[18F]Tetrafluoroborate PET/CT for the Detection of Differentiated Thyroid Cancer: A Phase II Imaging Study

2024-516025-30-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Sep 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 2

Differentiated Thyroid Cancer

a) To determine the optimal time point acquisition of [18F]TFB PET/CT, b) to determine the value of [18F]TFB PET/CT for detection of (pre-operative) metastatic lymph node(s) in patients with differentiated thyroid cancer and c) to determine the value of [18F]TFB PET/CT for the estimation of radioiodine therapy response…

Key facts

Sponsor
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
1 Sep 2025 → ongoing
Decision date (initial)
2025-04-02
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
KWF

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

a) To determine the optimal time point acquisition of [18F]TFB PET/CT, b) to determine the value of [18F]TFB PET/CT for detection of (pre-operative) metastatic lymph node(s) in patients with differentiated thyroid cancer and c)
to determine the value of [18F]TFB PET/CT for the estimation of radioiodine therapy response in patients with persistent and recurrent differentiated thyroid cancer.

Secondary objectives 1

  1. - To study [18F]TFB kinetics in normal thyroid tissue, in primary thyroid tumor tissue, in lymph node metastases and in distant metastases (SUVmax, tumor-to-background ratio). - To analyse the possible correlation between [18F]TFB uptake and NIS-membrane expression levels, as determined by immunohistochemistry. - To assess whether [18F]TFB PET/CT might be advisable especially for patients with minimally elevated tumor marker levels.

Conditions and MedDRA coding

Differentiated Thyroid Cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Group 1: patients with newly diagnosed differentiated thyroid cancer and pathologically proven lymph node metastases thyroid cancer referred for surgical resection - Group 2: patients with differentiated thyroid cancer referred for 131I therapy - The patient has provided written informed consent authorization before participating in the study - The patient is ≥ 18 years old - The patient has an ECOG status grade 0-2

Exclusion criteria 1

  1. - Patient is mentally or legally incapacitated - Patient is pregnant or lactating - Patient has been subjected to an excess of substrates of the sodium iodine symporter such as iodine (e.g. in the form of iodinated contrast agent) or perchlorate within the past 2 months. - Patient takes lithium - Patient takes amiodarone

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Optimal time kinetic point and number and localization of lymph node metastases + predictive 131I therapy response
  2. Analysis of reference standards: ultrasonography, pathology and post-therapy 131I scan (these tests are performed under regular clinical care)

Secondary endpoints 1

  1. To study [18F]TFB kinetics in normal thyroid tissue, in primary thyroid tumor tissue, in lymph node metastases and in distant metastases (SUVmax, tumorto-background ratio). - To analyse the possible correlation between [18F]TFB uptake and NISmembrane expression levels, as determined by immunohistochemistry. - To assess whether [18F]TFB PET/CT might be advisable especially for patients with minimally elevated tumor marker levels.

Investigational products

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

Test 1

[18F]Tetrafluoroborate

PRD11753529 · Product

Active substance
Tetrafluoroborate Ion F-18
Substance synonyms
TBF F-18 anion
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
2 GBq/Kg gigabecquerel/kilogram
Max total dose
2 GBq/Kg gigabecquerel/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ERASMUS MC
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)

Sponsor organisation
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Address
Dr. Molewaterplein 40
City
Rotterdam
Postcode
3015 GD
Country
Netherlands

Scientific contact point

Organisation
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Contact name
Prof. dr. Frederik Verburg

Public contact point

Organisation
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Contact name
Prof. dr. Frederik Verburg

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 40 2
Rest of world 0

Investigational sites

Netherlands

2 sites · Ongoing, recruiting
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Radiology and Nuclear Medicine, Dr. Molewaterplein 60, 3015 GJ, Rotterdam
Universitair Medisch Centrum Utrecht
Radiology and Nuclear Medicine, Universiteitsweg 99/100, 3584 CG, Utrecht

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 2025-09-01 2026-04-01

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-516025-30-00 3
Protocol (for publication) D1_Protocol 2024-516025-30-00 - Tracked Changes 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 3
Subject information and informed consent form (for publication) L1_SIS and ICF adults 3
Subject information and informed consent form (for publication) L1_SIS and ICF adults Tracked Changes 1
Synopsis of the protocol (for publication) D1_Protocol synopsis NL 2024-516025-30-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-03 Netherlands Acceptable with conditions
2025-04-02
2025-04-02