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Trial Title: [18F]FAPI PET/CT in Suspicious Focal Liver Lesions Without FDG Avidity

NCT ID: NCT05806333

Condition: Liver Cancer

Conditions: Official terms:
Liver 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: Diagnostic Test
Intervention name: FAPI PET
Description: Drug: 18F-FAPI 18F-FAPI were injected into the patients before the PET/CT scans
Arm group label: suspicious focal liver mass without FDG avidity

Summary: Fibroblast activation protein (FAP) is a serine protease that belongs to the dipeptidyl peptidase-IV (DPP-IV) family located in fbroblast membranes. FAP is overexpressed in the cancer-associated fbroblasts (CAFs) of 90% of epithelial carcinomas, including primary and metastatic liver cancer. We aim to conduct a prospective study to investigate the diagnostic perfoemance of 18F-FAPI PET/CT in evaluating suspicious liver mass without FDG avidity.

Detailed description: Fibroblast activation protein (FAP) is a serine protease that belongs to the dipeptidyl peptidase-IV (DPP-IV) family located in fbroblast membranes. FAP is overexpressed in the cancer-associated fbroblasts (CAFs) of 90% of epithelial carcinomas, including primary and metastatic liver cancer. Therefore, FAP-targeted radiopharmaceuticals can be considered a promising approach for visualizing CAFs. CAFs are crucial components of the tumor stroma, promote the growth of cancer cells, and are associated with poor prognosis. Currently, 18F-labelled fbroblast activation protein inhibitor 18F-FAPI has shown promising diagnostic value in many types of tumors, especially those in which are not avid for 18F-FDF , and several studies have demonstrated that 18F-FAPI PET/CT is superior to 18F-FDG PET/CT for detecting liver cancer and has lower tracer uptake in normal liver tissue. We aim to conduct a prospective study to investigate the diagnostic performance of 18F-FAPI PET/CT in evaluating suspicious liver mass without FDG avidity.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - patients with suspected liver malignant lesions based on traditional diagnostic imaging (CT or MRI or ultrasound) and clinical symptoms; - patients underwent [18F]FDG PET/CT with negative findings (suspicious primary and/or metastatic lesions were hypo- or isometabolic on [18F]FDG PET/CT); - patients who agreed to undergo [18F]FAPI PET/CT scans within 1 week. Exclusion Criteria: - pregnancy; - age<18 years old; - patients with chemo/radio/targeted therapy before scanning; - inability to provide informed consent (signed by participant, parent, or legal representative).

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: China-Japan Union Hospital

Address:
City: Chang chun
Zip: 130031
Country: China

Status: Recruiting

Contact:
Last name: Jun Wei

Phone: +8684995117
Email: Weijunsy1949@163.com

Start date: June 1, 2022

Completion date: June 1, 2023

Lead sponsor:
Agency: Jilin University
Agency class: Other

Source: Jilin University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05806333

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