About this trial
The purpose of this study is to determine if measurements of active collagen deposition using \[68Ga\]CBP8 positron emission tomography (PET) and tissue injury using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) can predict an individual patient's pace of disease progression in non-idiopathic pulmonary fibrosis interstitial lung disease (non-IPF ILD) and identify which individuals will develop progressive pulmonary fibrosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-80 with a diagnosis of chronic hypersensitivity pneumonitis, connective tissue-associated ILD (due to rheumatoid arthritis, systemic sclerosis, mixed connective tissue disease), or undifferentiated ILD.
On stable dose immunosuppression treatment (with prednisone, mycophenolate mofetil, mycophenolate sodium, and/or rituximab) for at least 3 months.
Pulmonary fibrosis, defined as honeycombing, traction bronchiectasis, or reticular opacities on HRCT performed within 1 year to or at Visit 1.
FVC of >/= 45% and DLCO >/= 25% predicted on PFTs performed at Visit 1.
Disqualifiers
Current or prior exposure to FDA approved anti-fibrotic therapy.
Extent of emphysema greater than extent of fibrosis.
Pregnancy or plans to become pregnant at baseline or during follow-up.
Contraindications to MRI.
Trial design
Single group
Treatments tested in this trial
[68Ga]CBP8
DrugParticipants will receive a single intravenous injection of up to 350 MBq of \[68Ga\]CBP8
Gadoterate Meglumine
DrugParticipants will receive a single intravenous injection of 0.05 mmol/kg gadoterate meglumine during DCE-MRI
Treatment groups
Trial outcomes
Primary outcomes
Development of progressive pulmonary fibrosis
Defined by the 2022 ATS guideline definition of progressive pulmonary fibrosis (PPF) which defines PPF as satisfying 2 of 3 criteria within 12 months: worsening symptoms, physiologic progression (absolute decline in FVC ≥ 5% or absolute decline in DLCO ≥ 10%), or radiologic evidence of disease progression.
Secondary outcomes
Decline of forced vital capacity (FVC) ≥ 5% from baseline
FVC will be measured at baseline, 6, 12, 18, and 24 months
Decline of forced vital capacity (FVC) ≥10% from baseline
FVC will be measured at baseline, 6, 12, 18, and 24 months
Decline of diffusing capacity for carbon monoxide (DLCO) ≥15% from baseline
DLCO will be measured at baseline, 6, 12, 18, and 24 months
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Peter Caravan
Lead sponsor
Massachusetts General Hospital
Sponsor institution