PRedictive Value of Multiparametric Dynamic WB 18F-FDG-PET Imaging on a LAFOV System for FIRST-line Chemo-immunotherapy Efficacy in Advanced Non-small-cell Lung Cancer: PROFIL-1

NCT ID: NCT06738680

Last Updated: 2024-12-18

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

NOT_YET_RECRUITING

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-30

Study Completion Date

2026-11-02

Brief Summary

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Lung cancer is the leading cause of cancer deaths worldwide. Revolution of chemo-immunotherapy (CT-IO) in first-line of metastatic non-small-cell lung cancers (NSCLC) without actionable genomic alterations (AGAs) has dramatically improved prognosis, providing long response to a subset of patients. Because of a highly heterogeneous disease, majority of patients do not show long term benefit. Long axial field of view positron emission tomography (LAFOV-PET) scanner is a new emerging system allowing dynamic whole-body imaging with higher sensitivity, representing unique opportunity for oncological applications. The aim of this study is to determine if LAFOV-PET imaging biomarkers could early predict response to CT-IO in NSCLC.

Detailed Description

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Lung cancer is the leading cause of cancer deaths worldwide. Revolution of chemo-immunotherapy (CT-IO) in first-line of metastatic non-small-cell lung cancers (NSCLC) without actionable genomic alterations (AGAs) has dramatically improved prognosis, providing long response to a subset of patients. Because of a highly heterogeneous disease, majority of patients do not show long term benefit. Long axial field of view positron emission tomography (LAFOV-PET) scanner is a new emerging system allowing dynamic whole-body imaging with higher sensitivity, representing unique opportunity for oncological applications. The aim of this study is to determine if LAFOV-PET imaging biomarkers could early predict response to CT-IO in NSCLC.

PROFIL-1 is a multicentre, single-arm, prospective non-interventional pilot study investigating the predictive value of multiparametric 18F-fluoro-deoxyglucose whole-body dynamic PET imaging on a LAFOV system for first-line CT-IO efficacy in advanced NSCLC, with a planned enrolment of 120 patients at 2 French sites. Adult patients with treatment-naïve advanced non-squamous or squamous NSCLC without AGAs and eligible for first-line CT-IO will be recruited for PROFIL-1. Patients will undergo LAFOV-PET before and after CT-IO induction. The primary objective is to evaluate predictive performance of a whole-body multiparametric analysis (radiomics and dynamics) in LAFOV-PET on CT-IO efficacy based on progression-free survival (PFS) per RECIST v1.1 by investigators. Secondary endpoints included correlations between imaging parameters and clinico-pathological characteristics, comparison between direct Patlak and indirect Patlak methods to determine dynamic parameters such as Ki (the net influx rate) and distribution volume (DV), number of tumor lesions and signal-to-noise ratio, objective response rate (ORR), overall survival (OS) and safety.

Conditions

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Non-Small Cell Lung Cancer

Keywords

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Chemo-immunotherapy Non-Small Cell Lung Cancer Metastatic Imaging Biomarkers Prediction of response

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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LAFOV system (an innovative, latest-generation system) scan

To collect data from the LAFOV system (an innovative, latest-generation system) during the PET scan planned as part of your treatment.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adult patients ≥ 18 years
* With advanced, non-operable, non-radiatable or metastatic NSCLC
* Treatment-naïve patients
* Eligible for first-line chemo-immunotherapy (anti-PD-1)
* Written Non-objection
* Eligible for LAFOV FDG-PET less than 21 days before initiation of treatment

Exclusion Criteria

* Minor patients \<18 years
* Oncogenic addiction targetable in 1st line: EGFR, ALK, ROS1, RET
* Pregnancy or breast-feeding
* Other histology than NSCLC
* Ineligible for first-line chemo-immunotherapy
* PET-FDG Scan contraindications
* Refusal to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Margaux GEIER

Role: STUDY_DIRECTOR

University Hospital, Brest

Locations

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Brest University Hospital

Brest, , France

Site Status

Morlaix Hospital Center

Morlaix, , France

Site Status

Countries

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France

Central Contacts

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Margaux GEIER

Role: CONTACT

Phone: +33230338030

Email: [email protected]

Ronan ABGRAL

Role: CONTACT

Phone: +33298223069

Email: [email protected]

Facility Contacts

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Margaux GEIER

Role: primary

Ronan ABGRAL

Role: backup

Ronan ABGRAL

Role: backup

Karim AMRANE

Role: primary

Karim AMRANE

Role: backup

Other Identifiers

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29BRC24.0049

Identifier Type: -

Identifier Source: org_study_id