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Trial registered on ANZCTR
Registration number
ACTRN12625000729426
Ethics application status
Approved
Date submitted
18/06/2025
Date registered
8/07/2025
Date last updated
8/07/2025
Date data sharing statement initially provided
8/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of Impact on Management by Zircaix PET/CT (AIMZ PET/CT)
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Scientific title
Assessment of Impact on Management by Zircaix PET/CT in participants with suspected or proven CA-IX-expressing tumours (AIMZ PET/CT)
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Secondary ID [1]
314694
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AIMZ-001-2025
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Universal Trial Number (UTN)
U1111-1324-2923
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Trial acronym
AIMZ
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Renal Cell Carcinoma
337875
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Mesothelioma
337876
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Other suspected solid tumour anticipated to express CAIX
337877
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Condition category
Condition code
Cancer
334206
334206
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0
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Other cancer types
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Cancer
334204
334204
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0
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Kidney
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Cancer
334205
334205
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0
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Lung - Mesothelioma
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
12
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Target follow-up type
Months
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Description of intervention(s) / exposure
This is a prospective, non-randomised study involving patients who will be identified by managing clinicians and referred to the Melbourne Theranostic Innovation Centre for imaging on the Siemens Biograph Vision Quadra for suspected or proven CA-IX-expressing tumours. Patient selection will involve accruing 100 suitable patients into the following three groups:
• Group 1: 30 patients with a presumed or suspected primary diagnosis of ccRCC based on conventional imaging with ultrasound, CT or MRI, including up to 10 individuals with VHL mutation
• Group 2: 20 patients with a presumed or proven diagnosis of mesothelioma
• Group 3: 50 patients evaluated in the post-treatment setting for evaluation of residual mass lesions or assessment of therapeutic response with either ccRCC or mesothelioma or other cancers anticipated to have elevated CA-IX expression
The pretest management decision based on all other available information (treatment intention) will be recorded prior to the PET scan. The actual treatment performed will be reviewed at 6 and 12 months after the scan. The accuracy of the PET scan will be ascertained from the results of other imaging studies, pathological and surgical findings and from clinical outcome including survival. Other correlative imaging studies performed within 2 weeks of the PET and without intervening procedures or treatment that may impact comparability of the scans, will be directly compared with the PET scan to assess the accuracy with which tumour detection is achieved by each modality.
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Intervention code [1]
331300
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To evaluate the impact of 89Zr-Girentuximab PET/CT on clinical management.
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Assessment method [1]
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Comparison of pre-test management plan prospectively assigned by the patient’s managing clinician and subsequent management using standardized impact assignment
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Timepoint [1]
341870
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6months and 12 months after enrolment
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Secondary outcome [1]
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To determine the lesion sensitivity and specificity of 89Zr-Girentuximab PET/CT. This is a composite outcome.
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Assessment method [1]
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Validation by composite standard of truth including pathology, when available, and serial follow-up imaging as clinically appropriate
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Timepoint [1]
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6 months and 12 months after enrolment
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Secondary outcome [2]
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Lesion malignancy on 89Zr-Girentuximab PET/CT
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Assessment method [2]
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Pathology or growth of identified lesions on serial imaging
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Timepoint [2]
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6 months and 12 months after enrolment
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Secondary outcome [3]
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Lesion uptake on 89Zr-Girentuximab PET/CT
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Assessment method [3]
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Use of semi-quantitative analysis of lesions using SUV evaluation
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Timepoint [3]
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Time of scanning
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Eligibility
Key inclusion criteria
• Referred for an 89Zr-girentuximab PET/CT for clinical evaluation.
• For evaluation of histologically proven or strongly suspected malignancy of one of the following types:
o Clear cell renal cell carcinoma (ccRCC)
o Mesothelioma
o Other suspected solid tumour anticipated to express CA-IX
• The patient must have a defined management plan provided by the referring clinician prior to performance of the PET scan.
• The patient must be 18 or older.
• Patient must be able to provide informed consent.
• Expected survival >3 months.
• ECOG status <4.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Is unable to understand or is unwilling to sign a written informed consent documents or to follow investigational procedures in the opinion of the investigator.
• The patient is pregnant or breast feeding.
• Patient is unable to lie supine at least 15 minutes while having the PET scan.
• Has known allergies, hypersensitivity, or intolerance to the investigational drug or its excipients.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2025
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Actual
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Date of last participant enrolment
Anticipated
25/01/2027
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Actual
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Date of last data collection
Anticipated
31/01/2028
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
44322
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3051 - North Melbourne
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Funding & Sponsors
Funding source category [1]
319243
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Commercial sector/Industry
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Name [1]
319243
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Telix Pharmaceuticals
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Address [1]
319243
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Country [1]
319243
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Australia
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Primary sponsor type
Hospital
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Name
Melbourne Theranostic Innovation Centre
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Address
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Country
Australia
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Secondary sponsor category [1]
321830
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None
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Name [1]
321830
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Address [1]
321830
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Country [1]
321830
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317823
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Bellberry Human Research Ethics Committee G
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Ethics committee address [1]
317823
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https://bellberry.com.au/
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Ethics committee country [1]
317823
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Australia
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Date submitted for ethics approval [1]
317823
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16/04/2025
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Approval date [1]
317823
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12/06/2025
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Ethics approval number [1]
317823
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Summary
Brief summary
This study is designed to investigate how a specialised PET/CT scan using 89Zr-girentuximab can assist in detecting and evaluating tumours that express a protein known as CA-IX. The goal is to determine how this scan compares with standard diagnostic approaches and whether it improves treatment planning for certain cancers. Who is it for? This research is suitable for adults aged 18 years and older with a suspected or confirmed diagnosis of clear cell renal cell carcinoma (ccRCC), mesothelioma, or another cancer type expected to express CA-IX. Participants must be medically stable, able to provide informed consent, and have an expected survival of more than three months. Study details Participants referred by their treating doctor will undergo a PET/CT scan using the imaging agent 89Zr-girentuximab at the Melbourne Theranostic Innovation Centre. All eligible participants will receive the scan as part of the study. Clinical teams will compare results from this scan with other routine imaging tests, biopsy results, and clinical outcomes over a 12-month period to assess its accuracy and usefulness. Additional follow-up will involve reviewing medical records and may include phone interviews to evaluate treatment decisions. It is hoped that the result from this study will demonstrate the clinical impact of girentuximab, highlighting its value in the management of patients with CAIX expressing tumours.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Rodney Hicks
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Address
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Melbourne Theranostic Innovation Centre. Level 8, 14-20 Blackwood St. North Melbourne, VIC 3051
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Country
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Australia
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Phone
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+61 03 9454 5804
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Christopher Marinakis
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Address
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Melbourne Theranostic Innovation Centre. Level 8, 14-20 Blackwood St. North Melbourne, VIC 3051
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Country
142267
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Australia
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Phone
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+61 03 9454 5800
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Fax
142267
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Email
142267
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[email protected]
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Contact person for scientific queries
Name
142268
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Jason Callahan
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Address
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Melbourne Theranostic Innovation Centre. Level 8, 14-20 Blackwood St. North Melbourne, VIC 3051
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Country
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Australia
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Phone
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+61 03 9454 5800
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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