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Trial Title: 68Ga-FAPI-RGD PET/CT Imaging in the Lung Cancer Patients

NCT ID: NCT05543954

Condition: Lung Neoplasms

Conditions: Official terms:
Lung Neoplasms
Fluorodeoxyglucose F18

Study type: Interventional

Study phase: Early Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: 68Ga-FAPI-RGD
Description: Intravenous injection of 68Ga-FAPI-RGD with a dosage of approximately 1.8-2.2 MBq (0.05-0.06 mCi)/kg.
Arm group label: 68Ga-FAPI-RGD and 18F-FDG PET/ CT scan
Arm group label: 68Ga-FAPI-RGD and 68Ga-FAPI PET/ CT scan
Arm group label: 68Ga-FAPI-RGD and 68Ga-RGD PET/ CT scan

Other name: 68Ga-FAPI-RGD injection

Intervention type: Drug
Intervention name: 18F-FDG
Description: Intravenous injection of 18F-FDG with a dosage of approximately 3.7-5.55 MBq (0.1-0.15 mCi)/kg.
Arm group label: 68Ga-FAPI-RGD and 18F-FDG PET/ CT scan

Other name: 18F-FDG injection

Intervention type: Drug
Intervention name: 68Ga-FAPI
Description: Intravenous injection of 68Ga-FAPI with a dosage of approximately 1.8-2.2 MBq (0.05-0.06 mCi)/kg.
Arm group label: 68Ga-FAPI-RGD and 68Ga-FAPI PET/ CT scan

Other name: 68Ga-FAPI injection

Intervention type: Drug
Intervention name: 68Ga-RGD
Description: Intravenous injection of 68Ga-RGD with a dosage of approximately 1.8-2.2 MBq (0.05-0.06 mCi)/kg.
Arm group label: 68Ga-FAPI-RGD and 68Ga-RGD PET/ CT scan

Other name: 68Ga-RGD injection

Summary: Based on the high expression of specific receptors on the surface of diseased tissues and neovascularization, noninvasive targeted molecular imaging can be used to visualize lesions in vitro by combining specific ligands labeled with short half-life isotopes. Lung cancer tissues express fibroblast activating protein FAP, and also have high expression of integrin αVβ3 receptor on the surface of blood vessels. In this study, a novel dual-target imaging agent 68Ga-FAPI-RGD was used for PET/CT imaging of lung cancer.

Detailed description: Conventional 18F-FDG PET/CT has important diagnostic value in cell metabolism level, early metastasis, judging malignant potential and prognosis of tumors. It has been routinely used for staging and restaging of most tumors, but there are still some tumors with low uptake of 18F-FDG PET/CT. Moreover, 18F-FDG cannot distinguish between tumors and inflammatory diseases, such as tuberculosis and granuloma. Receptor imaging with a single target also has some limitations in clinical application. For example, not all diseased cells express a large amount of single receptor on the surface, which greatly affects the judgment of the nature of the lesion. The dual-target molecular imaging based on FAP expressed in the lesion site and integrin αvβ3 receptor highly expressed on the surface of the lesion neovascularization will overcome the above limitations and make full use of the advantages of the dual-target molecular imaging, which will greatly assist the diagnosis of malignant tumors such as lung cancer. In this study, a novel dual-target imaging agent 68Ga-FAPI-RGD was used for PET/CT imaging of lung cancer, compared with conventional 18F-FDG, or single target imaging agent 68Ga-RGD or 68Ga-FAPI PET/CT imaging.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - patients with confirmed or suspected lung cancer; - 68Ga-FAPI-RGD and 18F-FDG(or 68Ga-FAPI or 68Ga-RGD) PET/CT within 2 week; - signed written consent. Exclusion Criteria: - pregnancy; - breastfeeding; - any medical condition that in the opinion of the investigator may significantly interfere with study compliance.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Peking Union Medical College Hospital

Address:
City: Beijing
Country: China

Status: Recruiting

Contact:
Last name: Zhaohui Zhu, MD,PHD

Phone: 86+13611093752
Email: 13611093752@163.com

Start date: September 3, 2022

Completion date: December 31, 2025

Lead sponsor:
Agency: Peking Union Medical College Hospital
Agency class: Other

Source: Peking Union Medical College Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05543954

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