Contribution of PET/CT with Gallium 68 citrate (68Ga-PET/CT) for the diagnosis of prosthetic valve infective endocarditis - CiGal-EI-TEP

2024-514331-24-00 Protocol CHUBX 2020/49 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 22 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol CHUBX 2020/49

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 1

Prosthetic valve infective endocarditis

Estimation of sensitivity of PET/CT with Gallium 68 citrate (68GaPET/CT) for the diagnosis of prosthetic valve infective endocarditis in patients suspected of infective endocarditis on prosthetic valve.

Key facts

Sponsor
Centre Hospitalier Universitaire De Bordeaux
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05]
Trial duration
22 Nov 2024 → ongoing
Decision date (initial)
2024-07-04
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
University Hospital of Bordeaux

External identifiers

EU CT number
2024-514331-24-00
EudraCT number
2021-002898-26
ClinicalTrials.gov
NCT05446376

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Diagnosis

Estimation of sensitivity of PET/CT with Gallium 68 citrate (68GaPET/CT) for the diagnosis of prosthetic valve infective endocarditis in
patients suspected of infective endocarditis on prosthetic valve.

Secondary objectives 5

  1. Estimation of other diagnostic accuracy parameters of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve
  2. Estimation of the inter-observer reproducibility of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve
  3. Comparaison of the sensitivity and specificity of 68Ga-PET/CT to those of 18FDG-PET/CT for the diagnosis of infective endocarditis on prosthetic valve.
  4. Estimation of the contribution of 68Ga-PET/CT in the extension assessment at the thoraco-abdomino-pelvic level.
  5. Estimation of the contribution of 68Ga-PET/CT in the search for the portal of entry.

Conditions and MedDRA coding

Prosthetic valve infective endocarditis

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Experimental: 68Ga-citrate PET/CT
All patients will have a 18FDG-PET/CT as part of the standard management strategy. For this research, a 68Ga-PET/CT will also be performed in all patients, the day before the 18FDG-PET/CT, the same day or the next day.
Not Applicable Single [{"id":155658,"code":4,"name":"Analyst"}] Experimental: 68Ga-citrate PET/CT

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Adult patient (over 18 years old)
  2. Patient with a prosthetic heart valve
  3. Patient suspected of infective endocarditis (on clinical and/or microbiological and/or imaging data)
  4. Patient whose history is discussed in the multidisciplinary meeting dedicated to endocarditis
  5. Patient beneficiary of a social security scheme
  6. Free, informed and written consent signed by the participant and the investigator

Exclusion criteria 6

  1. pregnant or breastfeeding women
  2. women of childbearing potential not using effective contraception
  3. patients referred to in articles L.1121-5 to L.1121-8 (persons deprived of liberty by judicial or administrative decision, minors, adults subject to a legal protection measure or unable to express their consent)
  4. Patient with cardiac surgery within 2 months of inclusion
  5. Subject in a period of relative exclusion due to another protocol
  6. Known contraindication to PET/CT with injection of radiotracers (hypersensitivity to radiopharmaceuticals and/or excipients)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Sensitivity of 68Ga-PET/CT for the diagnosis of prosthetic valve infective endocarditis in patients suspected of infective endocarditis on prosthetic valve

Secondary endpoints 4

  1. Specificity, positive and negative predictive values of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve
  2. Cohen's kappa for inter-observer reproducibility of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve
  3. Sensitivity, specificity and positive and negative predictive values of 18FDG-PET/CT for the diagnosis of infective endocarditis on prosthetic valve
  4. Discrepancies between 68Ga-PET/CT and 18FDG-PET/CT for the evaluation of the spread of infection assessment and the search for the initial portal of pathogen entry

Investigational products

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

Test 1

68 Gallium citrate

PRD11299232 · Product

Active substance
Gallium Citrate GA-68
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
150 MBq megabecquerel(s)
Max total dose
150 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
CENTRE HOSPITALIER UNIVERSITAIRE DE BORDEAUX
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Bordeaux

Sponsor organisation
Centre Hospitalier Universitaire De Bordeaux
Address
Avenue De Magellan
City
Pessac
Postcode
33600
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Bordeaux
Contact name
Coordinating Investigator

Public contact point

Organisation
Centre Hospitalier Universitaire De Bordeaux
Contact name
Coordinating Investigator

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 40 1
Rest of world 0

Investigational sites

France

1 site · Ongoing, recruiting
Centre Hospitalier Universitaire De Bordeaux
Service de Médecine Interne et Maladies Infectieuses, Avenue De Magellan, 33600, Pessac

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-11-22 2024-11-22

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-14 France Acceptable
2024-07-01
2024-07-04
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-04 France Acceptable
2024-07-01
2025-11-04