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OncoMatch/Clinical Trials/NCT06447103

An 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 Cancer

Is NCT06447103 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Zirconium Zr 89 Girentuximab for clear cell renal cell carcinoma.

Phase 2RecruitingJonsson Comprehensive Cancer CenterNCT06447103Data as of May 2026

Treatment: Zirconium Zr 89 GirentuximabThis phase II trial compares the safety and effectiveness of 89Zr-DFO-GmAb positron emission tomography (PET)/computed tomography (CT) compared to contrast-enhanced CT after surgery in detecting clear cell renal cell cancer that has come back (recurrent). For some patients, the risk of recurrence after surgery remains high. Conventional CT methods, such as contrast-enhanced CT, may not detect small volume or micrometastatic disease. PET/CT with radiotracers, such as 89Zr-DFO-GmAb, may improve detection of tumor cells. Girentuximab (GmAb), a monoclonal antibody, is tagged with zirconium-89, a radioactive atom (which is also known as an isotope). The zirconium-89 (89Zr) isotope is attached to girentuximab with desferrioxamine (DFO) and this combined product is called 89Zr-DFO-girentuximab. 89Zr-DFO-girentuximab attaches itself to a protein on the surface of clear cell renal cell tumor cells called CAIX. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research, 89Zr-DFO-GmAb. Because some cancers, including clear cell renal cell cancer, take up 89Zr-DFO-GmAb it can be seen with PET. CT utilizes x-rays that traverse body from the outside. CT images provide an exact outline of organs and potential inflammatory tissue where it occurs in patient's body. Using contrast agents with CT scan to enhance the images (contrast-enhanced CT) is standard of care imaging. 89Zr-DFO-GmAb PET/CT may be safe and effective compared to contrast-enhanced CT in detecting recurrent clear cell renal cell cancer after surgery.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Biomarker criteria

Required: CA9 high expression (high)

Disease stage

Required: Stage II, III, IV

Grade: 4

Prior therapy

Must have received: surgery — definitive treatment of primary tumor (partial/radical nephrectomy) +/- resection of metastatic disease to no evidence of disease (NED)

Subjects must have undergone definitive treatment of their primary tumor (partial/radical nephrectomy) +/- resection of metastatic disease to no evidence of disease (NED) with a prior nephrectomy < 2 years)

Cannot have received: systemic therapy for kidney cancer (PD-1, PD-L1, tyrosine kinase inhibitor, TOR inhibitor)

Prior use of systemic therapy treatment for kidney cancer (PD-1, PD-L1, tyrosine kinase or TOR inhibitor) or radiotherapy within 4 weeks of enrollment

Cannot have received: radiotherapy

Prior use of systemic therapy treatment for kidney cancer (PD-1, PD-L1, tyrosine kinase or TOR inhibitor) or radiotherapy within 4 weeks of enrollment

Lab requirements

Kidney function

estimated glomerular filtration rate (gfr) > 30 ml/min/1.73m^2

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UCLA / Jonsson Comprehensive Cancer Center · Los Angeles, California

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