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临床试验/NCT07457541
NCT07457541进行中(未招募)1 期

SPECT/CT Imaging of Fibroblast Activation Protein Expression Using Labeled Technetium-99m HYNIC-FAPI ([99mTc]Tc- HYNIC-FAPI) in Metastatic Cancer Patients

Tomsk National Research Medical Center of the Russian Academy of Sciences1 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2026年2月26日最近更新:
干预措施

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
15
试验地点
1
主要终点
Gamma camera-based whole-body [99mTc]Tc-HYNIC-FAPI uptake value (%).

研究概览

简要总结

The study should evaluate the biological distribution of 99mTc-HYNIC-FAPI in metastatic cancer patients.

详细描述

The primary objective are:

  1. To assess the distribution of [99mTc]Tc- HYNIC-FAPI in normal tissues and tumors at different time intervals.
  2. To evaluate dosimetry of [99mTc]Tc- HYNIC-FAPI.
  3. To study the safety and tolerability of the drug [99mTc]Tc- HYNIC-FAPI after a single injection in a diagnostic dosage.

The secondary objective are:

1. To compare the obtained [99mTc]Tc- HYNIC-FAPI SPECT imaging results with the data of CT and/or MRI and/or ultrasound examination and immunohistochemical (IHC) studies in metastatic cancer patients.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subject is > 18 years of age
  • Clinical and radiological diagnosis of metastatic cancer with histological verification.
  • White blood cell count: > 2.0 x 10^9/L
  • Haemoglobin: > 80 g/L
  • Platelets: > 50.0 x 10^9/L
  • Bilirubin =< 2.0 times Upper Limit of Normal
  • Serum creatinine: Within Normal Limits
  • Blood glucose level not more than 5.9 mmol/L
  • A negative pregnancy test (serum beta-human chorionic gonadotropin, beta-HCG) at screening for all patients of childbearing potential. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception for at least 30 days after study termination
  • Subject is capable to undergo the diagnostic investigations to be performed in the study
  • Informed consent

排除标准

  • Active current autoimmune disease or history of autoimmune disease
  • Active infection or history of severe infection within the previous 3 months (if clinically relevant at screening)
  • Known HIV positive or chronically active hepatitis B or C
  • Administration of other investigational medicinal product within 30 days of screening
  • Ongoing toxicity > grade 2 from previous standard or investigational therapies, according to US National Cancer Institute's

研究组 & 干预措施

Metastatic cancer patients

Experimental

Metastatic cancer patients before starting chemotherapy.

干预措施: [99mTc]Tc-HYNIC-FAPI (Drug)

结局指标

主要结局

Gamma camera-based whole-body [99mTc]Tc-HYNIC-FAPI uptake value (%).

时间窗: 2, 4, 6 and 24 hours after injection.

Whole-body \[99mTc\]Tc-HYNIC-FAPI uptake coinciding with normal organs and tissues will be assessed using gamma camera and calculated as percentage (%) of the injected dose of the radiopharmaceutical.

SPECT/CT-based [99mTc]Tc-HYNIC-FAPI value in tumor lesions (counts and SUV)

时间窗: 2, 4 and 6 hours after injection.

99mTc\]Tc-HYNIC-FAPI uptake coinciding with tumor lesions will be assessed using single-photon emission computed tomography and measured in counts and SUV.

SPECT/CT -based [99mTc]Tc-HYNIC-FAPI background uptake value (counts and SUV).

时间窗: 2, 4 and 6 hours after injection.

Focal uptake of \[99mTc\]Tc-HYNIC-FAPI in the regions without pathological findings will be assessed with SPECT/CT and measured in counts and SUV.

Tumor-to-background ratio (SPECT/CT).

时间窗: 2, 4 and 6 hours after injection.

The SPECT/CT-based tumor-to-background ratio will be calculated as follows: the value of \[99mTc\]Tc-HYNIC-FAPI uptake coinciding with tumor lesions (counts) will be divided by the value of \[99mTc\]Tc-HYNIC-FAPI uptake coinciding with the regions without pathological findings (counts).

次要结局

  • Safety attributable to [99mTc]Tc-HYNIC-FAPI injections (Number of Participants with abnormal findings).(2, 4, 6 and 24 hours after injection.)
  • Safety attributable to [99mTc]Tc-HYNIC-FAPI injections (Number of Participants with abnormal laboratory findings).(2, 4, 6 and 24 hours after injection.)
  • Safety attributable to [99mTc]Tc-HYNIC-FAPI injections (Number of Participants with incidence of adverse events).(2, 4, 6 and 24 hours after injection.)
  • Safety attributable to [99mTc]Tc-HYNIC-FAPI injections (Number of Participants with administration of concomitant medication).(2, 4, 6 and 24 hours after injection.)

研究者

研究点 (1)

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