Non-Small Cell Lung Cancer Clinical Trial
— ATTAINOfficial title:
A Clinical Imaging Study Using [18F]F-AraG PET to Visualize Tumor Infiltrating T-cell Activation in Non-small Cell Lung Cancer.
[18F]F-AraG is a promising tracer to image activated T-cells with positron emission tomography (PET). The aim of the ATTAIN trial is to investigate the pharmacokinetic characteristics of this novel tracer by performing a full kinetic modelling, assess test-retest (TRT) variability and to correlate the tumor tracer uptake with the pathological assessment.
Status | Recruiting |
Enrollment | 10 |
Est. completion date | June 2024 |
Est. primary completion date | May 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Histologically confirmed NSCLC, a histological biopsy is mandatory. 2. Patients that are resectable upfront as per multidisciplinary tumor board evaluation. 3. Be willing and able to provide written informed consent for the trial. 4. Be above 18 years of age on day of signing informed consent. 5. Have a performance status of 0-1 on the ECOG Performance Scale at screening. Exclusion Criteria: 1. Subjects with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of screening. Inhaled or topical steroids, and adrenal replacement steroid >10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease. 2. Psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial. 3. Patient is pregnant or breastfeeding or expecting to conceive within the projected duration of the trial, starting with the screening visit through 12 weeks after the last [18F]F-AraG PET scan. |
Country | Name | City | State |
---|---|---|---|
Netherlands | Amsterdam UMC, location VU University Medical Center | Amsterdam | Nederland |
Lead Sponsor | Collaborator |
---|---|
Amsterdam UMC, location VUmc |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Correlation with immune profile of PBMCs | To explore the [18F]F-AraG PET uptake in tumor, lymph nodes and spleen with the immune profile of peripheral blood mononuclear cells (PBMC). | one year | |
Primary | Full kinetic modelling | To perform full kinetic modeling of [18F]F-AraG for the uptake in tumor lesions and healthy organs (e.g. spleen) by exploring different kinetic models and outcome measures as well as its test-retest (TRT) variability to guide the selection of an optimal PET pharmacokinetic model. | six months | |
Primary | Correlation with number of CD8 T-cell | To correlate the relationship between the tumor uptake of [18F]F-AraG and the number of CD8 T-cells amongst others as measured by Immunohistochemistry (IHC) and gene expression. | six months | |
Secondary | Correlation with [18F]-FDG PET uptake | To correlate the [18F]-FDG PET uptake with uptake derived from [18F]F-AraG PET | six months |
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