Exendin PET/CT for Imaging of Paragangliomas

NCT ID: NCT05418907

Last Updated: 2023-12-08

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

RECRUITING

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-01

Study Completion Date

2024-12-01

Brief Summary

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Functional imaging of paragangliomas (PGLs) is not unequivocal. Existing functional imaging modalities show good but variable results in PGLs, warranting the search for additional molecular imaging targets. Investigators aim to evaluate the glucagon-like peptide 1 receptor (GLP-1R) as a novel target for molecular imaging of PGLs. For this purpose investigators will use the tracer 68Ga-NODAGA-exendin 4 for positron emission tomography/computed tomography (PET/CT) imaging.

Detailed Description

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Rationale:

Functional imaging of paragangliomas (PGLs) is not unequivocal. Existing functional imaging modalities show good but variable results in PGLs, warranting the search for additional molecular imaging targets. Investigators aim to evaluate the glucagon-like peptide 1 receptor (GLP-1R) as a novel target for molecular imaging of PGLs. For this purpose investigators will use the tracer 68Ga-NODAGA-exendin 4 for positron emission tomography/computed tomography (PET/CT) imaging.

Objective:

The primary objective is to examine the feasibility of 68Ga-exendin-4 PET/CT for localization and functional characterization of PGLs.

Study design:

In this prospective pilot imaging study 68Ga-exendin-4 PET/CT will be performed in 10 patients with confirmed PGL who have undergone CT, somatostatin receptor (SSTR) PET/CT and 18F-FDG PET/CT (as standard diagnostic procedures) and are scheduled for surgery. 100 ± 10 MBq 68Ga-NODAGA-exendin-4 will be administered to 10 patients in total. In the first 5 patients PET/CT imaging will be performed 1, 2 and 4 hours after injection to determine the optimal imaging timepoint for the remainder of the patients, which will be applied in the remaining patients.

The images will be reconstructed and evaluated by a nuclear medicine physician who is blinded to the results of the CT, SSTR PET/CT and 18F-FDG PET/CT to assess tumor detection. Additionally, quantitative analysis of 68Ga-exendin-4, SSTR PET and 18F-FDG PET/CT images will be performed. After the patients have undergone surgery, immunohistochemical analysis of surgical specimens will be performed to assess GLP-1R expression, which will be compared with in vivo tracer uptake.

Conditions

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Paraganglioma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with confirmed paraganglioma

10 patients with confirmed PGL who have undergone CT, somatostatin receptor (SSTR) PET/CT and 18F-FDG PET/CT (as standard diagnostic procedures) and are scheduled for surgery.

68Ga-NODAGA-exendin-4 PET/CT

Intervention Type RADIATION

PET/CT imaging 1 hour after injection of 100 MB 68Ga-NODAGA-exendin-4

Interventions

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68Ga-NODAGA-exendin-4 PET/CT

PET/CT imaging 1 hour after injection of 100 MB 68Ga-NODAGA-exendin-4

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Proven sympathetic PGL with a single tumor detected using standard diagnostic imaging
* No evidence of metastatic disease
* CT, SSTR PET/CT and 18F-FDG PET/CT performed (golden standard diagnostic imaging)
* Scheduled for surgery
* Able to sign informed consent

Exclusion Criteria

* Breast feeding
* Pregnancy or the wish to become pregnant within 1 month
* Calculated creatinine clearance below 40ml/min
* Evidence of other malignancy than PGL in conventional imaging (suspicious liver, bone and lung lesions)
* Age \< 18 years
* Not able to sign informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Radboud University Medical Center

Nijmegen, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Marti Boss, PhD

Role: CONTACT

Phone: +31243613813

Email: [email protected]

Facility Contacts

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Marti Boss, PhD

Role: primary

Other Identifiers

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2021-000194-93

Identifier Type: -

Identifier Source: org_study_id