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Trial Title: Molecular Imaging of FAP Expressing Cancer-associated Fibroblasts in NSCLC Treated With Immune-checkpoint Inhibitors

NCT ID: NCT06107608

Condition: Non Small Cell Lung Cancer

Conditions: Official terms:
Carcinoma, Non-Small-Cell Lung

Conditions: Keywords:
Immunotherapy
FAPI-46
Non Small Cell Lung Cancer
PET
PET/CT
fibroblast activation protein
fibroblast activation protein inhibitor

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: FAPI PET/CT
Description: The radiopharmaceutical 68Gallium-FAPI-46 (FAPI) is injected intravenously for molecular imaging of FAP expression with FAPI PET/CT.
Arm group label: FAPI PET/CT

Summary: Evaluation of the relation between baseline fibroblast activation protein (FAP) expression based on Ga-FAPI uptake with patient outcome among NSCLC patients receiving immunotherapy for recurrent/metastatic disease.

Detailed description: Fibroblast activation protein (FAP), a type II membrane glycoprotein, is selectively expressed by cancer-associated fibroblasts (CAFs) in more than 90% of epithelial carcinomas. FAP also regulates antitumor immune response. For these reasons, FAP is an attractive target and molecular imaging biomarker to assess CAFs and the tumour's landscape before and during immunotherapy. The PET radiotracer 68Ga-FAPI (Fibroblast activation protein inhibitor) allows the visualisation and quantification of CAFs.This study will use a non-invasive technique to assess CAFs before and during immunotherapy and to evaluate diverse predictive biomarkers in a prospective setting studying simultaneously CAFs (using 68Ga-FAPI) and cfDNA.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age above 18 years. - Pathologically- proven non-small-cell lung cancer (NSCLC). - Proposed for treatment with anti-PD-(L)1 alone or in combination with chemotherapy and/or anti-CTLA4 in the advanced setting. - ECOG Performance status ≤2. - Patient's written informed consent obtained prior to any study procedure. Exclusion Criteria: - Surgery and/or radiotherapy to thoracic region within the last 8 weeks or anti-cancer systemic therapy within the last 2 weeks. - Epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK) and c-ros oncogene (ROS1) mutations. - Pregnant and lactating women - Previous or concurrent malignancy diagnosed within the last 2 years except adequately treated in situ carcinoma of the cervix uteri, localised (T1N0) low grade (Gleason score 6) prostate cancer undergoing active surveillance and basal or squamous cell skin cancer. - Subjects with another significant medical condition which, in the investigator's opinion, may interfere with the completion of the study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institut Jules Bordet

Address:
City: Brussels
Zip: 1070
Country: Belgium

Status: Recruiting

Contact:
Last name: Loubna Taraji Schiltz

Phone: +32 (0) 2 541 37 81
Email: loubna.taraji@hubruxelles.be

Start date: June 13, 2023

Completion date: December 1, 2027

Lead sponsor:
Agency: Jules Bordet Institute
Agency class: Other

Source: Jules Bordet Institute

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06107608

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