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RecruitingNCT06581744Updated Sep 3, 2024

Non Invasive Imaging Methods for Detecting PA:a Clinical PET Study of 18F-Pentixather

An interventional study of [18F]AlF-NOTA-Pentixather in Primary Aldosteronism Due to Adrenal Hyperplasia (Bilateral), sponsored by Fangfang Sun. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-03.

Sponsored by Fangfang Sun · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Jun 2024; still recruiting 2 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Primary aldosteronism (PA) is the most common endocrine cause of hypertension. 68Ga-pentixafor PET/CT possesses a relatively high sensitivity and specificity for Aldosterone producing adenoma (APA) detection. However, 68Ga is usually eluted from a 68Ge-68Ga generator, only a small amount of isotopes can be achieved once time. [18F]AlF-chelation is a promising strategy that would solve these issues. 18F labeled Pentixafor-Based Imaging Agent([18F]AlF-NOTA-Pentixather) has been reported by Andreas Poschenrieder. [18F]AlF-NOTA-Pentixather displayed high and CXCR4-specific in vivo uptake in Daudi xenografts (13.9%±0.8% injected dose per gram [ID/g] at 1 hour post injection[p.i.]). But to date 18F-Pentixather has not been studied in humans. In this program the investigators will estimate the radiation dosimetry of [18F]AlF-NOTA-Pentixather, evaluate the sensitivity and specificity of the [18F]AlF-NOTA-Pentixather as a probe for APA.

02

Conditions studied

  • Primary Aldosteronism Due to Adrenal Hyperplasia (Bilateral)

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Keywords

  • Primary aldosteronism
  • Radiation Dosimetry
  • 18F-Pentixather
03

In context

Hyperaldosteronism

201 studies on the registry are indexed under Hyperaldosteronism; 93 are open to participants now.

This study's planned enrollment of 20 is below the median of 63 across 94 interventional studies indexed under Hyperaldosteronism.

Browse Hyperaldosteronism studies →

Lead sponsor

This is the only study on the registry with Fangfang Sun as lead sponsor.

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
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients diagnosed with primary aldosteronism and willing to undergo surgery
  2. Clinically highly suspected of primary aldosteronism, but the diagnostic test cannot clearly identify the patients
  3. Postoperative recurrence in patients with primary aldosteronism

Exclusion criteria

Exclusion Criteria:

  1. Pregnant and lactating women.
  2. Patients with poor autonomous behavior ability, severe claustrophobia, and critically ill patients requiring life support who are unable to cooperate in completing the examination.
  3. There are other situations where patients are not suitable for this examination
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Study design

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

Study arms

  • Experimental
    hyperaldosteronism

    Intravenous inject 18F-Pentixather,perform PET/CT imaging at the designated time

    Other: [18F]AlF-NOTA-Pentixather

Interventions

  • Other[18F]AlF-NOTA-Pentixather

    inject 185\~370MBq \[18F\]AlF-NOTA-Pentixather

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What researchers measure

Primary outcomes

  1. Measurement of radiation dosimetry and biodistribution of 18F-Pentixather determined with PET/CT in Patients with PA

    Images were acquired using a Biograph Truepoint 64 PET/CT scanner (Siemens, Erlangen, Germany).The dosimetry analysis was performed using 3d-slicer(version 5.6.1, with slicerOpenDose3D module (https://gitlab.com/opendose/opendose3d). OpenDose: open access resources for nuclear medicine dosimetry (www.opendose.org).

    Time frame: 6 month

  2. Analyze the specificity and sensitivity of 18F-pentixather PET/CT for the diagnosis of APA

    Compare the 18F-Pentixather SUVmax with the CXCR4,CYP11B2 immunohistochemical score. Calculate the sensitivity and specificity of 18F-pentixafor PET/CT results for an indication of APA, IAH, or NFA lesions.

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Zheng Y, Long T, Peng N, Zhen M, Ye Q, Zhang Z, He Y, Chen Z, Gan Y, Luo M, Li C, Liu Z, Guo M, Wang M, Luo X, Hu S, Liu L, Jiang T. The Value of Targeting CXCR4 With 68Ga-Pentixafor PET/CT for Subtyping Primary Aldosteronism. J Clin Endocrinol Metab. 2023 Dec 21;109(1):171-182. doi: 10.1210/clinem/dgad421. PubMed 37477496 ↗
  • Gao Y, Ding J, Cui Y, Li T, Sun H, Zhao D, Zhang Y, Huo L, Tong A. Functional nodules in primary aldosteronism: identification of CXCR4 expression with 68Ga-pentixafor PET/CT. Eur Radiol. 2023 Feb;33(2):996-1003. doi: 10.1007/s00330-022-09058-x. Epub 2022 Sep 7. PubMed 36070092 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06581744
Lead sponsor
Fangfang Sun
Responsible party
Fangfang Sun (Pharmacist, The First Affiliated Hospital of Dalian Medical University) — Sponsor-investigator
First posted
Sep 3, 2024
Start date
Jun 12, 2024
Primary completion
Dec 31, 2024 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Sep 3, 2024

Study contacts

Fangfang Sun, MD
Contact
sf.f@163.com
18098876916
Wei Song, PHD
Contact
songwei8124@163.com
18098875773

Oversight

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

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