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Clinical Trials/2023-507938-24-00
2023-507938-24-00RecruitingPhase 3

The effect of [18F]F-FAPI PET-CT on management in patients with potentially resectable biliary tract cancers: prospective multicenter study and cost-effectivity analysis.

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)3 sites in 1 country81 target enrollmentStarted: March 4, 2024Last updated:
Conditions

Trial Snapshot

Phase
Phase 3
Status
Recruiting
Enrollment
81
Locations
3
Primary Endpoint
sensitivity, specificity, positive predictive value, negative predictive value

Study Overview

Brief Summary

The primary aim of this study is to assess the diagnostic accuracy of [18F]F-FAPI PET-CT in addition to standard preoperative imaging in patients with potentially resectable proximal bile duct cancer (intrahepatic, perihilar and gall bladder cholangiocarcinoma).

Eligibility Criteria

Ages
18 years to 65+ years (18-64 Years, 65+ Years)
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patient is scheduled for explorative laparoscopy or laparotomy for suspicion of proximal cholangiocarcinoma (perihilar, intrahepatic and gall bladder cholangiocarcinoma)
  • Tumor is regarded as resectable based on preoperative CT and MRI
  • Patient is 18 years or older and is able to give informed consent

Exclusion Criteria

  • Previous abdominal surgery or chemotherapy
  • Patient had FDG PET-CT in addition to preoperative CT and MRI
  • Contra-indication for performing PET-CT
  • Indication for FDG PET-CT
  • Pregnancy or lactation, for the latter, temporary discontinuation may be considered
  • Known allergic reaction to therapeutic radiopharmaceuticals
  • Inability to lie still on the back for the duration of PET-CT
  • Impaired renal function, defined as eGFR (MDRD) <25 ml/min/1,73 m
  • An exception can be made in consultation with the treating physician.
  • Any (other) condition, disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that may affect the interpretation of the results, or which might contribute substantially to the patient's experience of study burden (such as non-suppressible claustrophobia)

Outcomes

Primary Outcomes

sensitivity, specificity, positive predictive value, negative predictive value

sensitivity, specificity, positive predictive value, negative predictive value

Secondary Outcomes

  • True change and virtual change
  • Number of times readers’ conclusions differed
  • Cost-effectiveness analysis, budget impact analysis (BIA), sector costs, societal costs, health-related quality of life (HRQoL)
  • Number of additional significant findings
  • Number of days between date of first imaging (CT/MRI) and starting date of chemotherapy, palliative therapy or surgical resection
  • The incidence and severity of AEs and SAEs according to CTCAEv5
  • Volume of interest (VOI), time to peak(TTP), K1 and K2, standardize uptake value (SUV), tumor-to-background ratio (TBR)

Investigators

Sponsor Class
Hospital/Clinic/Other health care facility
Responsible Party
Principal Investigator
Principal Investigator

Dr. Maarten Thomeer

Scientific

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)

Study Sites (3)

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