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An Investigational Scan ([68Ga] Ga-FAPI-04 PET/CT) for the Imaging of Patients With High-Grade Neuroendocrine Cancer

An Exploratory Study of [68Ga]Ga-Fibroblast Activation Protein Inhibitor 4 ([68Ga]Ga-FAPI-04) in Patients With High-Grade Neuroendocrine Neoplasms

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07132645
Enrollment
30
Registered
2025-08-20
Start date
2025-09-16
Completion date
2027-09-01
Last updated
2026-07-31

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

Conditions

Neuroendocrine Tumor

Brief summary

This early phase I trial determines where and to what degree the tracer \[68Ga\] Ga-FAPI-04 accumulates in normal and cancer tissues in patients with high grade neuroendocrine cancer. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research \[68Ga\] Ga-FAPI-04. Because some cancers take up \[68Ga\] Ga-FAPI-04, it can be seen with PET. CT utilizes x-rays that traverse body from the outside. CT images provide an exact outline of organs and potential inflammatory tissue where it occurs in patient's body.

Interventions

PROCEDUREComputed Tomography

Undergo CT scan

DRUGGallium Ga 68-DOTA-FAPI-04

Given IV

PROCEDUREPositron Emission Tomography

Undergo PET scan

Sponsors

University of Michigan Rogel Cancer Center
Lead SponsorOTHER
Neuroendocrine Research Foundation
CollaboratorUNKNOWN

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Age ≥ 18 years old * Current neuroendocrine tumor diagnosis AND high-grade neuroendocrine tumor presentation determined using the following criteria(s): * Previous low uptake of \[68Ga\] Ga-DOTATATE PET/CT scan OR * Krenning Score ≥ 3 OR * Ki67 index ≥ 20% * Able to lie flat for 60 minutes * Ability to understand and the willingness to sign a written informed consent

Exclusion criteria

* Pregnancy or lactation * Patient recently underwent surgery with wound healing

Design outcomes

Primary

MeasureTime frameDescription
Biodistribution of Gallium Ga 68-DOTA-FAPI-04 ([68Ga]Ga-FAPI-04)Day 1
Pharmacokinetics of [68Ga] Ga-FAPI-04Day 1We will monitor/measure the amount of Ga-FAPI-04 seen within different tissue in patients that have neuroendocrine tumors. We will specifically measure the ratio of uptake in the tumors in comparison to reference tissues such as liver or muscle.

Secondary

MeasureTime frameDescription
Tissue concentrations of [68Ga] Ga-FAPI-04 retention in tumorsDay 1
Standardized uptake values (SUV) of [68Ga] Ga-FAPI-04 retention in tumorsDay 1Will compare the difference in SUVmax uptake within each subject using a two-side, one-sample t-test.
Clinical diagnostic performance of [68Ga] Ga-FAPI-04Day 1When a comparison Ga-DOTATATE scan is available, we will look at the uptake in the tumor in the SOC image related to reference tissue and then compare the FAPI-04 uptake.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORBenjamin Viglianti

University of Michigan Rogel Cancer Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 1, 2026