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Trial Title: Augmented Whole-body Scanning Via Magnifying PET/CT (AWSM-PET/CT) Techniques Abilities to Improve Upon the Diagnostic Accuracy of the Standard-of-care (SOC) PET/CT for Malignant Lesion Detection

NCT ID: NCT05513027

Condition: Cancer

Conditions: Keywords:
Magnifying PET
virtual-pinhole PET
cancer
FDG PET/CT

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: Augmented Whole-body Scanning via Magnifying PET
Description: -Added at the end of the SOC PET/CT scan. Will take approximately 3-5 minutes longer.
Arm group label: Augmented Whole-body Scanning via Magnifying PET (AWSM-PET)

Other name: AWSM-PET

Intervention type: Device
Intervention name: PET/CT
Description: -Standard of care
Arm group label: Augmented Whole-body Scanning via Magnifying PET (AWSM-PET)

Summary: Fluorodeoxyglucose (FDG)-positron emission tomography (PET)/computed tomography (CT) has been demonstrated to outperform other imaging modalities such as CT and magnetic resonance imaging (MRI) for the detection of metastatic cancers. Therefore, it is currently used for cancer staging, re-staging, and for monitoring response to therapy for many types of cancers. Major advances in PET imaging came to the field in 2016, 2020, 2021 and 2023 when the FDA approved additional PET imaging agents to expand the role of cancer detection to include prostate and neuroendocrine cancers. Despite its wide use and success, the diagnostic accuracy of PET/CT is suboptimal for lesions that are significantly smaller than 1 cm due primarily to limitations on image resolution and system sensitivity. The investigators have developed an Augmented Whole-body Scanning via Magnifying PET (AWSM-PET) technology that can improve the image resolution and system sensitivity of current and future PET/CT scanners. This study will evaluate preliminarily whether the AWSM-PET/CT technology can provide additional high-resolution PET/CT images displayed concurrently with the standard of care PET/CT images to improve overall accuracy in depicting malignant lesions in cancer patients.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Adult patient 18 years of age or older - Patient with suspected or pathologically confirmed diagnosis of carcinoma scheduled to undergo standard of care (SOC) PET/CT for initial diagnosis, initial staging, or suspected recurrence. Preference is to enroll those subjects who will undergo biopsy or surgical resection prior to other cancer treatment. - Willing to undergo PET/CT imaging with AWSM-PET. - Patients of child-bearing potential must have a negative urine pregnancy test on the day of the PET/CT scan. Postmenopausal women who self-report as amenorrheic for at least 12 consecutive months are to be considered not of child-bearing potential. - Patients must be able to understand and sign an IRB-approved informed consent form that allows access to prior medical records, participation in the study and chart review follow up. - Patients are able to tolerate up to approximately 30 min of PET imaging. Exclusion Criteria: - For FDG PET/CT only: Patients who have poorly controlled diabetes (fasting blood glucose > 200 mg/dL obtained directly prior to FDG administration for PET/CT scan) - Patients whose weight is over 250 lbs or whose body habitus prohibits the AWSM-PET insert device from being placed at the end of the imaging field of view

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Washington University School of Medicine

Address:
City: Saint Louis
Zip: 63110
Country: United States

Status: Recruiting

Contact:
Last name: Yuan-Chuan Tai, Ph.D.

Phone: 314-362-8429
Email: taiy@wustl.edu

Investigator:
Last name: Yuan-Chuan Tai, Ph.D.
Email: Principal Investigator

Investigator:
Last name: Farrokh Dehdashti, M.D.
Email: Principal Investigator

Investigator:
Last name: Amin Jahromi, M.D.
Email: Sub-Investigator

Investigator:
Last name: Matthew Powell, M.D.
Email: Sub-Investigator

Investigator:
Last name: Bryan Meyers, M.D.
Email: Sub-Investigator

Investigator:
Last name: Varun Puri, M.D.
Email: Sub-Investigator

Investigator:
Last name: Richard Laforest, Ph.D.
Email: Sub-Investigator

Investigator:
Last name: Ningying Wu, M.D., Ph.D.
Email: Sub-Investigator

Start date: March 6, 2024

Completion date: May 31, 2027

Lead sponsor:
Agency: Washington University School of Medicine
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Washington University School of Medicine

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05513027
http://www.siteman.wustl.edu

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