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68Ga-OPS202 Study for Diagnostic Imaging of GEP NET

An Open-label, Micro-dosing Study to Evaluate Safety, Biodistribution, Dosimetry and Preliminary Efficacy of Two Single 68Ga-OPS202 Doses for the Diagnostic Imaging of Somatostatin Receptor-positive Gastro-entero-pancreatic Neuroendocrine Tumors (GEP NET) Using Positron-emission Tomography / Computed Tomography (PET/CT)

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02162446
Enrollment
12
Registered
2014-06-12
Start date
2014-06-30
Completion date
2015-06-30
Last updated
2019-10-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastroenteropancreatic Neuroendocrine Tumors

Brief summary

The purpose of this study is to assess the safety and tolerability of 68Ga-OPS202 used for the diagnosis of gastroenteropancreatic neuroendocrine tumors (GEP NETs).

Interventions

Sponsors

Ipsen
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* A diagnostic CT or MRI of the tumor region within the previous 6 months prior to dosing day is available. * A somatostatin receptor scan with results in the previous 6 months prior to dosing day. * At least 1 lesion detected by the previous somatostatin receptor scan. * Not exceeding 30 lesions / organ detected by the previous somatostatin receptor scan. * Blood test results as follows (WBC: ≥ 3\*109/L, Hemoglobin: ≥ 8.0 g/dL, Platelets: ≥ 50x109/L, ALT, AST, AP: ≤ 5 times ULN, Bilirubin: ≤ 3 times ULN) * ECG: any abnormalities have to be clarified by a cardiologist. * Serum creatinine: within normal limits or \< 120 μmol/L for patients aged 60 years or older. * Calculated GFR ≥ 45 mL/min. * Negative pregnancy test in women capable of child-bearing.

Exclusion criteria

* Known hypersensitivity to 68Ga, to NODAGA, to JR11 or to any of the excipients of 68Ga-OPS202. * History of, or current active allergic or autoimmune disease, including asthma or any condition requiring long-term use of corticosteroids. * Presence of active infection at screening or history of serious infection within the previous 6 weeks. * Known human immunodeficiency virus (HIV) or positive serology for HIV, hepatitis B and C. * Any condition that precludes raised arms position for prolonged imaging purposes. * Neuroendocrine tumor specific treatment between last somatostatin receptor imaging and start of this study. Exception is the therapeutic use of any somatostatin analog (see below). * Therapeutic use of any somatostatin analog, including Sandostatin® LAR (within 28 days) and Sandostatin® (within 2 days) prior to study imaging. If a patient is on Sandostatin® LAR a wash-out phase of 28 days is required before the injection of the study drug. If a patient is on Sandostatin® a wash-out phase of 2 days is required before the injection of the study drug. * Administration of another investigational medicinal product within 30 days prior to entry. * Prior or planned administration of a radiopharmaceutical within 8 half-lives of the radionuclide used on such radiopharmaceutical including at any time during the current study. * Current \> grade 2 toxicity from previous standard or investigational therapies, per US-NCI Common Terminology Criteria for Adverse Events v4.0. * Pregnant or breast-feeding women. * History of somatic or psychiatric disease/condition that may interfere with the objectives and assessments of the study. * Clinically significant illness or clinically relevant trauma within 2 weeks before the administration of the investigational product. * Current history of malignancy; patients with a secondary tumor in remission of \> 5 years can be included.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reported With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Drug Reactions (ADRs)From start of IP administration to end of the study visit (approximately 28 to 36 days)An AE was defined as any untoward medical occurrence in a participant administered a IP and which does not necessarily have a causal relationship with this treatment. For this study, all AEs were regarded as 'treatment emergent', i.e., not seen before administration of the IP or, if already present before administration, worsened after start of administration. An SAE was defined as an event that led to death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect. An ADR was defined as an AE with probable, possible or unlikely relationship to the administration of 68Ga-OPS202.
Number of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant MedicationFrom start of IP administration to end of the study visit (approximately 28 to 36 days)Laboratory assessments included hematology, blood biochemistry and urine analysis. Vital signs included systolic and diastolic blood pressure, heart rate and axillary body temperature. Cardiac safety was assessed by 12-lead ECGs and physical examination included general appearance, head, neck, eyes, ears, nose, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal, neurological, endocrine, lymphatic, dermatological, psychological/psychiatric, abdomen, and genitourinary body systems. All medications (including herbal products) taken from visit 1 (Day 0) to visit 3 (7-15 days after visit 2 (3-4 weeks after visit 1), end of the study) were recorded in the participant's case report form.

Secondary

MeasureTime frameDescription
Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingAt 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21Tumor contrast in PET imaging was determined by qualitative visual analysis. 68Ga-OPS202 binding was present if at least one lesion, regardless of nature, was detected within respective tissue location. Percentages were based on number of participants with available scan at corresponding time point.
Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 16 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21At visit 1, after administration of 15 μg 68Ga-OPS202, a dynamic scan was performed in kidney region over the first 30 minutes (0-0.5 h); static scans were performed from head to sub-inguinal region at 0.5, 1, 2 and 4 h post-injection. At visit 2, after administration of 50 μg 68Ga-OPS202, a static scan was performed from head to sub-inguinal region at 1 h post-injection. A previous somatostatin receptor scan had been performed within 6 months prior to Day 0. Lesions were classified into malignant and benign lesion by the readers according to their experience. Lesion matching was performed between the somatostatin receptor scan and the 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. The mean SUVmax of lesions (mean of all identified lesions in the lymph node and liver) was summarized by nature of the lesions (malignant, benign). Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 16 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21Lesion matching was performed between somatostatin receptor scan and 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. Mean SUVmax of all selected ROIs in corresponding RT was determined. Corresponding RTs were adjacent healthy regions (1 to 3 healthy regions were identified for each lesion), i.e. located in same organ and/or region as lesion. RTs were determined in tissue locations with malignant lesions only. ROIs were also selected in muscle tissue, which was used as an additional reference region. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Mean SUVmax of RT for Session 2At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21The mean SUVmax of all selected ROIs in the corresponding RT was determined. RTs were determined in tissue locations with malignant lesions only. ROIs were also selected in muscle tissue, which was used as an additional reference region. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 16 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21The tumor contrast, i.e. the SUV ratio for tumor (malignant lesion)-to-background (3D-SUV-R) of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RTs. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Mean SUVmax of Malignant and Benign Lesions for Session 2At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21The mean SUVmax of all identified lesions in the respective organ/tissue was determined. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Percent Change in 3D-SUV-R of Malignant Lesions6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21The tumor contrast, i.e. the SUV ratio for 3D-SUV-R of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RT. For percent change, 68Ga-OPS202 receptor scan is compared to previous somatostatin receptor scan.
Number of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationAt 0.5, 1, 2, and 4 hour post-injection on Day 0For determining a suitable time window for PET/CT with 68Ga-OPS202, the scans after administration of the 15 μg peptide dose were analyzed and the time point with the highest lesion number per tissue location and overall were determined. If the highest number of lesion was detected at more than one time point, the earliest time point was used.
Number of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueAt 0.5, 1, 2, and 4 hour post-injection on Day 0The time point with the highest mean 3D-SUV-R per tissue location were determined. If the highest mean 3D-SUV-R was detected at more than one time point, the earliest time point was used.
Best Diagnostic Scan AssessmentAt 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21The assessment of every diagnostic 68Ga-OPS202 PET/CT scan of session 2 was rated by the reader from 1 to 5, where 1=worst diagnostic scan and 5=best diagnostic scan. Higher score indicates a better scan.
The 3D-SUV-R of Malignant Lesions for Session 2At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21The tumor contrast, i.e. the SUV ratio for 3D-SUV-R of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RTs. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.
Number of Malignant and Benign Lesions Detected for Session 16 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21At visit 1, after administration of 15 μg 68Ga-OPS202, a dynamic scan was performed in kidney region over first 30 minutes; static scans were performed from head to sub-inguinal region at 0.5, 1, 2 and 4 h post-injection. At visit 2, after administration of 50 μg 68Ga-OPS202, a static scan was performed from head to sub-inguinal region at 1 h post-injection. A previous somatostatin receptor scan had been performed within 6 months prior to Day 0. Lesions were classified into malignant and benign by readers. Lesion matching was performed between somatostatin receptor scan and 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. Number of lesions for each organ/tissue and overall were calculated and absolute numbers reported. Two different read sessions were held to generate data sets for evaluation of target variables. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Countries

Switzerland

Participant flow

Recruitment details

This open-label, micro-dosing study with 2 sequentially ascending single peptide doses was conducted in a single study center in Switzerland between 23 June 2014 and 14 January 2015.

Pre-assignment details

A total of 12 participants with histologically confirmed gastro-entero-pancreatic neuroendocrine tumors (GEP NET) and a previously performed somatostatin receptor scan were treated in this study. Each participant underwent a screening visit within 28 days prior to receiving the study's investigational product (IP).

Participants by arm

ArmCount
All Participants
Participants received a single dose of the OPS202 peptide (15 \[± 5\] μg on Day 0. All doses were labeled with 68Ga at a fixed dose of 200 MBq (± 25%) per injection. 68Ga-OPS202 was administered intravenously over a time period of less than 1 minute prior to 3D PET/CT scan. As per the sequential dosing scheme, on Day 21, participants then received a single dose of 50 (± 15) μg of 68Ga-OPS202 prior to 3D PET/CT.
12
Total12

Baseline characteristics

CharacteristicAll Participants
Age, Continuous54.8 years
STANDARD_DEVIATION 14.66
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
11 Participants
Sex: Female, Male
Female
5 Participants
Sex: Female, Male
Male
7 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 12
other
Total, other adverse events
6 / 12
serious
Total, serious adverse events
0 / 12

Outcome results

Primary

Number of Participants Reported With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Drug Reactions (ADRs)

An AE was defined as any untoward medical occurrence in a participant administered a IP and which does not necessarily have a causal relationship with this treatment. For this study, all AEs were regarded as 'treatment emergent', i.e., not seen before administration of the IP or, if already present before administration, worsened after start of administration. An SAE was defined as an event that led to death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect. An ADR was defined as an AE with probable, possible or unlikely relationship to the administration of 68Ga-OPS202.

Time frame: From start of IP administration to end of the study visit (approximately 28 to 36 days)

Population: The SAF included all participants of the FAS who received the IP, regardless of any protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants Reported With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Drug Reactions (ADRs)Any AE6 Participants
All ParticipantsNumber of Participants Reported With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Drug Reactions (ADRs)SAEs0 Participants
All ParticipantsNumber of Participants Reported With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Drug Reactions (ADRs)ADRs5 Participants
Primary

Number of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant Medication

Laboratory assessments included hematology, blood biochemistry and urine analysis. Vital signs included systolic and diastolic blood pressure, heart rate and axillary body temperature. Cardiac safety was assessed by 12-lead ECGs and physical examination included general appearance, head, neck, eyes, ears, nose, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal, neurological, endocrine, lymphatic, dermatological, psychological/psychiatric, abdomen, and genitourinary body systems. All medications (including herbal products) taken from visit 1 (Day 0) to visit 3 (7-15 days after visit 2 (3-4 weeks after visit 1), end of the study) were recorded in the participant's case report form.

Time frame: From start of IP administration to end of the study visit (approximately 28 to 36 days)

Population: The SAF included all participants of the FAS who received the investigational product, regardless of any protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant MedicationLaboratory parameters abnormalities8 Participants
All ParticipantsNumber of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant MedicationVital sign abnormalities7 Participants
All ParticipantsNumber of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant Medication12-Lead ECG abnormalities1 Participants
All ParticipantsNumber of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant MedicationPhysical examination abnormalities9 Participants
All ParticipantsNumber of Participants With Clinical Significant Abnormalities in Laboratory Parameters, Vital Signs, Cardiac Safety, Physical Examination, and Required Concomitant MedicationConcomitant medications required12 Participants
Secondary

Best Diagnostic Scan Assessment

The assessment of every diagnostic 68Ga-OPS202 PET/CT scan of session 2 was rated by the reader from 1 to 5, where 1=worst diagnostic scan and 5=best diagnostic scan. Higher score indicates a better scan.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEDIAN)
All ParticipantsBest Diagnostic Scan AssessmentAt 0.5 hour4.0 score on a scale
All ParticipantsBest Diagnostic Scan AssessmentAt 1 hour5.0 score on a scale
All ParticipantsBest Diagnostic Scan AssessmentAt 2 hour4.5 score on a scale
All ParticipantsBest Diagnostic Scan AssessmentAt 4 hour2.0 score on a scale
ITT Population (Day 0)Best Diagnostic Scan AssessmentAt 1 hour5.0 score on a scale
Secondary

Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1

At visit 1, after administration of 15 μg 68Ga-OPS202, a dynamic scan was performed in kidney region over the first 30 minutes (0-0.5 h); static scans were performed from head to sub-inguinal region at 0.5, 1, 2 and 4 h post-injection. At visit 2, after administration of 50 μg 68Ga-OPS202, a static scan was performed from head to sub-inguinal region at 1 h post-injection. A previous somatostatin receptor scan had been performed within 6 months prior to Day 0. Lesions were classified into malignant and benign lesion by the readers according to their experience. Lesion matching was performed between the somatostatin receptor scan and the 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. The mean SUVmax of lesions (mean of all identified lesions in the lymph node and liver) was summarized by nature of the lesions (malignant, benign). Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: 6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Thyroid gland3.768 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Liver12.135 SUVmaxStandard Deviation 4.466
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Lymph node15.192 SUVmaxStandard Deviation 7.4318
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Peritoneum6.579 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Pancreas14.086 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Small bowel8.264 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Bone4.394 SUVmaxStandard Deviation 0.9396
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Small bowel14.049 SUVmaxStandard Deviation 0.2124
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Lymph node3.093 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Mamma2.353 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Mediastinum2.242 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Spleen16.343 SUVmax
All ParticipantsMean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Stomach6.713 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Stomach7.630 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Pancreas8.693 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Spleen15.997 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Lung3.410 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Liver10.468 SUVmaxStandard Deviation 4.797
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Bone4.153 SUVmaxStandard Deviation 2.027
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Lymph node16.289 SUVmaxStandard Deviation 12.0091
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Peritoneum6.740 SUVmax
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Small bowel11.140 SUVmaxStandard Deviation 7.9828
ITT Population (Day 0)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Mamma2.907 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Spleen14.308 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Small bowel9.156 SUVmaxStandard Deviation 1.0674
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Peritoneum9.504 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Pancreas6.659 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Small bowel4.990 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Stomach5.305 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Liver8.458 SUVmaxStandard Deviation 3.484
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Lymph node14.602 SUVmaxStandard Deviation 10.9725
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Lung3.131 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Benign: Mamma2.538 SUVmax
ITT Population (Day 21)Mean Maximum Standardized Uptake Value (SUVmax) of Malignant and Benign Lesions for Session 1Malignant: Bone4.455 SUVmaxStandard Deviation 0.2425
Comparison: Comparison of SUVmax of malignant lesions in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.25Wilcoxon signed rank test
Comparison: Comparison of SUVmax of malignant lesions in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.004Wilcoxon signed rank test
Comparison: Comparison of SUVmax of malignant lesions in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.688Wilcoxon signed rank test
Comparison: Comparison of SUVmax of malignant lesions in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.578Wilcoxon signed rank test
Secondary

Mean SUVmax of Malignant and Benign Lesions for Session 2

The mean SUVmax of all identified lesions in the respective organ/tissue was determined. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Benign: Pancreas: At 4 hour5.759 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Bone: At 2 hour4.601 SUVmaxStandard Deviation 1.3164
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Peritoneum: At 0.5 hour3.293 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Peritoneum: At 1 hour6.740 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Small bowel: At 1 hour11.207 SUVmaxStandard Deviation 4.5367
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Peritoneum: At 4 hour7.216 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Small bowel: At 0.5 hour9.474 SUVmaxStandard Deviation 5.8641
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Small bowel: At 2 hour9.075 SUVmaxStandard Deviation 4.9059
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Small bowel: At 4 hour14.695 SUVmaxStandard Deviation 6.9926
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Benign: Pancreas: At 0.5 hour8.561 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Benign: Pancreas: At 2 hour8.734 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Benign: Pancreas: At 1 hour8.512 SUVmax
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Bone: At 0.5 hour4.938 SUVmaxStandard Deviation 1.1179
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Bone: At 1 hour4.153 SUVmaxStandard Deviation 2.027
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Bone: At 4 hour4.564 SUVmaxStandard Deviation 1.0832
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Liver: At 0.5 hour10.086 SUVmaxStandard Deviation 5.0229
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Liver: At 1 hour11.485 SUVmaxStandard Deviation 6.3691
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Liver: At 2 hour9.897 SUVmaxStandard Deviation 4.3537
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Liver: At 4 hour12.482 SUVmaxStandard Deviation 5.941
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Lymph node: At 0.5 hour14.581 SUVmaxStandard Deviation 9.7609
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Lymph node: At 1 hour17.044 SUVmaxStandard Deviation 11.6224
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Lymph node: At 2 hour18.166 SUVmaxStandard Deviation 10.694
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Lymph node: At 4 hour17.985 SUVmaxStandard Deviation 13.5368
All ParticipantsMean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Peritoneum: At 2 hour7.484 SUVmax
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Small bowel: At 1 hour7.440 SUVmaxStandard Deviation 2.8588
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Lymph node: At 1 hour15.836 SUVmaxStandard Deviation 10.9868
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Benign: Pancreas: At 1 hour6.659 SUVmax
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Peritoneum: At 1 hour9.504 SUVmax
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Liver: At 1 hour9.037 SUVmaxStandard Deviation 3.9033
ITT Population (Day 0)Mean SUVmax of Malignant and Benign Lesions for Session 2Malignant: Bone: At 1 hour4.455 SUVmaxStandard Deviation 0.2425
Comparison: Comparison of SUVmax of malignant lesions in liver between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.027Wilcoxon signed rank test
Comparison: Comparison of SUVmax of malignant lesions in lymph node between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.219Wilcoxon signed rank test
Secondary

Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1

Lesion matching was performed between somatostatin receptor scan and 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. Mean SUVmax of all selected ROIs in corresponding RT was determined. Corresponding RTs were adjacent healthy regions (1 to 3 healthy regions were identified for each lesion), i.e. located in same organ and/or region as lesion. RTs were determined in tissue locations with malignant lesions only. ROIs were also selected in muscle tissue, which was used as an additional reference region. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: 6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Bone0.610 SUVmaxStandard Deviation 0.1801
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Small bowel4.180 SUVmaxStandard Deviation 0.7893
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Muscle1.020 SUVmaxStandard Deviation 0.3141
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Liver6.801 SUVmaxStandard Deviation 1.9676
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Peritoneum0.776 SUVmax
All ParticipantsMean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Lymph node2.229 SUVmaxStandard Deviation 1.2017
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Bone0.739 SUVmaxStandard Deviation 0.178
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Lymph node1.870 SUVmaxStandard Deviation 0.6967
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Peritoneum0.927 SUVmax
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Small bowel2.080 SUVmaxStandard Deviation 0.5162
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Muscle0.883 SUVmaxStandard Deviation 0.253
ITT Population (Day 0)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Liver3.642 SUVmaxStandard Deviation 1.6381
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Muscle0.896 SUVmaxStandard Deviation 0.1812
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Small bowel1.707 SUVmaxStandard Deviation 0.0636
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Lymph node2.368 SUVmaxStandard Deviation 1.7112
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Liver2.959 SUVmaxStandard Deviation 0.8089
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Bone0.636 SUVmaxStandard Deviation 0.1207
ITT Population (Day 21)Mean SUVmax of Reference Tissues (RT) Region of Interests (ROIs) for Session 1Peritoneum1.401 SUVmax
Comparison: Comparison of SUVmax of RT in muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.064Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.339Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.001Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.297Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 1Wilcoxon signed rank test
Secondary

Mean SUVmax of RT for Session 2

The mean SUVmax of all selected ROIs in the corresponding RT was determined. RTs were determined in tissue locations with malignant lesions only. ROIs were also selected in muscle tissue, which was used as an additional reference region. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsMean SUVmax of RT for Session 2Small bowel: At 4 hour3.177 SUVmaxStandard Deviation 0.7174
All ParticipantsMean SUVmax of RT for Session 2Muscle: At 1 hour0.932 SUVmaxStandard Deviation 0.2386
All ParticipantsMean SUVmax of RT for Session 2Peritoneum: At 2 hour0.856 SUVmax
All ParticipantsMean SUVmax of RT for Session 2Peritoneum: At 4 hour1.501 SUVmax
All ParticipantsMean SUVmax of RT for Session 2Small bowel: At 0.5 hour2.519 SUVmaxStandard Deviation 0.2743
All ParticipantsMean SUVmax of RT for Session 2Small bowel: At 1 hour2.571 SUVmaxStandard Deviation 1.0644
All ParticipantsMean SUVmax of RT for Session 2Small bowel: At 2 hour2.124 SUVmaxStandard Deviation 0.7382
All ParticipantsMean SUVmax of RT for Session 2Muscle: At 0.5 hour0.923 SUVmaxStandard Deviation 0.226
All ParticipantsMean SUVmax of RT for Session 2Muscle: At 2 hour1.127 SUVmaxStandard Deviation 0.3343
All ParticipantsMean SUVmax of RT for Session 2Lymph node: At 0.5 hour1.723 SUVmaxStandard Deviation 0.9118
All ParticipantsMean SUVmax of RT for Session 2Muscle: At 4 hour2.013 SUVmaxStandard Deviation 0.6884
All ParticipantsMean SUVmax of RT for Session 2Bone: At 0.5 hour0.573 SUVmaxStandard Deviation 0.3418
All ParticipantsMean SUVmax of RT for Session 2Bone: At 1 hour0.605 SUVmaxStandard Deviation 0.3681
All ParticipantsMean SUVmax of RT for Session 2Bone: At 2 hour0.731 SUVmaxStandard Deviation 0.055
All ParticipantsMean SUVmax of RT for Session 2Bone: At 4 hour2.138 SUVmaxStandard Deviation 0.7022
All ParticipantsMean SUVmax of RT for Session 2Liver: At 0.5 hour4.201 SUVmaxStandard Deviation 1.3697
All ParticipantsMean SUVmax of RT for Session 2Liver: At 1 hour4.040 SUVmaxStandard Deviation 1.5213
All ParticipantsMean SUVmax of RT for Session 2Liver: At 2 hour4.103 SUVmaxStandard Deviation 1.2389
All ParticipantsMean SUVmax of RT for Session 2Liver: At 4 hour6.101 SUVmaxStandard Deviation 2.7773
All ParticipantsMean SUVmax of RT for Session 2Lymph node: At 1 hour2.049 SUVmaxStandard Deviation 0.7805
All ParticipantsMean SUVmax of RT for Session 2Lymph node: At 2 hour2.467 SUVmaxStandard Deviation 1.3033
All ParticipantsMean SUVmax of RT for Session 2Lymph node: At 4 hour1.989 SUVmaxStandard Deviation 0.6904
All ParticipantsMean SUVmax of RT for Session 2Peritoneum: At 0.5 hour1.864 SUVmax
All ParticipantsMean SUVmax of RT for Session 2Peritoneum: At 1 hour1.038 SUVmax
ITT Population (Day 0)Mean SUVmax of RT for Session 2Muscle: At 1 hour0.976 SUVmaxStandard Deviation 0.2012
ITT Population (Day 0)Mean SUVmax of RT for Session 2Bone: At 1 hour0.765 SUVmaxStandard Deviation 0.1409
ITT Population (Day 0)Mean SUVmax of RT for Session 2Liver: At 1 hour3.480 SUVmaxStandard Deviation 1.1863
ITT Population (Day 0)Mean SUVmax of RT for Session 2Lymph node: At 1 hour1.757 SUVmaxStandard Deviation 1.1486
ITT Population (Day 0)Mean SUVmax of RT for Session 2Peritoneum: At 1 hour1.163 SUVmax
ITT Population (Day 0)Mean SUVmax of RT for Session 2Small bowel: At 1 hour1.608 SUVmaxStandard Deviation 0.3677
Comparison: Comparison of SUVmax of RT in muscle between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.47Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in liver between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.233Wilcoxon signed rank test
Comparison: Comparison of SUVmax of RT in lymph node between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.375Wilcoxon signed rank test
Secondary

Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1

The tumor contrast, i.e. the SUV ratio for tumor (malignant lesion)-to-background (3D-SUV-R) of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RTs. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: 6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Muscle)13.434 ratioStandard Deviation 7.3703
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Muscle)15.353 ratioStandard Deviation 7.143
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Lymph node)9.548 ratioStandard Deviation 7.1592
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Muscle)15.110 ratioStandard Deviation 7.4282
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Muscle)8.366 ratio
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Peritoneum)8.475 ratio
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Bone)7.296 ratioStandard Deviation 0.6136
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Small bowel)3.427 ratioStandard Deviation 0.6978
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Muscle)5.227 ratioStandard Deviation 1.7044
All ParticipantsMean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Liver)2.066 ratioStandard Deviation 0.9163
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Muscle)12.605 ratioStandard Deviation 7.9383
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Bone)6.125 ratioStandard Deviation 4.2161
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Liver)3.234 ratioStandard Deviation 1.813
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Lymph node)9.320 ratioStandard Deviation 5.259
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Muscle)12.585 ratioStandard Deviation 6.1981
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Muscle)9.170 ratio
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Muscle)19.861 ratioStandard Deviation 16.0492
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Muscle)6.091 ratioStandard Deviation 2.1353
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Small bowel)6.017 ratioStandard Deviation 5.3303
ITT Population (Day 0)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Peritoneum)7.268 ratio
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Muscle)5.868 ratioStandard Deviation 0.4515
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Muscle)11.399 ratio
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Small bowel)5.355 ratioStandard Deviation 0.4256
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Small bowel (RT: Muscle)11.352 ratioStandard Deviation 2.5753
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Bone (RT: Bone)7.167 ratioStandard Deviation 1.7409
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Peritoneum (RT: Peritoneum)6.783 ratio
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Liver)3.215 ratioStandard Deviation 1.816
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Liver (RT: Muscle)10.318 ratioStandard Deviation 5.7811
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Lymph node)11.034 ratioStandard Deviation 13.3938
ITT Population (Day 21)Mean Tumor Contrast (3D-SUV-R) of Malignant Lesions Compared to Pre-dose Scans for Session 1Lymph node (RT: Muscle)18.349 ratioStandard Deviation 15.9027
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.004Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.004Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.426Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.098Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.813Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.813Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.297Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as muscle between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.469Wilcoxon signed rank test
Secondary

Number of Malignant and Benign Lesions Detected for Session 1

At visit 1, after administration of 15 μg 68Ga-OPS202, a dynamic scan was performed in kidney region over first 30 minutes; static scans were performed from head to sub-inguinal region at 0.5, 1, 2 and 4 h post-injection. At visit 2, after administration of 50 μg 68Ga-OPS202, a static scan was performed from head to sub-inguinal region at 1 h post-injection. A previous somatostatin receptor scan had been performed within 6 months prior to Day 0. Lesions were classified into malignant and benign by readers. Lesion matching was performed between somatostatin receptor scan and 1 h-68Ga-OPS202 receptor scans at visit 1 and visit 2. Number of lesions for each organ/tissue and overall were calculated and absolute numbers reported. Two different read sessions were held to generate data sets for evaluation of target variables. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: 6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21

Population: The Intention-to-Treat (ITT) set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Mamma2.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Mediastinum1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Total3.0 lesionStandard Deviation 1.83
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Pancreas1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Lymph node1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Lymph node2.5 lesionStandard Deviation 2.56
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Spleen1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Total9.3 lesionStandard Deviation 10.49
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Bone1.0 lesionStandard Deviation 0
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Stomach1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Small bowel1.0 lesionStandard Deviation 0
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Small bowel4.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Thyroid gland1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Liver8.6 lesionStandard Deviation 10.62
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Malignant: Peritoneum1.0 lesion
All ParticipantsNumber of Malignant and Benign Lesions Detected for Session 1Benign: Lung0.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Mamma2.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Small bowel2.0 lesionStandard Deviation 1.41
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Total1.8 lesionStandard Deviation 2.87
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Lymph node0.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Lung2.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Liver17.4 lesionStandard Deviation 17.98
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Small bowel0.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Mediastinum0.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Bone1.0 lesionStandard Deviation 0
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Pancreas1.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Spleen1.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Lymph node2.9 lesionStandard Deviation 2.1
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Stomach1.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Total17.0 lesionStandard Deviation 17.31
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Benign: Thyroid gland0.0 lesion
ITT Population (Day 0)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Peritoneum1.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Small bowel4.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Total20.1 lesionStandard Deviation 20.58
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Bone1.0 lesionStandard Deviation 0
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Liver21.7 lesionStandard Deviation 20.86
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Lymph node2.5 lesionStandard Deviation 2.27
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Peritoneum1.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Lymph node0.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Mediastinum0.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Pancreas1.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Spleen1.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Stomach1.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Thyroid gland0.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Mamma2.0 lesion
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Malignant: Small bowel1.5 lesionStandard Deviation 0.71
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Total3.0 lesionStandard Deviation 3.16
ITT Population (Day 21)Number of Malignant and Benign Lesions Detected for Session 1Benign: Lung3.0 lesion
Comparison: Comparison of malignant lesions in total tissues between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.016Wilcoxon signed rank test
Comparison: Comparison of malignant lesions in total tissues between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.004Wilcoxon signed rank test
Comparison: Comparison of malignant lesions in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.012Wilcoxon signed rank test
Comparison: Comparison of malignant lesions in liver between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.004Wilcoxon signed rank test
Comparison: Comparison of malignant lesions in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) at 1 hour time point.p-value: 0.5Wilcoxon signed rank test
Comparison: Comparison of malignant lesions in lymph node between previous somatostatin receptor scan (ITT population pre-dose) and the 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 1Wilcoxon signed rank test
Secondary

Number of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor Value

The time point with the highest mean 3D-SUV-R per tissue location were determined. If the highest mean 3D-SUV-R was detected at more than one time point, the earliest time point was used.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Bone)At 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Bone)At 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Bone)At 2 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Bone)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Muscle)At 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Muscle)At 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Muscle)At 2 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueBone (RT: Muscle)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Liver)At 0.5 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Liver)At 1 hour4 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Liver)At 2 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Liver)At 4 hour3 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Muscle)At 0.5 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Muscle)At 1 hour5 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Muscle)At 2 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLiver (RT: Muscle)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Lymph node)At 0.5 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Lymph node)At 1 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Lymph node)At 2 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Lymph node)At 4 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Muscle)At 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Muscle)At 1 hour5 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Muscle)At 2 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueLymph node (RT: Muscle)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Peritoneum)At 0.5 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Peritoneum)At 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Peritoneum)At 2 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Peritoneum)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Muscle)At 0.5 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Muscle)At 1 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Muscle)At 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValuePeritoneum (RT: Muscle)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Small bowel)At 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Small bowel)At 1 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Small bowel)At 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Small bowel)At 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Muscle)At 0.5 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Muscle)At 1 hour3 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Muscle)At 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Mean 3D-SUV-R Tumor ValueSmall bowel (RT: Muscle)At 4 hour0 Participants
Secondary

Number of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue Location

For determining a suitable time window for PET/CT with 68Ga-OPS202, the scans after administration of the 15 μg peptide dose were analyzed and the time point with the highest lesion number per tissue location and overall were determined. If the highest number of lesion was detected at more than one time point, the earliest time point was used.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationTotalAt 0.5 hour5 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationTotalAt 1 hour3 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationTotalAt 2 hour4 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationTotalAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationBoneAt 0.5 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationBoneAt 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationBoneAt 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationBoneAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLiverAt 0.5 hour2 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLiverAt 1 hour3 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLiverAt 2 hour4 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLiverAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLymph nodeAt 0.5 hour7 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLymph nodeAt 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLymph nodeAt 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationLymph nodeAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPancreasAt 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPancreasAt 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPancreasAt 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPancreasAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPeritoneumAt 0.5 hour1 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPeritoneumAt 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPeritoneumAt 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationPeritoneumAt 4 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationSmall bowelAt 0.5 hour3 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationSmall bowelAt 1 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationSmall bowelAt 2 hour0 Participants
All ParticipantsNumber of Participants at Each Time Point With the Highest Observed Lesion Number Per Tissue LocationSmall bowelAt 4 hour0 Participants
Secondary

Percentage of Participants With Lesion-Associated 68Ga-OPS202 Binding

Tumor contrast in PET imaging was determined by qualitative visual analysis. 68Ga-OPS202 binding was present if at least one lesion, regardless of nature, was detected within respective tissue location. Percentages were based on number of participants with available scan at corresponding time point.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (NUMBER)
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingThyroid gland: At 4 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingTotal: At 1 hour100 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingMamma: At 4 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPeritoneum: At 2 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPeritoneum: At 4 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingSmall bowel: At 0.5 hour25.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingSmall bowel: At 1 hour25.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingSmall bowel: At 2 hour25.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingSmall bowel: At 4 hour16.7 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingThyroid gland: At 0.5 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingThyroid gland: At 2 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingTotal: At 0.5 hour100 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLiver: At 1 hour75.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPancreas: At 0.5 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPancreas: At 1 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPancreas: At 2 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPancreas: At 4 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPeritoneum: At 0.5 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPeritoneum: At 1 hour8.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingThyroid gland: At 1 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingTotal: At 2 hour100 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingTotal: At 4 hour100 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingBone: At 0.5 hour16.7 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingBone: At 1 hour16.7 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingBone: At 2 hour16.7 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingBone: At 4 hour16.7 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLiver: At 0.5 hour75.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLiver: At 2 hour75.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLiver: At 4 hour75.0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLung: At 0.5 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLung: At 1 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLung: At 2 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLung: At 4 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLymph node: At 0.5 hour58.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLymph node: At 1 hour58.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLymph node: At 2 hour58.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLymph node: At 4 hour58.3 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingMamma: At 0.5 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingMamma: At 1 hour0 percentage of participants
All ParticipantsPercentage of Participants With Lesion-Associated 68Ga-OPS202 BindingMamma: At 2 hour0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingTotal: At 1 hour100 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingSmall bowel: At 1 hour25.0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingThyroid gland: At 1 hour0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLymph node: At 1 hour58.3 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPancreas: At 1 hour8.3 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingMamma: At 1 hour0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLiver: At 1 hour75.0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingLung: At 1 hour0 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingBone: At 1 hour16.7 percentage of participants
ITT Population (Day 0)Percentage of Participants With Lesion-Associated 68Ga-OPS202 BindingPeritoneum: At 1 hour8.3 percentage of participants
Secondary

Percent Change in 3D-SUV-R of Malignant Lesions

The tumor contrast, i.e. the SUV ratio for 3D-SUV-R of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RT. For percent change, 68Ga-OPS202 receptor scan is compared to previous somatostatin receptor scan.

Time frame: 6 months prior to Day 0; and 1 hour post-injection on Day 0 and Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsLymph node (RT: Lymph node)56.044 percent changeStandard Deviation 94.8768
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsBone (RT: Bone)-13.315 percent changeStandard Deviation 65.0759
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsPeritoneum (RT: Peritoneum)-14.239 percent change
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsLiver (RT: Liver)51.938 percent changeStandard Deviation 33.2221
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsPeritoneum (RT: Muscle)9.619 percent change
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsLymph node (RT: Muscle)46.569 percent changeStandard Deviation 61.4515
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsSmall bowel (RT: Small bowel)63.131 percent changeStandard Deviation 122.3379
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsLiver (RT: Muscle)-5.165 percent changeStandard Deviation 32.3975
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsSmall bowel (RT: Muscle)2.447 percent changeStandard Deviation 88.0324
All ParticipantsPercent Change in 3D-SUV-R of Malignant LesionsBone (RT: Muscle)16.042 percent changeStandard Deviation 3.0132
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsSmall bowel (RT: Muscle)-12.716 percent changeStandard Deviation 57.3817
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsBone (RT: Bone)-0.418 percent changeStandard Deviation 32.2352
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsBone (RT: Muscle)20.052 percent changeStandard Deviation 47.7825
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsLiver (RT: Liver)50.766 percent changeStandard Deviation 25.4179
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsLiver (RT: Muscle)-19.838 percent changeStandard Deviation 37.5669
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsLymph node (RT: Muscle)36.864 percent changeStandard Deviation 79.3287
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsPeritoneum (RT: Peritoneum)-19.962 percent change
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsPeritoneum (RT: Muscle)36.256 percent change
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsSmall bowel (RT: Small bowel)58.296 percent changeStandard Deviation 19.8143
ITT Population (Day 0)Percent Change in 3D-SUV-R of Malignant LesionsLymph node (RT: Lymph node)38.530 percent changeStandard Deviation 117.3139
Secondary

The 3D-SUV-R of Malignant Lesions for Session 2

The tumor contrast, i.e. the SUV ratio for 3D-SUV-R of a single lesion was defined as: 3D-SUV-R = SUVmax of lesion / mean of SUVmax of corresponding RTs. Statistical comparisons were only feasible for those organs/ tissues that had sufficient participants with lesions detected.

Time frame: At 0.5, 1, 2, and 4 hour post-injection on Day 0 and 1 hour post-injection on Day 21

Population: The ITT set included all participants of the FAS who received the IP and had at least 1 evaluable PET/CT scan image available for at least 1 time point at visit 1 (Day 0) or visit 2 (Day 21), regardless of any protocol deviations.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Muscle): At 4 hour6.686 ratioStandard Deviation 1.5046
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Peritoneum): At 4 hour4.809 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Bone): At 0.5 hour11.191 ratioStandard Deviation 8.6266
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Bone): At 1 hour9.679 ratioStandard Deviation 9.2426
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Muscle): At 4 hour2.626 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Small bowel): At 0.5 hour3.759 ratioStandard Deviation 2.169
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Small bowel): At 1 hour5.644 ratioStandard Deviation 4.9619
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Small bowel): At 2 hour4.363 ratioStandard Deviation 2.5614
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Muscle): At 1 hour11.787 ratioStandard Deviation 5.809
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Small bowel): At 4 hour4.047 ratioStandard Deviation 1.6457
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Muscle): At 0.5 hour9.404 ratioStandard Deviation 5.282
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Peritoneum): At 2 hour8.747 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Muscle): At 2 hour7.267 ratioStandard Deviation 3.8995
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Lymph node): At 2 hour9.722 ratioStandard Deviation 7.1821
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Bone): At 2 hour6.243 ratioStandard Deviation 1.3313
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Bone): At 4 hour2.169 ratioStandard Deviation 0.2056
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Muscle): At 0.5 hour6.716 ratioStandard Deviation 1.4013
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Muscle): At 1 hour5.528 ratioStandard Deviation 2.1555
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Muscle): At 2 hour5.311 ratioStandard Deviation 2.1658
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Muscle): At 4 hour2.331 ratioStandard Deviation 0.5535
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Liver): At 0.5 hour2.547 ratioStandard Deviation 1.5468
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Liver): At 1 hour3.071 ratioStandard Deviation 2.3858
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Liver): At 2 hour2.430 ratioStandard Deviation 0.9559
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Liver): At 4 hour2.038 ratioStandard Deviation 0.6822
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Muscle): At 0.5 hour11.534 ratioStandard Deviation 8.0671
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Muscle): At 1 hour13.231 ratioStandard Deviation 10.4892
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Muscle): At 2 hour9.383 ratioStandard Deviation 6.1356
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Muscle): At 4 hour6.974 ratioStandard Deviation 6.4729
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Lymph node): At 0.5 hour13.448 ratioStandard Deviation 12.3973
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Lymph node): At 1 hour10.109 ratioStandard Deviation 7.3722
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Lymph node): At 4 hour9.889 ratioStandard Deviation 5.8842
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Muscle): At 0.5 hour16.362 ratioStandard Deviation 9.1362
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Muscle): At 1 hour20.434 ratioStandard Deviation 13.606
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Muscle): At 2 hour16.107 ratioStandard Deviation 9.5271
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Muscle): At 4 hour8.619 ratioStandard Deviation 3.7444
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Peritoneum): At 0.5 hour1.767 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Peritoneum): At 1 hour6.494 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Muscle): At 0.5 hour4.431 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Muscle): At 1 hour8.508 ratio
All ParticipantsThe 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Muscle): At 2 hour7.709 ratio
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Bone): At 1 hour5.891 ratioStandard Deviation 0.7682
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Liver): At 1 hour2.514 ratioStandard Deviation 0.6087
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Muscle): At 1 hour18.562 ratioStandard Deviation 15.1302
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Peritoneum): At 1 hour8.173 ratio
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Lymph node (RT: Lymph node): At 1 hour14.166 ratioStandard Deviation 13.4067
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Bone (RT: Muscle): At 1 hour5.530 ratioStandard Deviation 0.8944
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Small bowel): At 1 hour4.956 ratioStandard Deviation 2.8311
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Liver (RT: Muscle): At 1 hour9.653 ratioStandard Deviation 5.1879
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Small bowel (RT: Muscle): At 1 hour7.678 ratioStandard Deviation 3.9023
ITT Population (Day 0)The 3D-SUV-R of Malignant Lesions for Session 2Peritoneum (RT: Muscle): At 1 hour10.060 ratio
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as liver between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.91Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in liver with RT as muscle between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.039Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as lymph node between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.375Wilcoxon signed rank test
Comparison: Comparison of 3D-SUV-R of malignant lesions in lymph node with RT as muscle between 68Ga-OPS202 visit 1 receptor scan (ITT population Day 0) and 68Ga-OPS202 visit 2 receptor scan (ITT population Day 21) at 1 hour time point.p-value: 0.219Wilcoxon signed rank test

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026