PET Biodistribution Study of 68Ga-FAPI-46 in Patients With Different Malignancies: An Exploratory Biodistribution Study With Histopathology Validation
Overview
- Phase
- Phase 1
- Status
- Active, not recruiting
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Biodistribution of gallium 68Ga-FAPi-46 in normal and cancer tissues
Overview
Brief Summary
This exploratory study investigates how an imaging technique called 68Ga-FAPi-46 PET/CT can determine where and to which degree the FAPI tracer (68Ga-FAPi-46) accumulates in normal and cancer tissues in patients with cancer. Because some cancers take up 68Ga-FAPi-46 it can be seen with PET. FAP stands for Fibroblast Activation Protein. FAP is produced by cells that surround tumors (cancer associated fibroblasts). The function of FAP is not well understood but imaging studies have shown that FAP can be detected with FAPI PET/CT. Imaging FAP with FAPI PET/CT may in the future provide additional information about various cancers.
Detailed Description
PRIMARY OBJECTIVE:
I. To define the biodistribution of gallium Ga 68 fibroblast activation protein inhibitor (FAPi)-46 (68Ga-FAPi-46) in normal and cancer tissues of patients with various malignancies.
SECONDARY OBJECTIVES:
I. To evaluate the degree of 68Ga-FAPi-46 accumulation observed by positron emission tomography (PET) imaging as opposed to the amount of FAP in excised cancer tissue.
II. To assess the 68Ga-FAPI-46 biodistribution correlation with 18F-FDG biodistribution and to define the frequency of the following phenotypes (FAP+/ FDG+, FAP-/ FDG+, FAP+/ FDG-, FAP-/ FDG-)
EXPERIMENTAL OBJECTIVE:
To assess the correlation of 68Ga-FAPI-46 biodistribution with 68Ga-DOTATATE or 18F-DOPA (FDOPA), depending on the specific indication in patients who had them available
OUTLINE:
Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Basic Science
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with the following cancer types:
- •Brain cancer
- •Bladder cancer
- •Urothelial cancer
- •Testicular cancer
- •Skin cancer
- •Thyroid cancer
- •Hepatocellular carcinoma
- •Cholangiocarcinoma
- •Thymus cancer
Exclusion Criteria
- •Patient is pregnant or nursing
- •Patients with any new cancer therapy between the baseline PET/CT and the investigational FAPI PET/CT
- •Patient has underlying disease which, based on the judgment of the investigator, might interfere with the collection of high quality data
Arms & Interventions
Basic science (68GA-FAPI-46 PET/CT)
Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Intervention: Computed Tomography (Procedure)
Basic science (68GA-FAPI-46 PET/CT)
Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Intervention: Gallium Ga 68 FAPi-46 (Drug)
Basic science (68GA-FAPI-46 PET/CT)
Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Intervention: Positron Emission Tomography (Procedure)
Basic science (68GA-FAPI-46 PET/CT)
Patients receive 68Ga-FAPi-46 intravenously (IV), and then undergo PET/computed tomography (CT) over 20-90 minutes. On another day, patients receive 18F-FDG and then undergo PET/computed tomography (CT) according to standard of care procedures (if applicable).
Intervention: 18F-FDG (Radiation)
Outcomes
Primary Outcomes
Biodistribution of gallium 68Ga-FAPi-46 in normal and cancer tissues
Time Frame: At 20-90 minutes after injection]
Will be quantified by mean and maximum standardized uptake values (SUVmean and SUVmax).
Secondary Outcomes
- 68Ga-FAPi-46 accumulation observed by positron emission tomography (PET)/computed tomography (CT)(Up to year 2)
- 68Ga-FAPI-46 biodistribution correlation with 18F-FDG biodistribution(up to 2 years)