Benefit of positons emission tomography / 68Gallium citrate tomodensitometry for artificial hip and knee chronic infection diagnosis

2024-515781-13-00 Protocol CHUBX 2019/24 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 2 Feb 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol CHUBX 2019/24

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 35
Countries 1
Sites 1

Prosthetic joint infection

Estimation of diagnostic accuracy of 68Ga citrate PET / CT in the diagnosis of chronic hip or knee joint prosthesis infection

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
2 Feb 2022 → ongoing
Decision date (initial)
2024-08-12
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Appel d’Offre Interne du CHU de Bordeaux (AOI) 2019

External identifiers

EU CT number
2024-515781-13-00
EudraCT number
2020-001906-41
ClinicalTrials.gov
NCT04938193

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

Estimation of diagnostic accuracy of 68Ga citrate PET / CT in the diagnosis of chronic hip or knee joint prosthesis infection

Secondary objectives 4

  1. Estimation of the inter-observer reproducibility of the PET / CT reading at 68Ga citrate
  2. Estimation of the diagnostic accuracy of the multinuclear scintigraphy in the diagnosis in chronic hip or knee joint prosthesis infection.
  3. Estimation of the diagnostic accuracy of PET / CT with citrate 68Ga and scintigraphy with polymorphonuclear in the 2 patient subpopulations: knee or hip infection
  4. Comparison of the diagnostic accuracy of PET / CT with 68Ga citrate to that of scintigraphy using polymorphonuclear drugs in the diagnosis of chronic hip or knee joint prosthesis infection.

Conditions and MedDRA coding

Prosthetic joint infection

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 68Ga-citrate PET/CT
Réalisation d'un examen d'imagerie TEP/TDM au citrate Gallium 68
Not Applicable Single [{"id":135464,"code":4,"name":"Analyst"}]

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Patients aged over 18 years old
  2. Patient with first complete care at the South-Western France referral center for complex bone and joint infections (Crioac GSO, infectious diseases and orthopedic surgery units) for a suspicion of prosthetic hip or knee infection
  3. Suspicion of artificial joint infection starting at least one month before evaluation.
  4. Patient for who routine diagnosis includes screaning by both bone scintigraphy and polynuclear scintigraphy.
  5. Patient with positive bone scintigraphy
  6. Being affiliated to a health insurance system
  7. Having signed an informed consent form (later than the day of inclusion and before any examination required by the research)

Exclusion criteria 8

  1. Patient with progressive cancer
  2. Patient with negative bone scintigraphy
  3. Patient who cannot stop antibiotic for 14 days because of his state of health
  4. Pregnant or breastfeeding women
  5. Women of childbearing age but not using effective means of contraception
  6. Patient concerned by articles L 1121-5 to L 1121-8 (persons deprived of their liberty by a judicial or administrative decision, minors, persons of legal age who are the object of a legal protection measure or unable to express their consent)
  7. Subject in relative exclusion period from another protocol
  8. Known contraindications to PET exam with radio tracer injection (hypersensitivity to radiopharmaceutical and/or to excipients)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Diagnostic accuracy setting's assessment of the 68Ga citrate PET/TDM for chronic infection diagnosis of artificial hip or knee (sensibility, specificity, predictive positive and negative value).

Secondary endpoints 5

  1. Reproducibility inter- observers of 68Ga citrate PET/TDM interpretation
  2. Diagnostic accuracy setting's assessment of marked polynuclear scintigraphy
  3. Diagnosis accuracy's assessment of 68Ga citrate PET/TDM and marked polynuclear scintigraphy for both under-populations: artificial knee or hip infection
  4. Comparison of diagnostic accuracy setting of 68Ga citrate PET/TDM and marked polynuclear scintigraphy.
  5. Kind of discrepancy between the two exams

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
INTRAVENOUS USE
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
12 Rue Dubernat, Cs 91286 Cs 91286
City
Talence
Postcode
33400
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Bordeaux
Contact name
Principal Investigator

Public contact point

Organisation
Centre Hospitalier Universitaire De Bordeaux
Contact name
Principal Investigator

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 35 1
Rest of world 0

Investigational sites

France

1 site · Ongoing, recruiting
Centre Hospitalier Universitaire De Bordeaux
Maladies Infectieuses et Tropîcales, Place Amelie Raba Leon, 33000, Bordeaux

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 2022-02-02 2022-02-02

Results and documents

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

Documents 7 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-515781-13-00 public 4.0
Protocol (for publication) D2_Protocol modification 2024-515781-13-00 1.0
Recruitment arrangements (for publication) Document not required 1.0
Recruitment arrangements (for publication) K1 Recruitment and Informed consent procedure 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient TC 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF patients 4.0
Synopsis of the protocol (for publication) D1_Synopsis 2024-515781-13-00 public 4.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-04 France Acceptable
2024-08-12
2024-08-12
2 SUBSTANTIAL MODIFICATION SM-1 2025-06-30 France Acceptable
2025-08-06
2025-08-25