECOG) performance status > 2
Received radiation therapy to the brain in last 24 weeks
History of hypersensitivity or allergy to Actinium Ac-225 (225Ac), Gallium Ga 68 (68Ga), Copper Cu 64 (64Cu), octreotate, or any of the excipients of DOTATATE imaging agents
Prior radiopharmaceutical therapies (RPT), including radioembolization
Trial design
Treatments tested in this trial
- Actinium Ac 225 DOTATATE RYZ101
- Biospecimen Collection
- Computed Tomography
- Echocardiography Test
- Gallium Ga 68-DOTATATE
- L-lysine/L-arginine-containing Amino Acid
- Magnetic Resonance Imaging
- Multigated Acquisition Scan
- Positron Emission Tomography
- Somatostatin Receptor Positron Emission Tomography
Treatment groups
Sponsors and collaborators
Joshua Palmer
Lead sponsor
Ohio State University Comprehensive Cancer Center
Sponsor institution
RayzeBio, Inc.
Collaborator