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Safety, Pharmacokinetics, Biodistribution, and Diagnostic Performance of [18F]GP1 PET in Thromboembolism

Primary Purpose

Thromboembolism

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
[18F]GP1
Sponsored by
Asan Foundation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Thromboembolism

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is ≥ 19 years of age and male or female of any race/ethnicity.
  • Patient has signs or symptoms of acute DVT of the leg, acute PE or ATE; or had arterial intervention or surgery, such as endovascular abdominal aortic aneurysm repair preferably within 14 days prior to the planned study with [18F]GP1.
  • Patient has thromboembolic focus/foci confirmed by standard imaging modalities within 5 days prior to administration of [18F]GP1.
  • Patient has Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 at time of screening.
  • Patient has clinical laboratory tests that are within the following ranges, determined within 7 days prior to administration of [18F]GP1:

    • White blood cell count ≥ 3.0 x 109/L;
    • Platelets ≥ 75.0 x 109/L;
    • ALT and AST ≤ 3.0 times upper limit of normal;
    • Bilirubin ≤ 1.5 times upper limit of normal; and
    • Serum creatinine ≤ 1.5 times upper limit of normal

Exclusion Criteria:

A patient will be excluded from this study if the patient does not fulfill the inclusion criteria, or if any of the following conditions are observed:

  • Patient or patient's legally acceptable representative does not provide written informed consent.
  • In case of acute DVT or PE, patient has a previous history of objectively diagnosed DVT or PE.
  • Patient had pretreatment with glycoprotein IIb/IIIa inhibitors within 15 days before the administration of [18F]GP1
  • Chemotherapy is scheduled to given to patient before or within 24 hours after administration of [18F]GP1.
  • Female patient is pregnant or nursing.
  • Patient has concurrent severe and/or uncontrolled and/or unstable medical disease other than cancer (e.g. congestive heart failure, acute myocardial infarction, severe pulmonary disease, chronic renal or hepatic disease which could compromise participation in the study) in the judgment of the investigator.
  • Patient is a relative of the investigator, student of the investigator or otherwise dependent.
  • Patient has been involved in another investigative clinical study involving administration of an investigational drug from preceding 4 weeks before to 24 hours after administration of [18F]GP1.
  • Patient has been previously included in this study.
  • Patient has any other condition or personal circumstances that, in the judgment of the investigator, might make collection of complete data difficult or impossible.
  • Additive-related precautions: This investigational product contains sodium bisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.

Sites / Locations

  • Asan Foundation

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

[18F]GP1 PET/CT imaging

Arm Description

Maximally 10 patients with deep vein thrombosis, pulmonary embolism, or arterial thromboembolism, respectively will be enrolled in the study (plus replacements for drop-outs). Intravenous injection and PET/CT scanning of [18F]GP1

Outcomes

Primary Outcome Measures

Detection rate of thromboembolic focus/foci with [18F]GP1 PET/CT

Secondary Outcome Measures

Quantitative assessment of [18F]GP1 uptake in thromboembolic focus/foci as measured by standardized uptake value (SUV)
Biodistribution and radiation dosimetry of [18F]GP1 as measured by SUV
Biodistribution and radiation dosimetry of [18F]GP1 as measured by radiation doses per organ (μGy/MBq).
Pharmacokinetics of [18F]GP1 as measured by area under the curve
Pharmacokinetics of [18F]GP1 as measured by Cmax
Pharmacokinetics of [18F]GP1 as measured by Tmax
Pharmacokinetics of [18F]GP1 as measured by percent fraction
Safety of [18F]GP1 as measured by the number of participants with adverse events and significant changes in vital signs, electrocardiogram, physical examination and laboratory data that are related to treatment.
Evaluation of safety of [18F]GP1
Correlation of [18F]GP1 activity with fibrinogen and platelet glycoprotein IIb/IIIa and P-selectin expression.

Full Information

First Posted
August 3, 2016
Last Updated
May 16, 2018
Sponsor
Asan Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT02864810
Brief Title
Safety, Pharmacokinetics, Biodistribution, and Diagnostic Performance of [18F]GP1 PET in Thromboembolism
Official Title
A Phase 1, Open-label, Non-randomized, Single Center Study to Assess Safety, Pharmacokinetics, Biodistribution, Internal Radiation Dosimetry and Diagnostic Performance of [18F]GP1 Positron Emission Tomography in Subjects With Venous or Arterial Thromboembolism
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
August 4, 2016 (Actual)
Primary Completion Date
September 9, 2017 (Actual)
Study Completion Date
September 9, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Asan Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
[18F]GP1 targets platelet GPIIb/IIIa receptor in thrombus. [18F]GP1 PET/CT imaging will noninvasively assess thrombus in whole body with good sensitivity with information of thrombus. Safety, pharmacokinetics, biodistribution, internal radiation dosimetry and diagnostic performance of [18F]GP1 will be assessed in all subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thromboembolism

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
[18F]GP1 PET/CT imaging
Arm Type
Experimental
Arm Description
Maximally 10 patients with deep vein thrombosis, pulmonary embolism, or arterial thromboembolism, respectively will be enrolled in the study (plus replacements for drop-outs). Intravenous injection and PET/CT scanning of [18F]GP1
Intervention Type
Drug
Intervention Name(s)
[18F]GP1
Other Intervention Name(s)
GP1
Intervention Description
[18F]GP1 PET/CT imaging for detecting thromboembolism
Primary Outcome Measure Information:
Title
Detection rate of thromboembolic focus/foci with [18F]GP1 PET/CT
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Quantitative assessment of [18F]GP1 uptake in thromboembolic focus/foci as measured by standardized uptake value (SUV)
Time Frame
6 months
Title
Biodistribution and radiation dosimetry of [18F]GP1 as measured by SUV
Time Frame
6 months
Title
Biodistribution and radiation dosimetry of [18F]GP1 as measured by radiation doses per organ (μGy/MBq).
Time Frame
6 months
Title
Pharmacokinetics of [18F]GP1 as measured by area under the curve
Time Frame
6 months
Title
Pharmacokinetics of [18F]GP1 as measured by Cmax
Time Frame
6 months
Title
Pharmacokinetics of [18F]GP1 as measured by Tmax
Time Frame
6 months
Title
Pharmacokinetics of [18F]GP1 as measured by percent fraction
Time Frame
6 months
Title
Safety of [18F]GP1 as measured by the number of participants with adverse events and significant changes in vital signs, electrocardiogram, physical examination and laboratory data that are related to treatment.
Description
Evaluation of safety of [18F]GP1
Time Frame
6 months
Title
Correlation of [18F]GP1 activity with fibrinogen and platelet glycoprotein IIb/IIIa and P-selectin expression.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is ≥ 19 years of age and male or female of any race/ethnicity. Patient has signs or symptoms of acute DVT of the leg, acute PE or ATE; or had arterial intervention or surgery, such as endovascular abdominal aortic aneurysm repair preferably within 14 days prior to the planned study with [18F]GP1. Patient has thromboembolic focus/foci confirmed by standard imaging modalities within 5 days prior to administration of [18F]GP1. Patient has Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 at time of screening. Patient has clinical laboratory tests that are within the following ranges, determined within 7 days prior to administration of [18F]GP1: White blood cell count ≥ 3.0 x 109/L; Platelets ≥ 75.0 x 109/L; ALT and AST ≤ 3.0 times upper limit of normal; Bilirubin ≤ 1.5 times upper limit of normal; and Serum creatinine ≤ 1.5 times upper limit of normal Exclusion Criteria: A patient will be excluded from this study if the patient does not fulfill the inclusion criteria, or if any of the following conditions are observed: Patient or patient's legally acceptable representative does not provide written informed consent. In case of acute DVT or PE, patient has a previous history of objectively diagnosed DVT or PE. Patient had pretreatment with glycoprotein IIb/IIIa inhibitors within 15 days before the administration of [18F]GP1 Chemotherapy is scheduled to given to patient before or within 24 hours after administration of [18F]GP1. Female patient is pregnant or nursing. Patient has concurrent severe and/or uncontrolled and/or unstable medical disease other than cancer (e.g. congestive heart failure, acute myocardial infarction, severe pulmonary disease, chronic renal or hepatic disease which could compromise participation in the study) in the judgment of the investigator. Patient is a relative of the investigator, student of the investigator or otherwise dependent. Patient has been involved in another investigative clinical study involving administration of an investigational drug from preceding 4 weeks before to 24 hours after administration of [18F]GP1. Patient has been previously included in this study. Patient has any other condition or personal circumstances that, in the judgment of the investigator, might make collection of complete data difficult or impossible. Additive-related precautions: This investigational product contains sodium bisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
Facility Information:
Facility Name
Asan Foundation
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
30617563
Citation
Chae SY, Kwon TW, Jin S, Kwon SU, Sung C, Oh SJ, Lee SJ, Oh JS, Han Y, Cho YP, Lee N, Kim JY, Koglin N, Berndt M, Stephens AW, Moon DH. A phase 1, first-in-human study of 18F-GP1 positron emission tomography for imaging acute arterial thrombosis. EJNMMI Res. 2019 Jan 7;9(1):3. doi: 10.1186/s13550-018-0471-8.
Results Reference
derived

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Safety, Pharmacokinetics, Biodistribution, and Diagnostic Performance of [18F]GP1 PET in Thromboembolism

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