- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05331729
Evaluation of the Value of 18F-Fluoromisonidazole (18F-FMISO) Positron Emission Tomography Hypoxia Imaging in Idiopathic Pulmonary Fibrosis (FIPOXY)
Evaluation of the Value of 18F-Fluoromisonidazole (18F-FMISO) Positron Emission Tomography Hypoxia Imaging in Idiopathic Pulmonary Fibrosis - A Non-randomized Proof-of-concept Study Comparing Patients With Idiopathic Pulmonary Fibrosis and Healthy Subjects
Idiopathic pulmonary fibrosis (IPF) is a rare, chronic, lethal disease of unknown etiology and with a variable course. There is currently no test in routine care that can assess both the anatomical and functional damage of the disease at an early stage. This is the first human study in IPF to evaluate the value of a non-invasive tracer, 18F-fluoromisonidazole (18F-FMISO), targeting hypoxia in IPF patients.
This is a Phase I, proof-of-concept, single-center, open-label, parallel group study.
It will include 2 groups:
- 1 group of 10 IPF patients
- 1 group of 10 healthy volunteers matched to IPF patients for age and gender
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Guillaume BELTRAMO
- Phone Number: 03 80 29 37 72
- Email: guillaume.beltramo@chu-dijon.fr
Study Locations
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-
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Dijon, France, 21000
- Recruiting
- CHU Dijon Bourgogne
-
Contact:
- Guillaume BELTRAMO
- Phone Number: 03 80 29 37 72
- Email: guillaume.beltramo@chu-dijon.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
For all patients (IPF and healthy volunteers) :
- Person who has given written consent
- Age ≥ 50 years
- Absence of disease, comorbidity, or treatment that may interfere with the evaluation of the study objective, as decided by the investigator
For patients with IPF only:
- Diagnosis of IPF according to the criteria of the current international recommendations (ATS/ERS/JRS/ALAT of 2011) and validated in a multi-disciplinary meeting in a Competence or Reference Center
- Patients who have had a high-resolution thoracic CT scan less than 1 month previously as part of the management of their disease
- Patients who have had a PFT less than 1 month previously as part of the management of their disease
For healthy volunteers only:
- Absence of functional respiratory signs - absence of dyspnea on exertion and at rest and absence of chronic cough.
- Normal clinical examination with no crackles on pulmonary auscultation
- No personal history of chronic hypoxemic respiratory disease
Exclusion Criteria:
- Person who is not covered by national health insurance
- Cancer or history of cancer in the past 5 years (except basal cell skin cancer)
- Chronic lung disease other than IPF or a history incompatible with the diagnosis of idiopathic pulmonary fibrosis (thoracic radiotherapy, pneumotoxic chemotherapy, etc.)
- Exacerbation of IPF during treatment
- Active smoking
- Patient requiring long-term oxygen therapy (excluding ambulatory oxygen therapy alone)
Contraindication to PET or CT scan or presence of a condition disturbing the interpretation :
- known allergy to 18F-FMISO
- pregnancy or breastfeeding
- claustrophobia
- uncontrolled type I/II diabetes (HbA1c >7%)
- surgical intervention in the previous month
- Radiotherapy session in the previous 3 months
- concomitant granulomatous condition (sarcoidosis type) or pulmonary inflammation
- Moderate or severe renal insufficiency (GFR < 70 ml/min/1.73 m²)
- Person under legal protection (curatorship, guardianship)
- Adult unable to express consent
SECONDARY EXCLUSION CRITERIA only for healthy volunteers
- Abnormal 6 min walk test at screening
- Abnormal PFT at screening with FVC ≤ 80% of predicted value and DLCO ≤ 75% of predicted value
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Healthy volunteers
|
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Experimental: Patients with idiopathic pulmonary fibrosis
|
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lung SUVmean of 18F-FMISO measured in PET
Time Frame: At baseline
|
Comparison in IPF patients and healthy volunteers
|
At baseline
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BELTRAMO_APJ_2019
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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