About this trial
A new radiotracer, 68Ga-FXX489 (NNS309), has been developed for tracking fibroblast activation protein (FAP) and visualizing the tumor stroma. The purpose of the study is to explore the diagnostic value of 68Ga-FXX489 (NNS309) PET/CT imaging in oncological diseases, to assess its safety, imaging characteristics, and biodistribution after administration.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with a high suspicion of oncological diseases.
Age: 18-80 years, no gender restriction, able to express themselves independently, and willing to participate in this study with a signed informed consent form.
Disqualifiers
Failure to sign the informed consent form.
Severe visual or auditory impairment, cognitive disorders, or patients with claustrophobia who cannot communicate effectively.
Severe cardiac dysfunction, cardiac function class III-IV.
Renal failure (serum creatinine level > 1.2 mg/dl).
Trial design
Single group
Treatments tested in this trial
68Ga-FXX489
DrugThe dose will be 3 to 8 millicurie (mCi) +/- 10% given intravenously at a single time prior to imaging.
Positron Emission Tomography (PET) imaging
Procedure/SurgeryParticipants will be scanned for approximately 30 to 45 minutes.
Gallium-68 labelled (68Ga-) FAP-2286
DrugThe dose will be 3 to 8 millicurie (mCi) +/- 10% given intravenously at a single time prior to imaging.
Treatment groups
Trial outcomes
Primary outcomes
Count of participants with treatment-emergent adverse events
The frequency and severity of treatment emergent adverse events following FXX489(NNS306) injection will be descriptively reported as classified and graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0
Proportion of radiation-absorbed doses of radiolabeled FAP-2286.
Volumes of interest of 68Ga- will be drawn around regions identified on the scans, including the liver, spleen, kidneys, urinary bladder, the central sacrum (for hematopoietic marrow) and whole body. Data will be fitted using the Simulation, Analysis, and Modeling Software II (SAAM II) software. Time integrals of activity will be entered into the Organ Level INternal Dose Assessment/EXponential Modeling (OLINDA/EXM) software, using the reference adult model. The results from all patients enrolled will be combined to allow the calculation of mean, standard deviation (SD), and range of radiation-absorbed doses to individual organs
Standardized Uptake Values (SUVs)
The maximum Standardized Uptake Value (SUVmax) will be calculated for up to five lesions in each patient, with mediastinal blood pool being used as background activity.
Tumor-to-background (TBR) Ratio
TBR ratios will be calculated for up to five lesions in each patient, with mediastinal blood pool being used as background activity. The median and range of the measured TBRs will be reported across all RECIST measurable lesions as a table broken down by location (organ metastases, nodal metastases and bone metastases).
Sponsors and contacts
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Yi Tian
Lead sponsor
First Hospital of China Medical University
Sponsor institution