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CXCR4-targeted PET/CT Imaging in Hematological Malignancies

Not Applicable
Recruiting
Conditions
CXCR4
PET/CT
Hematological Malignancy
Interventions
Device: PET/CT
Registration Number
NCT05255926
Lead Sponsor
Zhongnan Hospital
Brief Summary

The incidence and mortality of hematological malignancies remain high. Although 18F-FDG PET/CT imaging is the most common molecular imaging technique used in clinic, the non-specific uptake of 18F-FDG leads to the problems of false negative or positive in hematological malignancies, which makes it difficult to diagnose and evaluate the efficacy. CXCR4 (C-X-C Chemokine Receptor Type 4) is overexpressed in various hematological malignancies, and is associated with poor prognosis. CXCR4-targeted molecular imaging, such as 68Ga-pentixafor PET/CT imaging, has an important potential in hematological malignancies. Therefore, this study will evaluate the efficacy of CXCR4-targeted PET/CT imaging for diagnosis and staging of hematological malignancies, compared with 18F-FDG PET/CT imaging.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Volunteer to participate and sign an informed consent form;
  2. 18 ≤ Age ≤ 90 years;
  3. Patients with highly suspected, or newly diagnosed, or relapsed hematological malignancies;
  4. Willing and able to follow schedule visits, treatment plans and laboratory tests.
Exclusion Criteria
  1. pregnancy or breastfeeding;
  2. Allergic to CXCR4-targeted tracers or excipients;
  3. Fasting blood glucose level exceeded 11.0 mmol/L prior to injection of 18F-FDG;
  4. Those who cannot complete PET/CT scan, including inability to keep supine, claustrophobia, radiation phobia, etc.;
  5. Researchers think it is inappropriate to participate in this clinical trial for patients with poor compliance or other unsuitable factors.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
68Ga-pentixafor and 18F-FDG PET/CT68Ga-pentixaforInvestigators recruit patients with highly suspected, or newly diagnosed, or relapsed hematological malignancies. Then patients undergo 68Ga-pentixafor and 18F-FDG PET/CT imaging in one week.
68Ga-pentixafor and 18F-FDG PET/CTPET/CTInvestigators recruit patients with highly suspected, or newly diagnosed, or relapsed hematological malignancies. Then patients undergo 68Ga-pentixafor and 18F-FDG PET/CT imaging in one week.
Primary Outcome Measures
NameTimeMethod
Sensitivity of 68Ga-pentixafor PET/CT for diagnosis and staging in hematological malignancies.Two years

For subjects with clinically highly suspected, or newly diagnosed, or relapsed hematological malignancies who undergo 68Ga-pentixafor and 18F-FDG PET/CT imaging in one week. Diagnosis and staging results of 68Ga-pentixafor PET/CT will be compared to 18F-FDG PET/CT imaging, pathology and clinical follow-up results.

Specificity of 68Ga-pentixafor PET/CT for diagnosis and staging in hematological malignancies.Two years

For subjects with clinically highly suspected, or newly diagnosed, or relapsed hematological malignancies who undergo 68Ga-pentixafor and 18F-FDG PET/CT imaging in one week. Diagnosis and staging results of 68Ga-pentixafor PET/CT will be compared to 18F-FDG PET/CT imaging, pathology and clinical follow-up results.

Accuracy of 68Ga-pentixafor PET/CT for diagnosis and staging in hematological malignancies.Two years

Taking the pathology or clinical follow-up as gold standard, the probability of accurate diagnosis and staging (including true positive and true negative) for 68Ga-pentixafor PET/CT imaging will be calculated in subjects with clinically highly suspected, or newly diagnosed, or relapsed hematological malignancies. The result will be compared to 18F-FDG PET/CT imaging.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

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