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Enrolling by invitation NCT07542158

Ultralow Dose PET Imaging of 18F-FDOPA

Phase II Interventional Heathy Volunteer Parkinsonian Syndromes Neuroendocrine (NE) Tumors Gliomas

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: 18F-FDOPA.
Who it may be relevant to
Registry conditions: Heathy Volunteer, Parkinsonian Syndromes, Neuroendocrine (NE) Tumors, Gliomas. Basic parameters: 18 years — 120 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Evaluation of Ultralow Dose PET Imaging for Detecting 18F-FDOPA Uptake

Overview

The goal of this clinical trial is to evaluate an investigational ultralow dose PET imaging technique for Parkinsonian syndromes, neuroendocrine tumors, and gliomas detection and monitoring. The main question it aims to answer is: Can the investigators optimize the timing, scan duration, and image reconstruction to reduce the radiation dose 10-100 fold of the current clinical standard? Participants will be injected with a radioactive tracer called 18F-FDOPA and be imaged on a new type of high sensitivity PET scanner for up to 3 hours.

Detailed description

This research study aims to evaluate an investigational ultralow dose PET imaging technique for Parkinsonian syndromes, neuroendocrine tumors, and gliomas detection and monitoring. "Investigational" means that the procedure or drug being studied is not yet approved by the FDA for the specific use being tested in this research. The PET imaging technique used in this study is considered investigational because it is being tested at an ultralow radiation dose that has not yet been approved for clinical use. The radiotracer, 18F-FDOPA, is FDA-approved for detecting prostate cancer at standard doses.

18F-FDOPA is often found to be taken up at higher levels in Parkinsonian syndromes, neuroendocrine tumors, and gliomas. In this study, investigators will use a very small amount of this tracer (less than 1/20th of the standard dose) along with advanced PET imaging technology to see if it is possible to create clear images while using much less radiation. This study aims to develop a safer imaging technique that could potentially be used more frequently for screening and monitoring Parkinsonian syndromes, neuroendocrine tumors, and gliomas.

Investigators will enroll individuals with and without Parkinsonian syndromes, neuroendocrine tumors, and gliomas to evaluate how ultralow dose PET imaging detects 18F-FDOPA uptake in different type of tissue.

Approximately 200 people will be enrolled in this study at the Nuclear Imaging Institute.

Interventions

  • Drug 18F-FDOPA
    Participants will be injected with 18F-FDOPA and imaged for up to 3 hours on a PET scanner

Primary outcome measures

  • Signal-to-Noise Ratio (SNR) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Contrast-to-Noise Ratio (CNR) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Coefficient of Variation (COV) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Spatial Resolution (Full Width at Half Maximum - FWHM) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Target-to-Background Ratio (TBR) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Qualitative Image Quality Score (Likert Scale) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]
  • Inter-reader Agreement (Weighted Kappa Statistics) [Time frame: Single timepoint (Day 1, imaging visit); aggregated analysis conducted annually using data from the prior 12 months, through study completion (up to 5 years).]

Eligibility criteria

Inclusion criteria

  • age ≥18 years.
  • ability to provide informed consent and comply with study procedures.
  • for female participants:
  • must not be pregnant or breastfeeding.
  • negative pregnancy test required for women of childbearing potential.

Exclusion criteria

  • participants who have exceeded Nuclear Regulatory Commission regulation for annual radiation exposure from prior research-related scans, including this study (50 mSv total).
  • more than four prior enrollments in this study.
  • participants with severe claustrophobia, chronic pain, or musculoskeletal conditions that prevent completion of the pet scan
  • medication \& prior treatment exclusions
  • concurrent treatments that may interfere with radiotracer uptake as determined by the Principal Investigator.
  • pregnant or breastfeeding individuals (negative pregnancy test required)
  • inability to provide informed consent
  • any condition that, in the investigator's judgment, may compromise participant safety or study integrity.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Diagnostic

Study locations

United States · 1 center
  • Nuclear Imaging Institute — Englewood

Identifiers

NCT: NCT07542158 · NII-0004-FDOPA

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗