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CompletedNCT04588064Updated Jan 29, 2025

18F-FDG and 68Ga-FAPI PET/CT in Lung Adenocarcinoma

An interventional study of 68Ga-FAPI PET/CT scan in Lung Adenocarcinoma, 18F-FDG and 68Ga-FAPI, sponsored by The First Affiliated Hospital of Xiamen University. Completed at 1 site in China. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-01-29.

Sponsored by The First Affiliated Hospital of Xiamen University · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
63
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
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Study summary

To evaluate the potential usefulness of 68Ga-FAPI positron emission tomography/computed tomography (PET/CT) for the diagnosis of primary and metastatic lesions in lung adenocarcinoma, compared with 18F-FDG PET/CT.

Read the detailed description

Participants with lung adenocarcinoma underwent contemporaneous 18F-FDG and 68Ga-FAPI PET/CT for an initial assessment. Tumor uptake was quantified by the maximum standard uptake value (SUVmax). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of 18F-FDG and 68Ga-FAPI PET/CT were calculated and compared to evaluate the diagnostic efficacy. In addition, the investigators further investigate the performance of 68Ga-FAPI PET/CT for differentiating invasive adenocarcinoma from adenocarcinoma in situ (pre-invasive lesion) or minimally invasive adenocarcinoma in participants with solitary ground-glass opacity nodules.

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Conditions studied

  • Lung Adenocarcinoma
  • 18F-FDG
  • 68Ga-FAPI
  • PET/CT

Keywords

  • Lung Adenocarcinoma
  • FDG
  • FAPI
  • PET/CT
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In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's enrollment of 63 is above the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

The First Affiliated Hospital of Xiamen University is the lead sponsor of 115 studies on the registry; 76 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • (i) aged ≥ 18 years, with newly detected GGNs ≤ 3 cm on LDCT and suspected to be lung cancer, and with no prior treatment;
  • (ii) who accepted undergoing paired 18F-FDG and 68Ga-FAPI-46 PET/CT, with completion within one week of each other;
  • (iii) with planned surgical resection within one month after PET/CT examinations;
  • (iv) with an ability to provide informed consent according to the guidelines of the Clinical Research Ethics Committee.

Exclusion criteria

Exclusion Criteria:

  • (i) without surgical treatment;
  • (ii) receiving antitumor treatment prior to surgery;
  • (iii) whose postoperative pathology revealed adenocarcinoma beyond stage IA or benign pulmonary lesions;
  • (iv) with concurrent diagnosis of other malignant tumors;
  • (v) with poor image quality or lesions difficult to measure.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
63 participants (actual)

Study arms

  • Experimental
    18F-FDG PET/CT scan

    Each subject receives a single intravenous injection of 18F-FDG, and undergo PET/CT imaging within the specified time.

    Diagnostic Test: 68Ga-FAPI PET/CT scan

Interventions

  • Diagnostic test68Ga-FAPI PET/CT scan

    Each subject receives a single intravenous injection of 68Ga-FAPI, and undergo PET/CT imaging within the specified time.

06

What researchers measure

Primary outcomes

  1. Cut-off value of SUVmax

    Using the cut-off value of SUVmax derived from 68Ga-FAPI-46 PET to distinguish IAC from pre-invasive lesions (including atypical adenomatous hyperplasia (AAH), adenocarcinoma in situ (AIS), and minimally invasive adenocarcinoma (MIA)) in GGNs.

    Time frame: 30 days

Secondary outcomes

  1. The area under the receiver operating characteristic (ROC) curve (AUC), accuracy, sensitivity, specificity, p-value [indicating accuracy exceeding the No-Information Rate], and kappa value

    Based on clinical features (age, sex, smoking history) and PET/CT parameters (including SUVmax, TBR, CT value), calculate the diagnostic performance. Based on 68Ga-FAPI-46 PET/CT radiomics features, calculate the diagnostic performance and explain the most significant predictors.

    Time frame: 30 days

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Study locations

1 site
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian 0086-361000, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2025, 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
NCT04588064
Lead sponsor
The First Affiliated Hospital of Xiamen University
Responsible party
Sponsor
First posted
Oct 19, 2020
Start date
Jul 1, 2020
Primary completion
Jul 1, 2022
Completion
Jul 1, 2022
Last update
Jan 29, 2025

Study contacts

Long Sun, PhD
study director · The First Affiliated Hospital of Xiamen University, Fujian, China

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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