About this trial
This study aims to evaluate the safety, feasibility, and imaging performance of a novel 68Ga-labeled B7-H3 nanobody for immunoPET imaging in patients with osteosarcoma. Participants with suspected or histologically confirmed osteosarcoma will undergo 68Ga-B7-H3 nanobody PET/CT imaging according to the study protocol. Imaging findings will be compared with conventional imaging and, when available, histopathological results. The study will assess tracer biodistribution, tumor uptake, lesion detectability, and safety to determine the potential clinical value of B7-H3-targeted immunoPET for the diagnosis and evaluation of osteosarcoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥10 years.
Histologically confirmed osteosarcoma.
Relapsed or refractory disease following failure of first- or second-line systemic therapy.
Ability to understand the study procedures and provide written informed consent (or assent with parental/legal guardian consent, where applicable).
Disqualifiers
Pregnant or breastfeeding.
Severe uncontrolled systemic disease or medical condition that, in the investigator's judgment, may interfere with study participation or image interpretation.
Unable to undergo PET/CT examination.
Any condition that, in the investigator's judgment, makes the participant unsuitable for enrollment.
Trial design
Single group
Treatments tested in this trial
68Ga-B7-H3 Nanobody PET/CT
Diagnostic testParticipants with osteosarcoma will receive a single intravenous administration of the investigational 68Ga-labeled B7-H3 nanobody followed by PET/CT imaging according to the study protocol. Imaging findings will be analyzed for tracer biodistribution, tumor uptake, lesion detection, and safety.
Treatment groups
Trial outcomes
Primary outcomes
Lesion detection rate of 68Ga-B7-H3 nanobody PET/CT
Number and proportion of osteosarcoma lesions detected by 68Ga-B7-H3 nanobody PET/CT, using histopathology and/or clinical follow-up as the reference standard.
Number of participants with 68Ga-PFBH01-related adverse events
Number and proportion of participants experiencing one or more adverse events considered related to 68Ga-PFBH01 administration. Adverse events will be recorded from tracer administration through 30 ± 3 days after PET/CT and graded according to the Common Terminology Criteria for Adverse Events (CTCAE).
Secondary outcomes
Maximum standardized uptake value (SUVmax) of 68Ga-PFBH01 in osteosarcoma lesions
SUVmax of 68Ga-PFBH01 will be measured in osteosarcoma lesions identified on PET/CT. SUVmax represents the maximum voxel-level standardized uptake value within the lesion region of interest.
Sponsors and contacts
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