Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at Los Angeles, California and other locations
Dates
study started
study ends around
Principal Investigator
by Mark Girgis, MD

Description

Summary

This is a multi-site, open-label, non-randomized, single dose study to assess the clinical utility of [¹⁸F]FAPI-74 PET/CT in the detection of metastatic disease in individuals with pathologically confirmed gastric, gastroesophageal junction or esophageal cancer. Following screening, using a standardized administration protocol and dose, participants will undergo [¹⁸F]FAPI-74 PET/CT screening. SOC procedures and interventions will be captured during 3 months +/-14 days post injection. The primary objective is to evaluate the sensitivity and specificity of such [¹⁸F]FAPI-74 PET/CT using a composite SOT panel. The maximum expected duration of the trial is approximately 24 months from first patient screening to last patient SOC follow up. The participants will be followed-up for safety for 24 to 72 hours after the dose of [¹⁸F]FAPI-74 PET/CT.

Official Title

A Phase 3, Multicenter, Prospective Open-Label Study of the Diagnostic Performance of [¹⁸F]FAPI-74 PET/CT for the Detection of Metastatic Disease in Adults With Gastric or Esophageal Cancer

Keywords

Esophageal Cancer, Gastric Cancer (GC), Gastroesophageal Junction, FAP, Fibroblast Activation Protein, Fibroblast Activation Protein Inhibitor, FAPI, gastroesophageal cancer, PET, Esophageal Neoplasms, Stomach Neoplasms, [18F]FAPI-74 PET/CT

Eligibility

You can join if…

Open to people ages 18 years and up

  • Male and female adults ≥ 18 years.
  • Participants with confirmed gastric, esophageal or gastroesophageal malignancy undergoing staging evaluation for treatment planning.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
  • Provided signed, written informed consent prior to any study-related procedures.
  • Participants are required to have a ceCT scan of chest, abdomen and pelvis as per standard clinical practice and practice guidelines either 21 days or less prior to entry or planned within 21 days of [¹⁸F]FAPI-74 administration.
  • For women who are not postmenopausal (two years of amenorrhea) or surgically sterile (absence of ovaries and/or uterus): agreement to use medically accepted, highly effective methods of contraception (e.g., hormonal implants, combined oral contraceptives, vasectomized partner, during the trial intervention period.

You CAN'T join if...

  • Unequivocal evidence of metastases at the time of enrollment that would preclude surgery as a treatment option.
  • Known hypersensitivity to [¹⁸F]FAPI-74.
  • Administration of another investigational diagnostic or therapeutic product within 30 days prior to [¹⁸F]FAPI-74 administration.
  • Prior administration of a radiopharmaceutical within 10 half-lives of that product from the time of [¹⁸F]FAPI-74 administration.
  • Previous cancer (except basal cell carcinoma of the skin or in situ carcinoma of the cervix/uterus (participants treated with curative intent and disease free for more than 5 years are permitted).
  • Hepatic function: T. bili >1.5X ULN or alk phos, ALT, or AST >5X ULN
  • Renal function: GFR < 30 mL/min
  • Pregnant or currently breast feeding (a negative pregnancy test is required in women of childbearing potential).
  • Inability to undergo the PET/CT scanning procedure.
  • Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
  • Sarcoidosis
  • Treatment, including chemotherapy, radiation, immunotherapy or surgery for curative intent of Gastroesophageal cancers

Locations

  • UCLA not yet accepting patients
    Los Angeles California 90095 United States
  • Helios CR Inc./RadNet accepting new patients
    Cerritos California 90703 United States
  • Hoag Memorial Hospital accepting new patients
    Irvine California 92618 United States

Lead Scientist at UCLA

  • Mark Girgis, MD
    Associate Professor-in-residence, Surgery, Medicine. Authored (or co-authored) 69 research publications

Details

Status
accepting new patients at some sites,
but this study is not currently recruiting here
Start Date
Completion Date
(estimated)
Sponsor
SOFIE
ID
NCT07217704
Phase
Phase 3 research study
Study Type
Interventional
Participants
Expecting 200 study participants
Last Updated