[18F]AlF-NOTA-FAPI-04 PET/CT in Inflammation and Fibrosis in Renal Diseases
Clinical Study of Fibroblast Activating Protein Inhibitor (FAPI) -Mediated 18F Targeted to Evaluate Inflammation and Fibrosis in Renal Diseases
The goal of this observational study is to explore the feasibility of using 18F-labeled FAP molecular probe for PET/CT imaging (18F-FAPI PET/CT) to accurately evaluate inflammation and fibrosis in renal diseases. The main questions it aims to answer are:
- Can 18F-FAPI PET/CT accurately evaluate the inflammation and fibrosis of kidney disease?
- What is the value of 18F-FAPI PET/CT as a non-invasive assessment of inflammation and fibrosis in kidney disease? Participants will receive [18F]AlF-NOTA-FAPI-04 PET/CT and renal aspiration biopsy.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Hao Wang, Principal Investigator
- Phone Number: +8618313820216
- Email: 18810566155@163.com
Study Locations
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Sichuan
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Chengdu, Sichuan, China, 610072
- Recruiting
- Sichuan Provincial People's Hospital
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Contact:
- Wei Zhang, doctor
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- The pitients of nephritis or fibrosis disease
Exclusion Criteria:
- Hypertension that is difficult to control with medication, and systolic blood pressure exceeding 160mmHg
- Renal biopsy cannot be performed for severe exclotting disease
- Complicated with chronic liver disease, myocardial infarction, stroke, and malignant tumor
- Unable to cooperate with renal puncture biopsy due to language communication or other problems
- Female patients who are pregnant (or attempting to become pregnant within six months), breastfeeding, or unwilling to use contraception
- Abnormal cardiopulmonary function or mental state, unable to tolerate prone lying for 20 minutes
- Alcohol allergy
- Patients with significant decrease in urine volume due to disease
- Refusal to sign an informed consent form or inability or unwillingness to comply with the investigator-approved protocol
- Other circumstances deemed inappropriate by the investigator for participation in the study.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Renal inflammatory or fibrotic disease
[18F]AIF-NOTA-FAPI-04 (4.81MBq/Kg) will be injected intravenously according to the patient's body weight.
PET/CT examination will be performed 50-60 minutes after the injection of radiotracer.
The patients will undergo renal puncture biopsy one day after PET/CT examination.
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The intravenous radiotracer dose is 1.85-2.59
MBq/kg, and imaging will be performed 50-60 min after radiotracer injection.
All patients are required to urinate as much as possible for imaging preparations, which reduces the influence of the residual radiotracer in the renal pelvis and calyces.
Some patients with poor renal function (GFR<60 mL/min, urine volume < 1000 mL/24 h) will be given diuretics (Furosemide, 0.57 mg/kg).
The scope of the whole-body inspection is from the base of the skull to the base of the thigh, using five to six beds (3 min/bed).
The matrix was 128×128, the PET layer thickness was 3 mm, and all PET images are reconstructed iteratively.
The patients undergo renal puncture biopsy one day after PET/CT examination.
Pathological results of renal biopsy will be collected after surgery, including but not limited to: pathological diagnosis, proportion of glomerulosclerosis, extent of inflammatory cell infiltration, and degree of renal interstitial fibrosis.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Standardized uptake value
Time Frame: 30minutes after PET/CT examination
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The extent of renal uptake of FAPI
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30minutes after PET/CT examination
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Zhou Y, Yang X, Liu H, Luo W, Liu H, Lv T, Wang J, Qin J, Ou S, Chen Y. Value of [68Ga]Ga-FAPI-04 imaging in the diagnosis of renal fibrosis. Eur J Nucl Med Mol Imaging. 2021 Oct;48(11):3493-3501. doi: 10.1007/s00259-021-05343-x. Epub 2021 Apr 7.
- Conen P, Pennetta F, Dendl K, Hertel F, Vogg A, Haberkorn U, Giesel FL, Mottaghy FM. [68 Ga]Ga-FAPI uptake correlates with the state of chronic kidney disease. Eur J Nucl Med Mol Imaging. 2022 Aug;49(10):3365-3372. doi: 10.1007/s00259-021-05660-1. Epub 2022 Jan 6.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SCPHNM
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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