Mesotheliomas Pleural
Conditions
Brief summary
It is aimed to evaluate FAP expression and its success in predicting treatment response before immunotherapy used in the treatment of malignant mesothelioma with Ga68 FAPI PET/CT imaging, which allows in vivo evaluation of FAP expression, which is thought to be associated with immunosuppression and resistance to immunotherapy.
Detailed description
Patients diagnosed with pleural mesothelioma and planned for immunotherapy will be included in the study. Patients will undergo Ga68 FAPI PET/CT imaging within 10 days before the start of immunotherapy treatment, and SUVmax, SUVmean, metabolic tumor volume and total Ga68 FAPI uptake parameters will be obtained from the tumors. Following this, the routine treatment and follow-up of the patients will be carried out by their clinicians. It will be evaluated whether there is a correlation between treatment response and initial Ga-68 FAPI PET findings.
Interventions
imaging of FAP expression of tumor before immunotherapy
Sponsors
Study design
Intervention model description
prediction of immunotherapy response with Ga-68 FAPI PET
Eligibility
Inclusion criteria
* Having a histopathologically confirmed diagnosis of * Pleural Mesolthelioma * Patients scheduled for immunotherapy with anti-PDL-1 and/or anti-CTLA-4 antibodies as first or second line therapy * Patients who gave informed consent form to participate in the study
Exclusion criteria
* ECOG\>2 * Patients who did not provide informed consent form to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prediction of immune therapy response with Ga-68 FAPI PET | 6. month after initiation of therapy | prediction of immunotherapy response with SUVmax measured with Ga-68 FAPI PET before immunotherapy |
Countries
Turkey (Türkiye)