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This study aims to evaluate the diagnostic efficacy, therapeutic assessment, prognostic analysis, and impact on clinical treatment decisions of 18F-FAPI PET/CT in patients with cancer of unknown primary.
Primary endpoint: Diagnostic efficacy of 18F-FAPI PET/CT in patients with undetermined primary tumor (sensitivity, specificity, accuracy).
secondary end points:
The diagnostic performance of 18F-FAPI PET/CT compared with CT, MR and 18F-FDG PET in the clinical application of cancer with unknown primary site was compared.
④Assess the heterogeneity of sensitivity and specificity of 18F-FAPI PET/CT for different system sites (neck/thorax/abdomen).
Study on efficacy evaluation and prognostic prediction of 18F-FAPI PET/CT in patients with primary tumors of unknown origin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FAPI-cups | FAPI PET scan in patients with CUPs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 18F-FAPI PET | Diagnostic Test | 18F-FAPI-04 PET/CT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic efficacy | Sensitivity, specificity, positive and negative predictive value of 18F-FAPI PET/CT Imaging in cancers of unknown primary site | through study completion, an average of 1.5 year |
| Measure | Description | Time Frame |
|---|---|---|
| Standard uptake value (SUV)of tumor | This measure evaluates the association between baseline 18F-FAPI PET parameters (e.g., SUVmax, SUVmean). | through study completion, 3-4 years |
| Metabolic tumor volume (c) and total lesion glycolysis (TLG) of tumor |
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Inclusion Criteria:
Exclusion Criteria:
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120
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Donghe Chen, MD | Contact | 0571-87236432 | chendonghe@zju.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, Zhejiang University School of Medicine | Hangzhou | Zhejiang | 310003 | China |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Oct 17, 2025 | Dec 25, 2025 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D009382 | Neoplasms, Unknown Primary |
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
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This measure evaluates the association between baseline 18F-FAPI PET parameters (MTV in cm3, TLG in cm3*SUV)
| through study completion, 3-4 years |
| Prognostic Value of Baseline 18F-FAPI PET for Progression-Free Survival (PFS) in High-Risk Patients | Prognostic Value of Baseline 18F-FAPI PET for Progression-Free Survival (PFS) in High-Risk Patients | through study completion, 3-4 years |
| D013568 |
| Pathological Conditions, Signs and Symptoms |