Brief Title
Prospective Exploratory Study of FAPi PET/CT With Histopathology Validation in Patients With Various Cancers
Official Title
PET Biodistribution Study of 68Ga-FAPI-46 in Patients With Different Malignancies: An Exploratory Biodistribution Study With Histopathology Validation
Brief Summary
This exploratory study investigates how an imaging technique called 68Ga-FAPi-46 PET/CT can determine where and to which degree the FAPI tracer (68Ga-FAPi-46) accumulates in normal and cancer tissues in patients with cancer. Because some cancers take up 68Ga-FAPi-46 it can be seen with PET. FAP stands for Fibroblast Activation Protein. FAP is produced by cells that surround tumors (cancer associated fibroblasts). The function of FAP is not well understood but imaging studies have shown that FAP can be detected with FAPI PET/CT. Imaging FAP with FAPI PET/CT may in the future provide additional information about various cancers.
Detailed Description
PRIMARY OBJECTIVE: I. To define the biodistribution of gallium Ga 68 fibroblast activation protein inhibitor (FAPi)-46 (68Ga-FAPi-46) in normal and cancer tissues of patients with various malignancies. SECONDARY OBJECTIVES: I. To evaluate the degree of 68Ga-FAPi-46 accumulation observed by positron emission tomography (PET) imaging as opposed to the amount of FAP in excised cancer tissue. II. To assess the 68Ga-FAPI-46 biodistribution correlation with 18F-FDG biodistribution and to define the frequency of the following phenotypes (FAP+/ FDG+, FAP-/ FDG+, FAP+/ FDG-, FAP-/ FDG-) EXPERIMENTAL OBJECTIVE: To assess the correlation of 68Ga-FAPI-46 biodistribution with 68Ga-DOTATATE or 18F-DOPA (FDOPA), depending on the specific indication in patients who had them available OUTLINE: Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Study Phase
Phase 1
Study Type
Interventional
Primary Outcome
Biodistribution of gallium 68Ga-FAPi-46 in normal and cancer tissues
Secondary Outcome
68Ga-FAPi-46 accumulation observed by positron emission tomography (PET)/computed tomography (CT)
Condition
Bladder Carcinoma
Intervention
Computed Tomography
Study Arms / Comparison Groups
Basic science (68GA-FAPI-46 PET/CT)
Description: Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Procedure
Estimated Enrollment
30
Start Date
August 27, 2020
Completion Date
July 1, 2024
Primary Completion Date
July 1, 2023
Eligibility Criteria
Inclusion Criteria: - Patients with the following cancer types: - Brain cancer - Bladder cancer - Urothelial cancer - Testicular cancer - Skin cancer - Thyroid cancer - Hepatocellular carcinoma - Cholangiocarcinoma - Thymus cancer - Pleural cancer - Cervical cancer - Adrenal cancer - Neuroendocrine tumors - Hematologic cancer - Cancer of Unkown Primary - Patients who are scheduled to undergo surgical resection or tissue biopsy of the primary tumor and/or metastasis - Patients are ≥ 18 years old at the time of the radiotracer administration. - Patient can provide written informed consent - Patient is able to remain still for duration of imaging procedure (up to one hour) Exclusion Criteria: - Patient is pregnant or nursing - Patients with any new cancer therapy between the baseline PET/CT and the investigational FAPI PET/CT - Patient has underlying disease which, based on the judgment of the investigator, might interfere with the collection of high quality data
Gender
All
Ages
18 Years - N/A
Accepts Healthy Volunteers
No
Contacts
Jeremie Calais, 310-206-7372, [email protected]
Location Countries
United States
Location Countries
United States
Administrative Informations
NCT ID
NCT04459273
Organization ID
20-000630
Secondary IDs
NCI-2020-03766
Responsible Party
Sponsor
Study Sponsor
Jonsson Comprehensive Cancer Center
Study Sponsor
Jeremie Calais, Principal Investigator, UCLA / Jonsson Comprehensive Cancer Center
Verification Date
July 2022