99mTc Sestamibi SPECT/CT vs 18F Fluorocholine PET/CT

NCT ID: NCT05891769

Last Updated: 2025-09-10

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

Clinical Phase

PHASE2/PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-27

Study Completion Date

2027-07-01

Brief Summary

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This study proposes the use of a well-established PET isotope, Fluorine-18 (18F), bound to Choline, for a prospective single-center, single-arm study for participants with suspected parathyroid adenoma and negative or equivocal standard of care 99mTc Sestamibi SPECT/CT

Detailed Description

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Conditions

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Parathyroid Adenoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a prospective, single-center, single-arm study enrolling 100 adult participants with suspected parathyroid adenoma and negative or equivocal standard of care 99mTc Sestamibi SPECT/CT.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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18FCH PET/CT

Participant receive 18F Fluorocholine injection and approximately 45-60 minutes later receive a low dose CT scan from skull base to mid thighs, followed by a static PET emission scan over the same area.

Group Type EXPERIMENTAL

18Fluorocholine

Intervention Type DRUG

18F Fluorocholine 5 mCi ± 20% administered intravenously.

Interventions

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18Fluorocholine

18F Fluorocholine 5 mCi ± 20% administered intravenously.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Suspected parathyroid adenoma (elevated serum calcium and inappropriately normal or high levels of parathyroid hormone)
2. Negative or equivocal 99mTc Sestamibi SPECT/CT
3. Able to provide written consent
4. Total bilirubin ≤ 1.5 x upper limit of normal (ULN)
5. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤ 5 xULN
6. Karnofsky performance status of \>50 (or ECOG/WHO equivalent)
7. Women must not be pregnant per the Department of Radiology Policy on Imaging in Potentially Pregnant and Pregnant Women.

Exclusion Criteria

1. Less than 18 years old at the time of radiotracer administration
2. Creatinine clearance (calculated using Cockcroft-Gault formula, or measured) \< 60 mL/min or serum creatinine \>1.5 x ULN
3. QTcF \>470 msec on electrocardiogram (ECG) or congenital long QT syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Andrei Iagaru

OTHER

Sponsor Role lead

Responsible Party

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Andrei Iagaru

Professor of Radiology (Nuclear Medicine)

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Andrei Iagaru, MD

Role: STUDY_DIRECTOR

Stanford University

Locations

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Stanford Hospital and Clinics

Stanford, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Andrea Otte, DPT

Role: CONTACT

650-736-4183

Facility Contacts

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Meredith Durbahn

Role: primary

References

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Ciappuccini R, Morera J, Pascal P, Rame JP, Heutte N, Aide N, Babin E, Reznik Y, Bardet S. Dual-phase 99mTc sestamibi scintigraphy with neck and thorax SPECT/CT in primary hyperparathyroidism: a single-institution experience. Clin Nucl Med. 2012 Mar;37(3):223-8. doi: 10.1097/RLU.0b013e31823362e5.

Reference Type BACKGROUND
PMID: 22310246 (View on PubMed)

Graves CE, Hope TA, Kim J, Pampaloni MH, Kluijfhout W, Seib CD, Gosnell JE, Shen WT, Roman SA, Sosa JA, Duh QY, Suh I. Superior sensitivity of 18F-fluorocholine: PET localization in primary hyperparathyroidism. Surgery. 2022 Jan;171(1):47-54. doi: 10.1016/j.surg.2021.05.056. Epub 2021 Jul 21.

Reference Type BACKGROUND
PMID: 34301418 (View on PubMed)

DeGrado TR, Reiman RE, Price DT, Wang S, Coleman RE. Pharmacokinetics and radiation dosimetry of 18F-fluorocholine. J Nucl Med. 2002 Jan;43(1):92-6.

Reference Type BACKGROUND
PMID: 11801711 (View on PubMed)

Kluijfhout WP, Pasternak JD, Gosnell JE, Shen WT, Duh QY, Vriens MR, de Keizer B, Hope TA, Glastonbury CM, Pampaloni MH, Suh I. 18F Fluorocholine PET/MR Imaging in Patients with Primary Hyperparathyroidism and Inconclusive Conventional Imaging: A Prospective Pilot Study. Radiology. 2017 Aug;284(2):460-467. doi: 10.1148/radiol.2016160768. Epub 2017 Jan 25.

Reference Type BACKGROUND
PMID: 28121522 (View on PubMed)

Hope TA, Graves CE, Calais J, Ehman EC, Johnson GB, Thompson D, Aslam M, Duh QY, Gosnell JE, Shen WT, Roman SA, Sosa JA, Kluijfhout WP, Seib CD, Villaneuva-Meyer JE, Pampaloni MH, Suh I. Accuracy of 18F-Fluorocholine PET for the Detection of Parathyroid Adenomas: Prospective Single-Center Study. J Nucl Med. 2021 Nov;62(11):1511-1516. doi: 10.2967/jnumed.120.256735. Epub 2021 Mar 5.

Reference Type BACKGROUND
PMID: 33674400 (View on PubMed)

Other Identifiers

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68169

Identifier Type: -

Identifier Source: org_study_id

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