About this trial
This study investigates fluorine-18-AlphaVBeta6-BP (\[18F\]-αvβ6-BP) as a Positron Emission (PET) imaging agent in Non-Small Cell Lung Cancer (NSCLC) patients with brain metastases. Investigators hypothesize that \[18F\]-αvβ6-BP PET/Computed Tomography (CT) is a sensitive tool for disease assessment in patients with metastatic NSCLC, including those with brain metastases.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women age >18 yrs
Biopsy proven NSCLC with brain metastases (treated or untreated)
Life-expectancy of ≥3 months in the opinion of the treating physician
Available archival tumor tissue (excisional, core, or fine needle aspiration (FNA) is acceptable). Tissue from a metastatic site is preferred when available.
Disqualifiers
Pregnant or lactating women
Prisoners
Concurrent malignancy of a different histology that could confound imaging interpretation
Patients who cannot undergo PET/CT scanning because of weight limits(>350lbs)
Trial design
Single group
Treatments tested in this trial
[18F]-αvβ6-BP
DrugSubjects will be injected twice with up to 10 millicurie (mCi) of 18F-αvβ6-BP as a rapid intravenous (i.v) bolus.
Treatment groups
Trial outcomes
Primary outcomes
[18F]-αvβ6-BP PET/CT imaging compared to immunohistochemistry
Standard uptake value (SUV) values from \[18F\]-αvβ6-BP PET/CT will be compared to immunohistochemistry (IHC) αvβ6 staining of archival tissue to assess the sensitivity of \[18F\]-αvβ6-BP PET/CT to detect αvβ6 positive metastasis in NSCLC
Secondary outcomes
Comparison of standard-of-care MRI and [18F]-αvβ6-BP PET/CT imaging
Detection of lesions with \[18F\]-αvβ6-BP will be compared to the number of lesions identified during standard-of-care MRI imaging
Comparison of standard-of-care [18F]-FDG PET/CT and [18F]-αvβ6-BP PET/CT imaging
SUVmax values obtained during standard-of-care FDG/PET will be compared to SUVmax values obtained from \[18F\]-αvβ6-BP PET/CT imaging
Comparison of standard-of-care MRI brain and [18F]-FDG PET/CT and [18F]-αvβ6-BP PET/CT imaging post treatment
Lesion response will be assessed based on standard-of-care MRI images, \[18F\]-FDG PET/CT and \[18F\]-αvβ6-BP PET/CT post treatment.
Sponsors and contacts
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University of California, Davis
Lead sponsor
United States Department of Defense
Collaborator