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This is a prospective, single-center, single-arm, phase I/II study designed to evaluate (1) the safety, tolerability, and imaging characteristics of 68Ga-NYM207 (Phase A), and (2) the diagnostic performance of 68Ga-NYM207 in detecting hepatocellular carcinoma (HCC) (Phase B). This study will provide critical insights into the performance of 68Ga-NYM207 PET/CT as a non-invasive imaging tool for the detection of HCC.
Each patient will receive a single intravenous dose of 68Ga-NYM096, followed by dedicated whole-body PET/CT imaging. Safety, tolerability and imaging characteristics of ⁶⁸Ga-NYM207 will be evaluated. Imaging interpretations and reference standards will be used to estimate the sensitivity and specificity of 68Ga-NYM207 PET/CT.
Patients will be recruited in Peking Union Medical College Hospital. This study will be conducted according to local regulations and laws, the ethical principles that have their origin in the Declaration of Helsinki, and the principles of Good Clinical Practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 68Ga-NYM207 PET/CT | Experimental | 68Ga-NYM207 PET/CT Each patient will receive one dose of 68Ga-NYM207 by intravenous route. Dedicated whole-body PET/CT imaging will be performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 68Ga-NYM207 PET/CT | Diagnostic Test | Participants will be administered a single, intravenous bolus of 68Ga-NYM207. The recommended administered activity of 68Ga-NYM207 is 1.8-2.2 MBq per kilogram bodyweight, subject to variation that may be required owing to variable elution efficiencies obtained during the lifetime of the 68Ge/68Ga generator. For biodistribution and imaging characteristics evaluation, PET scans will be performed at 15min, 30min, 60min, and 120min after 68Ga-NYM207 administration. For diagnostic performance study, the CT and PET imaging session will begin approximately 45 to 75 minutes after 68Ga-NYM207 administration. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability after ⁶⁸Ga-NYM207 administration (Phase A) | Number of adverse events associated with administration of ⁶⁸Ga-NYM207 will be recorded. | From study completion to 1 month after completion |
| Binary reading of focal lesions identified on 68Ga-NYM207 PET/CT (Phase B) | Any focal accumulation in the lesion suspected of metastasis or recurrence that cannot be explained by physiologic uptake of68Ga-NYM207 will be interpreted as PET positive. | From study completion to 1 month after completion |
| Measure | Description | Time Frame |
|---|---|---|
| Dosimetry of 68Ga-NYM207 | OLINDA/EXM will be used to determine the absorbed dose and effective dose per patient. | From study completion to 1 month after completion |
| SUVmax of focal lesions identified on 68Ga-NYM207 PET/CT |
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Inclusion Criteria:
≥18 years of age and of either gender;
Written informed consent provided for participation in the trial;
At least one of the following indications should be applied:
Willing and able to follow schedule visits, treatment plans and laboratory tests.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li Huo | Contact | +86 18612672038 | huoli@pumch.cn | |
| Wenjia Zhu | Contact | +86 18614080164 | zhuwenjia_pumc@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Beijing | 100730 | China |
Available upon request
Within 2 years after the publication of the main results
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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Tracer uptake is quantified using maximal standard uptake value (SUVmax) by drawing a 3-dimensional region of interest (ROI) over the lesion using a threshold of 40% SUVmax.
| From study completion to 1 month after completion |
| Tumor-to-background of focal lesions identified on 68Ga-NYM207 PET/CT | Surrounding tissue is the preferred background tissue. Should not available, the blood pool should be designated as background tissue. | From study completion to 1 month after completion |
| Intensity of GPC3 staining of lesions with pathological results | The intensity of CAIX staining of operated renal lesions will be based on a 4-point scale from 0-3 according to the method of Bui et al, 2003 | From study completion to 1 month after completion |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |