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RecruitingNCT07132645Updated Jul 31, 2026

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

An Early Phase 1 interventional study of Computed Tomography and Gallium Ga 68-DOTA-FAPI-04 in Neuroendocrine Tumor, sponsored by University of Michigan Rogel Cancer Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-31.

Sponsored by University of Michigan Rogel Cancer Center · Early Phase 1, Interventional, and Basic science

Phase
Early Phase 1
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study 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.

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Conditions studied

  • Neuroendocrine Tumor

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts 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

Exclusion Criteria:

  • Pregnancy or lactation
  • Patient recently underwent surgery with wound healing
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Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Basic science ([68Ga] Ga-FAPI-04)

    Patients receive \[68Ga\] Ga-FAPI-04 IV, followed 1 hour later by PET/CT scan over approximately 25 minutes.

    Procedure: Computed Tomography · Drug: Gallium Ga 68-DOTA-FAPI-04 · Procedure: Positron Emission Tomography

Interventions

  • ProcedureComputed Tomography

    Undergo CT scan

    Also known as: CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography, Computerized axial tomography (procedure), Computerized Tomography, Computerized Tomography (CT) scan, CT, CT Scan, tomography

  • DrugGallium Ga 68-DOTA-FAPI-04

    Given IV

    Also known as: 68Ga-DOTA-FAPI-04, 68Ga-FAPi-04, GALLIUM GA-68-DOTA-FAPI-04, Gallium-68-FAPi-04

  • ProcedurePositron Emission Tomography

    Undergo PET scan

    Also known as: Medical Imaging, Positron Emission Tomography, PET, PET Scan, Positron emission tomography (procedure), Positron Emission Tomography Scan, Positron-Emission Tomography, PT

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What researchers measure

Primary outcomes

  1. Biodistribution of Gallium Ga 68-DOTA-FAPI-04 ([68Ga]Ga-FAPI-04)

    Time frame: Day 1

  2. Pharmacokinetics of [68Ga] Ga-FAPI-04

    We 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.

    Time frame: Day 1

Secondary outcomes

  1. Tissue concentrations of [68Ga] Ga-FAPI-04 retention in tumors

    Time frame: Day 1

  2. Standardized uptake values (SUV) of [68Ga] Ga-FAPI-04 retention in tumors

    Will compare the difference in SUVmax uptake within each subject using a two-side, one-sample t-test.

    Time frame: Day 1

  3. Clinical diagnostic performance of [68Ga] Ga-FAPI-04

    When 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.

    Time frame: Day 1

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Study locations

1 of 1 sites recruiting
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109, United States
    • Benjamin Viglianti · Contact · bviglia@med.umich.edu · 734-936-5385
    • Benjamin Viglianti · Principal investigator
    Recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Registry details

Key details

Study ID
NCT07132645
Lead sponsor
University of Michigan Rogel Cancer Center
Collaborators
Neuroendocrine Research Foundation
Responsible party
Sponsor
First posted
Aug 20, 2025
Start date
Sep 16, 2025
Primary completion
Sep 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
Jul 31, 2026

Study contacts

Benjamin Viglianti
principal investigator · University of Michigan Rogel Cancer Center

Oversight

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

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