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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT02511197
Other study ID # PUMCHNM10
Secondary ID
Status Recruiting
Phase Early Phase 1
First received July 23, 2015
Last updated April 5, 2017
Start date May 2015
Est. completion date December 2017

Study information

Verified date July 2015
Source Peking Union Medical College Hospital
Contact Zhaohui Zhu, MD
Phone +8613611093752
Email 13611093752@163.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is an open-label positron emission tomography/computed tomography (PET/CT) study to investigate the diagnostic performance and evaluation efficacy of 68Ga-NOTA-PRGD2 in lung injury (LI) and pulmonary fibrosis (PF) patients. A single dose of nearly 111 MBq 68Ga-NOTA-PRGD2 (≤ 40 µg NOTA-PRGD2) will be intravenously injected into patients with LI/PF. Visual and semiquantitative method will be used to assess the PET/CT images.


Description:

The αvβ3-integrin is a transmembrane heterodimeric receptor that mediates cell-cell and cell-extracellular matrix adhesion. The αvβ3-integrin plays a pivotal role in promoting and sustaining angiogenesis and fibrosis. Cyclic arginine-glycine-aspartic acid (RGD) peptide is the key integrin recognition motif that can strongly bind to the αvβ3-integrin, which makes the RGD-based peptides hold a promise for imaging and treatment of diseases characterised with angiogenesis and fibrosis including LI and PF.

Animal study in bleomycin induced lung fibrosis showed good uptake ratio of 68Ga-NOTA-PRGD2 in lung vs background. For interests in clinical translation of 68Ga-NOTA-PRGD2, an open-label dynamic whole-body PET/CT study was designed to investigate safety and diagnostic performance of 68Ga-NOTA-PRGD2 in patients with LI or PF.


Recruitment information / eligibility

Status Recruiting
Enrollment 30
Est. completion date December 2017
Est. primary completion date December 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

Patients with idiopathic pulmonary fibrosis

- Males and females, =18 years old.

- Characteristic clinical signs, symptoms and laboratory tests suggesting the diagnosis of LI/PF.

- The diagnosis of IPF is based on The Centres for Disease Control and Prevention (CDC) criteria for diagnosing LI/PF. They rely on a combination of clinical, radiological, operative and histological findings, in addition to results of other laboratory tests.

Exclusion Criteria:

- Females planning to bear a child recently or with childbearing potential.

- Renal function: serum creatinine >3.0 mg/dL (270 µM/L).

- Liver function: any hepatic enzyme level more than 5 times upper limit of normal.

- Known severe allergy or hypersensitivity to IV radiographic contrast.

- Patients not able to enter the bore of the PET/CT scanner.

- Inability to lie still for the entire imaging time because of cough, pain, etc.

- Inability to complete the needed examinations due to severe claustrophobia, radiation phobia, etc.

- Concurrent severe and/or uncontrolled and/or unstable other medical disease that, in the opinion of the investigator, may significantly interfere with study compliance.

Study Design


Intervention

Drug:
68Ga-NOTA-PRGD2
68Ga-NOTA-PRGD2 were injected into the patients before the PET/CT scans
Device:
PET/CT


Locations

Country Name City State
China Peking Union Medical College Hospital Beijing

Sponsors (1)

Lead Sponsor Collaborator
Peking Union Medical College Hospital

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary Visual assessment of lung lesions Visual analysis will be performed by consensus reading by at least 3 experienced nuclear medicine physician. 1 year
Primary Semiquantitative assessment of lung lesions The semiquantitative analysis will be performed by the same person for all the cases, and the standardized uptake values (SUVs) of lungs will be measured. 1 year
Secondary Adverse events collection Adverse events within 5 days after the injection and scanning of patients and patients will be followed and assessed. 5 days
Secondary Routine blood test Routine blood test of healthy volunteers will be measured before injection and 24 hours after test. 24 hours
Secondary Serum albumin Serum albumin of healthy volunteers will be measured before injection and 24 hours after test. 24 hours
Secondary Routine urine test Routine urine test of healthy volunteers will be measured before injection and 24 hours after test. 24 hours