Zopocianine for Prostate Cancer

Not yet recruiting at 1 trial location
BG
Overseen ByBrandon Garver
Age: 18+
Sex: Male
Trial Phase: Phase 2 & 3
Sponsor: Clinton Bahler
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug called Zopocianine, used with special imaging to identify cancerous tissue in men with prostate cancer. Researchers aim to determine the optimal dose and timing of the drug to enhance cancer detection during surgery. The trial seeks men diagnosed with prostate cancer who are scheduled for surgery. Candidates who have undergone a PSMA-PET scan for surgical planning in the past year may be suitable.

As a combined Phase 2 and Phase 3 trial, this study measures the treatment's effectiveness in an initial group and represents the final step before FDA approval. Participants have the opportunity to contribute to advancements in prostate cancer detection.

Is there any evidence suggesting that Zopocianine (OTL78) is likely to be safe for humans?

Research has shown that Zopocianine (OTL78) is generally safe for people. Studies found it safe for patients with prostate cancer, with no major side effects reported. This suggests the treatment is safe to use. Additionally, Zopocianine may help doctors better detect prostate cancer during surgery, offering an extra benefit beyond its safety.12345

Why do researchers think this study treatment might be promising?

Most treatments for prostate cancer, like surgery, radiation, and hormone therapy, focus on removing or reducing cancer cells. But Zopocianine is different. This treatment uses a special dye, OTL78, that lights up cancer cells when exposed to near-infrared (NIR) light, helping surgeons see and target cancerous tissues more precisely during surgery. Researchers are excited about this because it could lead to more successful surgeries by ensuring all cancer cells are removed, potentially reducing the chance of cancer coming back and improving patient outcomes.

What evidence suggests that Zopocianine might be an effective treatment for prostate cancer?

Research has shown that Zopocianine (OTL78) helps doctors see cancerous tissue more clearly during prostate surgery. Studies have found that it works well with Near InfraRed (NIR) imaging to highlight cancer cells. In this trial, participants will receive a single dose of 0.06 mg/kg Zopocianine before surgery. Patients in earlier studies tolerated OTL78 well, indicating its safety. The treatment effectively identified prostate tumors, the edges of tissue removed during surgery, and any remaining cancer. These findings suggest that using Zopocianine may enhance the accuracy of prostate cancer surgeries.13467

Who Is on the Research Team?

CB

Clint Bahler, MD

Principal Investigator

Indiana University

Are You a Good Fit for This Trial?

This trial is for men aged 18 or older with confirmed prostate cancer who are scheduled for robotic prostate removal and lymph node surgery. Participants must have certain cancer features, be able to follow study rules, use birth control, and not have serious heart, kidney, liver issues or allergies to the study drug.

Inclusion Criteria

I have prostate cancer with high grade, spread outside the prostate, or lymph node involvement.
Provision of signed and dated informed consent and HIPAA form
I am scheduled for robotic prostate removal and lymph node surgery.
See 4 more

Exclusion Criteria

Patients with QTc interval ≥ 470 msec per ECG at screening calculated via Bazett formula
I have had an allergic reaction to ZOPOCIANINE or its ingredients.
Significant acute or chronic medical, neurologic, or other illness that could compromise safety, study completion, or study objectives as judged by Principal Investigator
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Pre-surgery Preparation

Participants receive a single dose of 0.06mg/kg ZOPOCIANINE 1-7 days prior to surgery for NIR fluorescent imaging

1-7 days

Surgery

Participants undergo laparoscopic radical prostatectomy with pelvic lymph node dissection using NIR fluorescent imaging

1 day

Follow-up

Participants are monitored for safety and effectiveness after treatment, including incidence rates of AEs and SAEs

6 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Zopocianine (OTL78)

Trial Overview

The study tests a single dose of Zopocianine (OTL78) given before surgery along with special imaging to help surgeons better find cancerous tissue during prostate removal in men with prostate cancer.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: 0.06mg/kg ZOPOCIANINE given 1-7 days prior to surgeryExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Clinton Bahler

Lead Sponsor

Trials
3
Recruited
80+

On Target Laboratories, LLC

Industry Sponsor

Trials
8
Recruited
470+

Indiana University

Collaborator

Trials
1,063
Recruited
1,182,000+

Citations

First-in-patient study of OTL78 for intraoperative ...

This first-in-patient study showed that OTL78 was well tolerated and had the potential to improve prostate cancer detection. Optimal dosing was 0·03 mg/kg, 24 h ...

OTL78 Shows Safety, Feasibility in PSMA+ Prostate ...

OTL78 appears to help in identifying prostate tumors, surgical margins, residual disease in the resection bed, and nodal metastases during ...

First-in-patient study of OTL78 for intraoperative ...

This first-in-patient study showed that OTL78 was well tolerated and had the potential to improve prostate cancer detection. Optimal dosing ...

NCT06849544 | Phase II Trial to Investigate the Safety and ...

This study is being done to compare how well Zopocianine (OTL78) in combination with Near InfraRed (NIR) fluorescent imaging may improve the detection of ...

Zopocianine for Cancer Detection · Info for Participants

This trial tests how well the new drug Zopocianine (administered as OTL78 Injection) aids doctors in identifying cancerous tissue during prostate cancer ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37062295/

First-in-patient study of OTL78 for intraoperative ...

This first-in-patient study showed that OTL78 was well tolerated and had the potential to improve prostate cancer detection. Optimal dosing was ...

Study shows feasibility of PSMA-directed fluorescence ...

“Our data show the safety and feasibility of OTL78 for PSMA-targeted fluorescence-guided surgery in patients with prostate cancer. OTL78 can ...