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Biliary Excretion of Conjugated Bile Acids in Humans Measured by 11C-cholylsarcosine PET/CT

Phase 1
Completed
Conditions
Cholestasis
Primary Biliary Cirrhosis
Primary Sclerosing Cholangitis
Interventions
Drug: 11C-CSar
Drug: ICG
Registration Number
NCT01879735
Lead Sponsor
University of Aarhus
Brief Summary

We wish to develop a protocol for PET/CT examination of humans using the bile acid tracer 11C-cholylsarcosine. This is done by a series of PET/CT examinations of healthy humans and patients with cholestatic disorders.

Detailed Description

The purpose of the study is the development of PET/CT protocols using 11C-CSar for human use. PET/CT methods developed in the pig studies are translated to studies in healthy humans and patients with cholestatic disorders. Dynamic PET/CT scans of the liver and biliary system are combined with measurements of tracer concentrations in a radial artery and a liver vein and measurements of hepatic blood flow by intravenous infusion of indocyanine green (ICG)/Ficks principle. Kinetic parameters from PET/CT measurements and invasive measurements are compared for validation of the PET estimated parameters and refinement of the PET modeling, if required.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria
  • Patients with cholestatic disorders and healthy subjects
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Exclusion Criteria
  • Body weight above 110 kg (catheterization problematic).
  • Diabetes
  • Pregnant or breast feeding women.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Infusion methodICGDetermine wether bolus or constant infusion of 11C-CSar is optimal for the PET/CT scanning. If ICG does not affect the kinetics of 11C-CSar it will be used during these experiments to calculate hepatic blood flow.
ICG's effect on 11C-CSar transport11C-CSarExamine the effect of ICG on the kinetics of the hepatic transport of 11C-CSar. If no effect is seen on the kinetics, ICG will be used during the "infusion method" experiments.
ICG's effect on 11C-CSar transportICGExamine the effect of ICG on the kinetics of the hepatic transport of 11C-CSar. If no effect is seen on the kinetics, ICG will be used during the "infusion method" experiments.
Infusion method11C-CSarDetermine wether bolus or constant infusion of 11C-CSar is optimal for the PET/CT scanning. If ICG does not affect the kinetics of 11C-CSar it will be used during these experiments to calculate hepatic blood flow.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants in Whom we Could Quantify Hepatic Transport of 11C-CSarAll measurements are performed in one day.
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Nuclear medicine and PET-center

🇩🇰

Aarhus, Aarhus C, Denmark

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