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TerminatedNCT02899533Updated May 18, 2021

[18F]FES PET/CT in PAH

An observational study in Pulmonary Arterial Hypertension, sponsored by University of Pennsylvania. Terminated at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-05-18.

Sponsored by University of Pennsylvania · Observational

Why this study was terminated
The method did not help with assessing PAH and so the trial was terminated early.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
5
Ages
18 Years and older
Sex
Female
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Study summary

In this study positron emission tomography (PET/CT) imaging will be used to evaluate evaluation of estrogen receptor heterogeneity and functionality in Pulmonary Arterial Hypertension (PAH) using the investigational radiotracer [18F]fluoroestradiol (FES).

Read the detailed description

This is a feasibility study of serial FES scanning in female patients with Pulmonary Arterial Hypertension (PAH) to determine whether patients have detectable changes in FES SUV following treatment with fulvestrant on the separate therapeutic protocol IRB# 824861 "Estrogen Receptor Antagonist in Patients with Pulmonary Arterial Hypertension (ERA PAH)". Subjects will undergo up to 2 [18F]FES PET/CT scans for this protocol. A baseline FES PET/CT will occur on Day 0 (-2 days) of the companion treatment trial prior to initiation of fulvestrant. The second FES PET/CT scan will occur on week 9 (63 ± 7 days) after initiation of fulvestrant. We will compare SUV values after fulvestrant to pre-treatment values.

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Conditions studied

  • Pulmonary Arterial Hypertension

Keywords

  • PAH
  • Pulmonary hypertension
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In context

Pulmonary Arterial Hypertension

761 studies on the registry are indexed under Pulmonary Arterial Hypertension; 142 are open to participants now.

This study's enrollment of 5 is below the median of 100 across 197 observational studies indexed under Pulmonary Arterial Hypertension.

Browse Pulmonary Arterial Hypertension studies →

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Post-menopausal women with Pulmonary Arterial Hypertension

Inclusion criteria

    1. Women who are post-menopausal, defined as one of the following

      1. > 50 years old and a) have not menstruated during the preceding 12 months per medical record review or self-report or b) have follicle-stimulating hormone levels > 40 IU/L at screening OR
      2. \< 50 years and follicle-stimulating hormone levels > 40 IU/L at screening OR
      3. history of bilateral oophorectomy per medical record review or self-report.
      1. Diagnosis of Pulmonary Arterial Hypertension (PAH) per medical record review.
      1. Patients must be candidates to receive treatment on the companion therapeutic trial "Estrogen Receptor-α Inhibitor in Patients with Pulmonary Arterial Hypertension (ERA PAH)" (IRB# 824861 "ERA PAH")
      1. Participants must be informed of the investigational nature of this study and be willing to provide written informed consent and participate in this study in accordance with institutional and federal guidelines prior to study-specific procedures.

Exclusion criteria

Exclusion Criteria:

    1. Inability to tolerate imaging procedures in the opinion of an investigator or treating physician

      1. Serious or unstable medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study.
      1. Ineligible for the therapeutic trial IRB# 824861 "ERA PAH" entitled "Estrogen Receptor Antagonist in Patients with Pulmonary Arterial Hypertension (ERA PAH)" (IRB# 824861 "ERA PAH")
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
5 participants (actual)
Patient registry
No

Groups and cohorts

  • FES PET/CT scan

    All subjects will receive an \[18F\]FES PET/CT scan.

    Drug: [18F] FES

Interventions

  • Drug[18F] FES

    \[18F\] FES PET/CT scan, imaging tracer

    Also known as: [18F]fluoroestradiol

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What researchers measure

Primary outcomes

  1. Evaluate [18F]FES uptake in patients with Pulmonary Arterial Hypertension (PAH) before and after initiation of fulvestrant.

    Patients will have a baseline FES PET/CT scan prior to the initiation of fulvestrant and a second FES PET/CT scan 9 weeks after the initiation of fulvestrant.

    Time frame: Change from Baseline [18F]FES uptake at 9 weeks.

Secondary outcomes

  1. FES uptake and change with treatment

    Evaluate baseline \[18F\]FES PET/CT uptake and change in uptake with fulvestrant in patients with PAH as a predictor of treatment response.

    Time frame: baseline

  2. Change in FES compared to change in hematopoietic progenitor cells

    Correlate change in \[18F\]FES uptake with changes in the number of circulating hematopoietic progenitor cells after the administration of fulvestrant in PAH.

    Time frame: 2 years

  3. Change in FES compared to change in hormone levels

    Correlate change in \[18F\]FES uptake with changes in plasma hormone levels (pg/mL) after the administration of fulvestrant in PAH.

    Time frame: 2 years

  4. Change in FES compared to change in NT-proBNP

    Correlate change in \[18F\]FES uptake with changes in NT-proBNP (pg/mL) after the administration of fulvestrant in PAH.

    Time frame: 2 years

  5. Change in FES compared to change in plasma biomarkers

    Correlate change in \[18F\]FES uptake with changes in other plasma biomarkers (pg/mL) after the administration of fulvestrant in PAH.

    Time frame: 2 years

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Study locations

1 site
  • University of Pennsylvania Hospital
    Philadelphia, Pennsylvania 19104, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02899533
Lead sponsor
University of Pennsylvania
Responsible party
Sponsor
First posted
Sep 14, 2016
Start date
Jul 2016
Primary completion
Apr 6, 2021
Completion
Apr 6, 2021
Last update
May 18, 2021

Study contacts

David Mankoff, MD, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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