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Trial Title: PSMA in Gastrointestinal Tumors (GIPSMA, Focusing on Neuroendocrine Neoplasms)

NCT ID: NCT05547919

Condition: Gastrointestinal Cancer

Conditions: Official terms:
Neoplasms
Gastrointestinal Neoplasms
Neuroendocrine Tumors
Digestive System Neoplasms

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: Radiation
Intervention name: 18F-PSMA PET/CT
Description: Patients with metastasized gastrointestinal tumors, that exhibit histological PSMA expression, receive an additional 18F-PSMA PET/CT to routine imaging.
Arm group label: Gastrointestinal tumors histologically positive for PSMA

Summary: The theranostic principle is based on the use of radiolabeled compounds which can be applied for diagnostic molecular imaging and targeted delivery of radiation to the tumor. Gastrointestinal tumors (GIT), including gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) also express a phenotypic biomarker called prostate-specific membrane antigen (PSMA), thereby rendering it a potential diagnostic (through positron emission tomography (PET) scan imaging) and therapeutic target for radioligand therapy. Aim is to evaluate whether PSMA-directed in-vivo imaging can be also applied to GEP-NEN patients to determine if i) biopsy-derived tissue of newly diagnosed patients exhibit a PSMA expression profile, ii) PSMA-PET shows upregulated PSMA expression in-vivo, iii) such a molecular imaging approach identifies more disease sites relative to conventional imaging, and iv) if the PSMA PET signal predicts further clinical course and outcome under guideline-compatible treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients with newly diagnosed GEP-NEN prior to initiation of guideline-compatible, anti-tumor therapy - Available tissue specimen to conduct PSMA expression profiling - Male/female, above 18 years old - Patients must provide written informed consent - Patients must be willing to comply with study procedures and available for follow-up examinations Exclusion Criteria: - Curative setting - Not sufficient tumor tissue available - Male Patients: No prostate carcinoma - Other malignant neoplasms in patient's history - Pregnancy or Breastfeeding - Contraindications for PET/CT

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University Hospital Wuerzburg

Address:
City: Wuerzburg
Zip: 97080
Country: Germany

Status: Recruiting

Contact:
Last name: Alexander M Weich, MD

Phone: +4993120140201
Email: weich_a@ukw.de

Contact backup:
Last name: Rudolf A Werner, MD

Phone: +4993120135001
Email: werner_r1@ukw.de

Start date: October 1, 2022

Completion date: October 1, 2026

Lead sponsor:
Agency: Wuerzburg University Hospital
Agency class: Other

Source: Wuerzburg University Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05547919

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