Diagnostic Validity of [18F]GP1 PET for Diagnosing Acute Deep Vein Thrombosis

• Status: Recruiting
• Trial end date: 2022-07-30
• Target enrollment: 0
• Participant gender: All

Summary

The first-in-human study of [18F]GP1 positron emission tomography/computed tomography (PET/CT) showed that [18F]GP1 is safe and promising novel PET tracer for imaging acute venous thromboembolism with favorable biodistribution and pharmacokinetics in patients. The goal of this phase 2 study is to evaluate whether [18F]GP1 PET/CT is sensitive and specific for the diagnosis of acute deep vein thrombosis in the appropriate patient population and clinical setting. This study will provide preliminary evidence of efficacy and expand the safety database in a larger group of patients who were suspected of having acute deep vein thrombosis. This study will further optimize image acquisition techniques, and develop methods and criteria by which [18F]GP1 PET/CT will be evaluated. Other critical questions about [18F]GP1 biodistribution including [18F]GP1 uptake in pulmonary and systemic arteries will be evaluated.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Dae Hyuk Moon

Criteria

Inclusion Criteria:

• A subject will be enrolled if he/she meets all of the following inclusion criteria.

• Subject is aged between 19 and 79 years and male or female of any race/ethnicity.

• Patient has a first episode of clinically suspected acute deep vein thrombosis of the lower extremity within 14 days prior to the planned [18F]GP1 PET/CT.

• The pretest probability for deep vein thrombosis is likely by two-level Wells score (≥ 2), or the D-dimer test is positive.

• Subject underwent or is scheduled to undergo venous ultrasonography within 7 days of [18F]GP1 PET/CT:

• Patient has Eastern Cooperative Oncology Group performance status of 0-2 at time of screening.

Exclusion Criteria:

• A subject is to be excluded from the study if he/she does not fulfill the inclusion criteria or display any of the following criteria.

• Subject or subject's legally acceptable representative does not provide written informed consent.

• Subject has a previous history of objectively diagnosed deep vein thrombosis or pulmonary embolism.

• Subject has symptoms of acute deep vein thrombosis lasting for longer than 4 weeks at time of screening.

• Subject is suspected to have pulmonary embolism with shock or hypotension

• Subject had pretreatment with glycoprotein IIb/IIIa inhibitors within 15 days before the administration of [18F]GP1.

• Anticancer chemotherapy is scheduled to be given to subject before or within 24 hours after administration of [18F]GP1.

• Female subject is pregnant or nursing. Exclusion of the possibility of pregnancy is made by one of the following: 1) woman is physiologically post-menopausal (cessation of menses for more than 2 years), or 2) woman is surgically sterile (has had a documented bilateral oophorectomy and/or documented hysterectomy). If the woman is of childbearing potential, a urine pregnancy test performed within 24 hours immediately prior to administration of [18F]GP1 has to be negative and the women is advised to apply contraceptive measures during her participation in this study.

• Subject has concurrent severe and/or uncontrolled and/or unstable medical disease other than cancer (e.g. congestive heart failure, acute myocardial infarction, severe pulmonary disease, chronic renal or hepatic disease) which could compromise participation in the study in the judgment of the investigator.

• Subject is a relative of the investigator, student of the investigator or otherwise dependent.

• Subject has been involved in another investigative clinical study involving administration of an investigational drug from preceding 4 weeks prior to the study enrollment or within 24 hours after administration of [18F]GP1.

• Subject has been previously included in this study.

• Subject has any other condition or personal circumstances that, in the judgment of the investigator, might make collection of complete data difficult or impossible.

• Additive-related precautions: This investigational product contains sodium bisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.