Rheumatoid Arthritis Clinical Trial
Official title:
Diagnostic Performance and Evaluation Efficacy of 68Ga-BNOTA-PRGD2 PET/CT in Patients With Rheumatoid Arthritis
This is an open-label positron emission tomography/computed tomography ( PET/CT) study to investigate the diagnostic performance and evaluation efficacy of 68Ga-BNOTA-PRGD2 in rheumatoid arthritis (RA) patients. A single dose of nearly 111 MBq 68Ga-BNOTA-PRGD2 (≤ 40 µg BNOTA-PRGD2) will be intravenously injected into patients with RA. Visual and semiquantitative method will be used to assess the PET/CT images. Whole body 18F-FDG PET/CT will be performed for comparison.
The Alpha(v)beta3 integrin, one of the most prominent members of integrin superfamily, is
trans-membrane heterodimeric proteins which mediate cell-cell and cell-extracellular matrix
adhesion. Integrin alpha(v)beta3 receptor plays an pivotal role in promoting, sustaining and
regulating the angiogenesis and was identified as a marker of angiogenic vascular tissue.
Cyclic arginine-glycine-aspartic acid (RGD) peptides was identified as a key integrin
recognition motif which could strongly bind to integrin alpha(v)beta3 and inhibit new blood
vessel formation. Animal study in antigen induced arthritis demonstrated that
intra-articular administration of a cyclic RGD antagonist of alpha(v)beta3 leading to
inhibition of cell infiltrate, synovial angiogenesis, pannus formation, cartilage erosions
and even diminishing arthritis severity. For these properties, RGD peptide-based
multimodality molecular probes have been developed for noninvasive imaging by targeting
integrin alpha(v)beta3. And compared with 18F-FDG PET/CT, radiolabeled RGD imaging is a
promising approach to visualize angiogenesis and provide a therapeutic target for
anti-angiogenetic and anti-integrin therapy.
For the further interests in clinical translation of 68Ga-BNOTA-PRGD2, an open-label PET/CT
study was designed to investigate the diagnostic performance and evaluation efficacy of
68Ga-BNOTA-PRGD2 in RA patients.
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