Trial Outcomes & Findings for Detection of Graft Versus Host Disease With [18F]F-AraG (NCT NCT03367962)

NCT ID: NCT03367962

Last Updated: 2025-12-08

Results Overview

Acute GVHD severity was graded using the Mount Sinai Acute GVHD International Consortium (MAGIC) criteria (Grades I-IV). Grades were assigned based on organ involvement documented in the clinical chart and biopsy review at the time of the PET/CT scan. We reported the number of participants within each grade.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

9 participants

Primary outcome timeframe

At the time of the PET/CT scan: within 7 days of GVHD suspicion for the Highly Suspected arm, and at the Day 4 ± 2 post-transplant scan for the High-Risk arm

Results posted on

2025-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Highly Suspected to Already Have aGVHD
Patients highly suspected to have aGVHD. These patients will undergo a \[18F\]F-AraG PET-CT scan following a biopsy taken to confirm aGVHD. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
High Risk of Developing aGVHD
Patients at high risk of developing aGVHD will undergo a \[18F\]F-AraG PET-CT scan on day 4 +/- 2 days post transplant. Additionally these patients will be scanned again between day 14-21 post transplant. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Healthy Subjects
Healthy subject volunteers will undergo preliminary evaluation to ensure eligibility, receive and sign an informed consent, be enrolled in the trial, and then have a \[18F\]F-AraG PET-CT scan. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Overall Study
STARTED
7
2
0
Overall Study
COMPLETED
6
2
0
Overall Study
NOT COMPLETED
1
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Detection of Graft Versus Host Disease With [18F]F-AraG

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Highly Suspected to Already Have aGVHD
n=7 Participants
Patients highly suspected to have aGVHD. These patients will undergo a \[18F\]F-AraG PET-CT scan following a biopsy taken to confirm aGVHD. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
High Risk of Developing aGVHD
n=2 Participants
Patients at high risk of developing aGVHD will undergo a \[18F\]F-AraG PET-CT scan on day 4 +/- 2 days post transplant. Additionally these patients will be scanned again between day 14-21 post transplant. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Healthy Subjects
Healthy subject volunteers will undergo preliminary evaluation to ensure eligibility, receive and sign an informed consent, be enrolled in the trial, and then have a \[18F\]F-AraG PET-CT scan. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
>=65 years
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Age, Categorical
<=18 years
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=37 Participants
2 Participants
n=37 Participants
0 Participants
n=74 Participants
9 Participants
n=175 Participants
Sex: Female, Male
Female
3 Participants
n=37 Participants
2 Participants
n=37 Participants
0 Participants
n=74 Participants
5 Participants
n=175 Participants
Sex: Female, Male
Male
4 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
4 Participants
n=175 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
1 Participants
n=175 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=37 Participants
2 Participants
n=37 Participants
0 Participants
n=74 Participants
8 Participants
n=175 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Race (NIH/OMB)
Asian
2 Participants
n=37 Participants
1 Participants
n=37 Participants
0 Participants
n=74 Participants
3 Participants
n=175 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
1 Participants
n=175 Participants
Race (NIH/OMB)
White
3 Participants
n=37 Participants
1 Participants
n=37 Participants
0 Participants
n=74 Participants
4 Participants
n=175 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
0 Participants
n=175 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
1 Participants
n=175 Participants
Region of Enrollment
United States
7 participants
n=37 Participants
2 participants
n=37 Participants
9 participants
n=175 Participants

PRIMARY outcome

Timeframe: At the time of the PET/CT scan: within 7 days of GVHD suspicion for the Highly Suspected arm, and at the Day 4 ± 2 post-transplant scan for the High-Risk arm

Acute GVHD severity was graded using the Mount Sinai Acute GVHD International Consortium (MAGIC) criteria (Grades I-IV). Grades were assigned based on organ involvement documented in the clinical chart and biopsy review at the time of the PET/CT scan. We reported the number of participants within each grade.

Outcome measures

Outcome measures
Measure
Healthy Subjects
n=6 Participants
Healthy subject volunteers will undergo preliminary evaluation to ensure eligibility, receive and sign an informed consent, be enrolled in the trial, and then have a \[18F\]F-AraG PET-CT scan. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
High Risk of Developing aGVHD
n=2 Participants
Patients at high risk of developing aGVHD will undergo a \[18F\]F-AraG PET-CT scan on day 4 +/- 2 days post transplant. Additionally these patients will be scanned again between day 14-21 post transplant. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Distribution of Acute GVHD Grades (MAGIC Criteria) at Time of PET/CT Scan
Grade 0
0 Participants
2 Participants
Distribution of Acute GVHD Grades (MAGIC Criteria) at Time of PET/CT Scan
Grade 1
0 Participants
0 Participants
Distribution of Acute GVHD Grades (MAGIC Criteria) at Time of PET/CT Scan
Grade 2
4 Participants
0 Participants
Distribution of Acute GVHD Grades (MAGIC Criteria) at Time of PET/CT Scan
Grade 3
1 Participants
0 Participants
Distribution of Acute GVHD Grades (MAGIC Criteria) at Time of PET/CT Scan
Grade 4
1 Participants
0 Participants

PRIMARY outcome

Timeframe: From PET/CT scan to 6 months post-scan.

All participants were followed for 6 months post-imaging. Development of GVHD was defined by clinical diagnosis documented in the medical record..

Outcome measures

Outcome measures
Measure
Healthy Subjects
n=6 Participants
Healthy subject volunteers will undergo preliminary evaluation to ensure eligibility, receive and sign an informed consent, be enrolled in the trial, and then have a \[18F\]F-AraG PET-CT scan. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
High Risk of Developing aGVHD
n=2 Participants
Patients at high risk of developing aGVHD will undergo a \[18F\]F-AraG PET-CT scan on day 4 +/- 2 days post transplant. Additionally these patients will be scanned again between day 14-21 post transplant. \[18F\]F-Ara-G: the \[18F\]F-AraG tracer will be administered as a single bolus injection of approximately 5 mCi into a hand or arm vein.
Number of Participants Who Developed aGVHD Within 6 Months Post-Scan.
6 Participants
2 Participants

SECONDARY outcome

Timeframe: Follow up will occur 2 to 7 days post scan.

Population: No healthy volunteers were imaged due to loss of study funding; therefore, no data were collected for this outcome.

This outcome was intended to assess biodistribution and kinetic behavior of \[18F\]F-AraG in healthy adult volunteers. However, no healthy volunteers were imaged due to funding limitations.

Outcome measures

Outcome data not reported

Adverse Events

Highly Suspected to Already Have aGVHD

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

High Risk of Developing aGVHD

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy Subjects

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Negrin

Stanford University

Phone: 6507230822

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place