Lung Disease Clinical Trial
Official title:
Positron Emission Tomography Assessment of Acute Lung Transplant Rejection
The purpose of this research study is to gain understanding of the basic responses of the lungs to inflammation and specifically if there may be a better way to detect graft inflammation using non-invasive methods as well as to determine the effectiveness of immunosuppressive treatment regimens in preventing acute rejection in lung transplant recipients.
Positron emission tomography with fluorodeoxyglucose (FDG-PET) is a potential way we can
measure lung inflammation. FDG-PET imaging is a clinically accepted and FDA-approved method
that is commonly used in the diagnosis and management of cancer. PET is a machine that
detects radiation and generates pictures using a donut shaped scanner similar in appearance
to an x-ray "CAT" computerized axial tomography or computed tomography (CT) scan. FDG stands
for [18F] (flourine 18) fluorodeoxyglucose, a radiolabeled sugar that is used to identify
areas of inflammation with the PET scanner. A CT scan takes a picture of what the lungs and
airways look like.
T cells are the primary cause of acute rejection of lung transplants. Because T cells must
divide in order to be activated and cause rejection, imaging them while they are dividing is
another way that we can determine whether acute rejection is occurring. A new PET tracer
called [18F]ISO-1 (18F-labeled σ2-receptor ligand for PET,
N-(4-(6,7-dimethoxy-3,-4-dihydroisoquinolin-2(1H)-yl)butyl)-2-(2-18F-fluoroethoxy)-5-methylbe
nzamide (18F-3c), binds to dividing cells. Therefore, [18F]ISO-1 may help us measure acute
rejection more accurately. [18F]ISO-1 is an investigational drug.
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