PET/CT imaging with FAPI as a biomarker for the distinction between predominant active fibrotic and inflammatory phenotypes in patients with progressive pulmonary fibrosis.

2023-503686-26-02 Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 24 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 20
Countries 1
Sites 1

Progressive Pulmonary Fibrosis (PPF)

To test the feasibility of differentiating predominant active fibrosis and predominant inflammation using PET imaging with FAPI in patients with PPF.

Key facts

Sponsor
St Antonius Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Trial duration
24 Jan 2025 → ongoing
Decision date (initial)
2024-09-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Antonius Research Fund (Antonius Onderzoeksfonds)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

To test the feasibility of differentiating predominant active fibrosis and predominant inflammation using PET imaging with FAPI in patients with PPF.

Secondary objectives 2

  1. Determining activity thresholds for positive FAPI-PET/CT confirming active fibrosis.
  2. Investigate the correlation between baseline FAPI activity and ILD extent/degree of reticulation on HRCT as well as serum biomarkers for inflammation.

Conditions and MedDRA coding

Progressive Pulmonary Fibrosis (PPF)

VersionLevelCodeTermSystem organ class
21.0 PT 10037383 Pulmonary fibrosis 100000004855

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-503686-26-00 PET/CT imaging with FAPI as a biomarker for the distinction between predominant active fibrotic and inflammatory phenotypes in patients with progressive pulmonary fibrosis: The FIBRO-PET study. St Antonius Hospital

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. ≥ 18 years of age
  2. New diagnosis of PPF
  3. A minimum of 20% of lung parenchyma is aberrant (fibrosis, inflammation or both)
  4. MDT indication for treatment with either immunosuppressive drugs or antifibrotic drug

Exclusion criteria 5

  1. Prior or current treatment with antifibrotic drugs
  2. Active malignancy
  3. Inability to undergo a PET/CT at the Sint Antonius Hospital
  4. Incapacity to give informed consent personally
  5. Pregnancy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. FAPI activity concentration in patients with predominant active fibrosis and predominant inflammation

Secondary endpoints 2

  1. Activity thresholds for positive FAPI-PET/CT confirming active fibrosis,
  2. Correlation between baseline FAPI activity and ILD extent/degree of reticulation on HRCT as well as serum biomarkers for inflammation

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[18F]-AlF-FAPI-74

PRD10908933 · Product

Active substance
[AL18FFFAPI-74
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Authorisation status
Not Authorised
MA holder
ERASMUS MC
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

St Antonius Hospital

Sponsor organisation
St Antonius Hospital
Address
Koekoekslaan 1
City
Nieuwegein
Postcode
3435 CM
Country
Netherlands

Scientific contact point

Organisation
St Antonius Hospital
Contact name
Andor van den Hoven

Public contact point

Organisation
St Antonius Hospital
Contact name
Andor van den Hoven

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 20 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
St Antonius Hospital
Department of Nuclear Medicine, Koekoekslaan 1, 3435 CM, Nieuwegein

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-01-24 2025-01-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-503686-26-00 1.3
Protocol (for publication) D1_Protocol 2023-503686-26-00_clean 1.3
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1.2
Recruitment arrangements (for publication) K1_ Recruitment arrangements_Clean 1.2
Subject information and informed consent form (for publication) L1_ SIS and ICF FIBRO-PET study 1.3
Subject information and informed consent form (for publication) L1_ SIS and ICF FIBRO-PET study_clean 1.3
Synopsis of the protocol (for publication) D1_ Protocol synopsis_ENG 2023-503686-26-00 1.2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_NL EU 2023-503686-26-00 1.2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-24 Netherlands Acceptable
2024-09-20
2024-09-20