68Ga-NODAGA-RGD PET/ CT for Tumoral Neoangiogenesis

NCT ID: NCT02666547

Last Updated: 2024-06-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2023-09-30

Brief Summary

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This study will assess the potential of the 68Ga-NODAGA-RGD for the evaluation of neoangiogenesis in patients followed for a neoplastic pathology and for whom a18F-FDG (or 18F-FET for gliomas) is indicated for initial extension evaluation or suspicion of recurrent tumor.

Detailed Description

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The purpose of this study is to assess the value of 68Ga-NODAGA-RGD PET/CT for detection of neoangiogenesis at level of neoplastic processes, in patients, compared to 18F-FDG PET/CT (tumors other than glioma) or 18F-FET PET/CT (patients affected by glioma) and to determine the respective diagnostic contribution of every technique.

Every patient will undergo a routine 18F-FDG (or 18F-FET) PET/CT followed by a 68Ga-NODAGA-RGD PET / CT specific for the study within the next 7 days.

(each image procedure duration: 2h)

The criteria of primary evaluation for each of the techniques will be defined:

* On the images of PET/CT: SUVmax, SUVmoyen, VOI ( mL ), SUV41 % ratio \[mean SUV of pixels ≥ 41 % of the SUVmax\] of lesions / SUV
* On the images of CT: size of the lesions measured in 3D (axial, coronal and sagittal), density in Hounsfield unit (HU)

The 18F-FDG/18F-FET and 68Ga-NODAGA-RGD PET / CTs will be analyzed at first separately then will be compared according to the methods described in the analysis

Conditions

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Pathological Angiogenesis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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68Ga-NODAGA-RGD,18F-FDG,18F-FET PET/CTs

Active Comparator: 68Ga-NODAGA-RGD radiotracer All patients will undergo a 68Ga-NODAGA-RGD PET/CT, a 18F-FDG PET/CT or a 18F-FET PET/CT

Group Type OTHER

68Ga-NODAGA-RGD PET/CT

Intervention Type DRUG

200 MBq 68 Ga-NODAGA-RGD will be administered i.v. and images acquired on all body . For glioma, images acquired centred on the skull

18F-FDG PET/CT

Intervention Type RADIATION

3.5 MBq/kg 18F-FDG will be administered i.v. and images acquired on all body

18F-FET PET/CT

Intervention Type RADIATION

200 MBq 18F-FET will be administered i.v. and images acquired centred on the skull

Interventions

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68Ga-NODAGA-RGD PET/CT

200 MBq 68 Ga-NODAGA-RGD will be administered i.v. and images acquired on all body . For glioma, images acquired centred on the skull

Intervention Type DRUG

18F-FDG PET/CT

3.5 MBq/kg 18F-FDG will be administered i.v. and images acquired on all body

Intervention Type RADIATION

18F-FET PET/CT

200 MBq 18F-FET will be administered i.v. and images acquired centred on the skull

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Age ≤ 85 years old
* Karnofsky index: ≥ 80%
* Patients presenting a neoplasic pathology, histologically proven, known to have expressed integrin αvβ3and for which a 18F-FDG (or a 18F-FETfor glioma) is indicated : (1) glioma (WHO I, II-IV), (2) malignant melanoma, (3) cancer of upper respiratory tract, (4) breast cancer,(5) bone metastasis, (6) ovarian cancer, (7) lung cancer,(8) non-Hodgkinian malignant lymphoma with extra- lymphatic nodes extension, (9) neuroendocrine tumors, (10) pancreatic cancer,(11) oesophagus cancer,(12) stomach cancer. 10 patients will be included per type of cancer.
* Informed consent signed

Exclusion Criteria

* Incapacity to sign the informed consent
* Pregnancy, breastfeeding
* Age \<18 years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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George Coukos, MD PhD, Head of oncology

UNKNOWN

Sponsor Role collaborator

University of Lausanne Hospitals

OTHER

Sponsor Role lead

Responsible Party

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John O. Prior

Chief Nuclear Medicine Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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John O Prior, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Lausanne University Hospitals

Locations

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Centre Hospitalier Universitaire Vaudois, Nuclear Medicine

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

References

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Durante S, Dunet V, Gorostidi F, Mitsakis P, Schaefer N, Delage J, Prior JO. Head and neck tumors angiogenesis imaging with 68Ga-NODAGA-RGD in comparison to 18F-FDG PET/CT: a pilot study. EJNMMI Res. 2020 May 7;10(1):47. doi: 10.1186/s13550-020-00638-w.

Reference Type RESULT
PMID: 32382869 (View on PubMed)

Dietz M, Dunet V, Mantziari S, Pomoni A, Dias Correia R, Testart Dardel N, Boughdad S, Nicod Lalonde M, Treglia G, Schafer M, Schaefer N, Prior JO. Comparison of integrin alphavbeta3 expression with 68Ga-NODAGA-RGD PET/CT and glucose metabolism with 18F-FDG PET/CT in esophageal or gastroesophageal junction cancers. Eur J Hybrid Imaging. 2023 Feb 1;7(1):3. doi: 10.1186/s41824-023-00162-9.

Reference Type DERIVED
PMID: 36720731 (View on PubMed)

Other Identifiers

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220/12

Identifier Type: -

Identifier Source: org_study_id

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