Assessment of the Value of FAPI and FDG-PET-CT in Diagnosis of Acute Phase Peyronie's Disease (Hippocrates)

November 2, 2026 updated by: University Medical Center Groningen

The Use of FAPI-PET/CT and FDG-PET/CT Scan in Acute and Chronic Phase Peyronie's Disease for Detection of Active Fibroblasts and Inflammation in the Penis - a Pilot Study

The goal of this clinical trial is to learn if FAPI-PET/CT and/or FDG-PET/CT scan is able to detect active fibroblast tissue and inflammation in patients with acute or chronic phase PD.

  • Does FAPI PET/CT scan or FDG PET/CT scan show any uptake of inflammatory tissue in patients with Peyronie's disease
  • Participants will undergo a FAPI PET/CT scan and FDG PET/CT scan after diagnosis of Peyronie's disease.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The use of FAPI-PET/CT and FDG-PET/CT scan in acute or chronic phase Peyronie's disease for detection of active fibroblasts and inflammation in the penis - a pilot study

Rationale Peyronie's Disease (PD) causes curvature of the penis due to grow of fibroblasts, leading to an inflammatory reaction in the Tunica Albuginea. It's causing pain in the acute phase in 20-70% of men. New pharmaceutical therapies are being developed, but these are only suitable for the active phase of PD. It is difficult to differentiate between the active phase with inflammation and active fibrosis, and the chronic phase with end stage fibrosis. At this moment, this differentiation can only be done by taking the history of the patient and physical examination.

Having a diagnostic test that is able to distinguish between the active and chronic phase will be ground-breaking and will support the decision to prescribe the new pharmaceutical options in the future.

FAPI-PET/CT scan is able to show active fibroblasts in tumour tissue. Recent studies also showed that this imaging technique is able to detect active fibroblasts in benign diseases, like idiopathic retroperitoneal fibrosis.

FDG-PET/CT scan can visualise active fibroblasts and inflammation based on enhanced uptake of glucose inside the fibroblasts and other inflammatory cells

Objective To evaluate if FAPI-PET/CT and/or FDG-PET/CT scan is able to detect active fibroblast tissue and inflammation in patients with acute phase PD.

To evaluate if FAPI-PET/CT and/or FDG-PET/CT scan is able to show fibrotic tissue (chronic phase) in a different way to distinguish between acute phase PD and chronic phase PD.

Main trial endpoints Primary: Detection of active fibroblasts (uptake of FAPI) and/or inflammation (uptake of FDG) in the penis of PD patients with FAPI-PET/CT scan and FDG-PET/CT scan.

No detection of FAPI and/or FDG uptake in chronic fibrotic tissue.

Trial design Pilot study

Trial population Ten patients >18 years with PD diagnosis, new onset < 6 months, painful erections, curvature and palpable nodule. Ten patients diagnosed with chronic PD will be included.

Interventions FAPI-PET/CT scan and FDG-PET/CT.

Ethical considerations relating to the clinical trial including the expected benefit to the individual subject or group of patients represented by the trial subjects as well as the nature and extent of burden and risks Nature and extent of the burden and risks associated with participation, benefit and group relatedness: After diagnosis of PD a FAPI-PET/CT scan will be performed in UMCG and < 2 weeks, before or after this, a FDG-PET/CT scan in St. Antonius Hospital. The scans will be performed as soon as possible.

After diagnosis of PD in chronic phase a FAPI-PET/CT scan will be performed in UMCG and a FDG-PET/CT scan in St. Antonius Hospital.

Study Type

Interventional

Enrollment (Estimated)

20

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Netherlands
    • Utrecht
      • Nieuwegein, Utrecht, Netherlands, 3435 CM
        • Recruiting
        • St Antoniusziekenhuis
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Male

Description

Inclusion Criteria men >18 years of age

  • mentally competent and understanding of benefits and potential burden of the study
  • be able to sign written informed consent
  • read and understand the Dutch language active phase:
  • painful erections,
  • with onset for < 6 months
  • palpable nodule
  • men >18 years of age chronic phase:
  • Stable curvature of at least 6 months
  • No painful erections for at least 6 months
  • Palpable nodule

Exclusion Criteria:

  • - Known other malignant disease
  • For acute phase: Previous treatment for PD
  • for chronic phase: Previous surgical treatment or treatment by injections for PD

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Pilot study, only 1 arm
Drug: 68Ga-FAPI (gallium-68-labeled fibroblast activation protein inhibitor)

1 dosage for PET/scan of 200 MBq

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
In first ten PD patients detection of active fibroblasts (uptake of FAPI) and/or inflammation (uptake of FDG) in the penis with PET/CT scan. In second ten PD Patients no detection of chronic fibrotic tissue with FAPI and/or FDG uptake with PET/CT scan.
Time Frame: From enrollment to after the second PET/CT scan. The PET/CT Scan will be performed within 2 weeks after enrollment in the active phase. At least 24 hours between the two PET/CT scans. No timelimit in the chronic phase for first PET/CT scan.
From enrollment to after the second PET/CT scan. The PET/CT Scan will be performed within 2 weeks after enrollment in the active phase. At least 24 hours between the two PET/CT scans. No timelimit in the chronic phase for first PET/CT scan.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University Medical Center Groningen

Collaborators

St. Antonius Hospital

Investigators

  • Study Director: Igle Jan de Jong, professor, University Medical Cener Groningen

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 13, 2024

Primary Completion (Estimated)

August 30, 2027

Study Completion (Estimated)

September 15, 2027

Study Registration Dates

First Submitted

October 12, 2026

First Submitted That Met QC Criteria

October 26, 2026

First Posted (Actual)

October 29, 2026

Study Record Updates

Last Update Posted (Actual)

November 3, 2026

Last Update Submitted That Met QC Criteria

November 2, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • METc 2022/299
  • 2024-518838-82-00 (Ctis)
  • 2022-002770-82 (EudraCT Number)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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