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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02666547
Other study ID # 220/12
Secondary ID
Status Terminated
Phase Phase 1
First received
Last updated
Start date March 2014
Est. completion date September 2023

Study information

Verified date June 2024
Source University of Lausanne Hospitals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will assess the potential of the 68Ga-NODAGA-RGD for the evaluation of neoangiogenesis in patients followed for a neoplastic pathology and for whom a18F-FDG (or 18F-FET for gliomas) is indicated for initial extension evaluation or suspicion of recurrent tumor.


Description:

The purpose of this study is to assess the value of 68Ga-NODAGA-RGD PET/CT for detection of neoangiogenesis at level of neoplastic processes, in patients, compared to 18F-FDG PET/CT (tumors other than glioma) or 18F-FET PET/CT (patients affected by glioma) and to determine the respective diagnostic contribution of every technique. Every patient will undergo a routine 18F-FDG (or 18F-FET) PET/CT followed by a 68Ga-NODAGA-RGD PET / CT specific for the study within the next 7 days. (each image procedure duration: 2h) The criteria of primary evaluation for each of the techniques will be defined: - On the images of PET/CT: SUVmax, SUVmoyen, VOI ( mL ), SUV41 % ratio [mean SUV of pixels ≥ 41 % of the SUVmax] of lesions / SUV - On the images of CT: size of the lesions measured in 3D (axial, coronal and sagittal), density in Hounsfield unit (HU) The 18F-FDG/18F-FET and 68Ga-NODAGA-RGD PET / CTs will be analyzed at first separately then will be compared according to the methods described in the analysis


Recruitment information / eligibility

Status Terminated
Enrollment 42
Est. completion date September 2023
Est. primary completion date August 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age = 85 years old - Karnofsky index: = 80% - Patients presenting a neoplasic pathology, histologically proven, known to have expressed integrin avß3and for which a 18F-FDG (or a 18F-FETfor glioma) is indicated : (1) glioma (WHO I, II-IV), (2) malignant melanoma, (3) cancer of upper respiratory tract, (4) breast cancer,(5) bone metastasis, (6) ovarian cancer, (7) lung cancer,(8) non-Hodgkinian malignant lymphoma with extra- lymphatic nodes extension, (9) neuroendocrine tumors, (10) pancreatic cancer,(11) oesophagus cancer,(12) stomach cancer. 10 patients will be included per type of cancer. - Informed consent signed Exclusion Criteria: - Incapacity to sign the informed consent - Pregnancy, breastfeeding - Age <18 years

Study Design


Intervention

Drug:
68Ga-NODAGA-RGD PET/CT
200 MBq 68 Ga-NODAGA-RGD will be administered i.v. and images acquired on all body . For glioma, images acquired centred on the skull
Radiation:
18F-FDG PET/CT
3.5 MBq/kg 18F-FDG will be administered i.v. and images acquired on all body
18F-FET PET/CT
200 MBq 18F-FET will be administered i.v. and images acquired centred on the skull

Locations

Country Name City State
Switzerland Centre Hospitalier Universitaire Vaudois, Nuclear Medicine Lausanne Vaud

Sponsors (2)

Lead Sponsor Collaborator
University of Lausanne Hospitals George Coukos, MD PhD, Head of oncology

Country where clinical trial is conducted

Switzerland, 

References & Publications (1)

Durante S, Dunet V, Gorostidi F, Mitsakis P, Schaefer N, Delage J, Prior JO. Head and neck tumors angiogenesis imaging with 68Ga-NODAGA-RGD in comparison to 18F-FDG PET/CT: a pilot study. EJNMMI Res. 2020 May 7;10(1):47. doi: 10.1186/s13550-020-00638-w. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Comparison of each method of imaging for detection of tumors To compare the capacity of each of the techniques and their combination to detect tumors, to determine the composition of these tumors (neoangiogenesis, metabolism, necrosis), their extension, the changes due to treatment within 10 days
Secondary ROC analysis and comparison of areas under the curve A ROC analysis will be realized as well as a comparison of AUCs, to determine the superiority of a method compared to the other one, using a parametric test comparing of the AUC curves and ROC curves respectively by an established algorithm. The criteria of interpretation and positivity will be defined in a standard way on the images 18F-FDG / 18F-FET and 68Ga-NODAGA-RGD. Within 10 days
Secondary Comparison 68Ga-NODAGA-RGD to standard routine extension imaging assessments The sensibility for detection of tumor by the 68Ga-NODAGA-RGD will be assessed and compared with the standard routine extension assessements including 18F-FDG PET/CT or18F-FET PET/CT, CT or any other complementary exam (US, MRI) within 10 days