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Trial registered on ANZCTR
Registration number
ACTRN12622000637741
Ethics application status
Approved
Date submitted
13/04/2022
Date registered
2/05/2022
Date last updated
20/04/2023
Date data sharing statement initially provided
2/05/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Studying the utility of [68Ga] FAPI PET CT in Cardiac Sarcoidosis – a pilot study
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Scientific title
Studying the utility of [68Ga] FAPI PET CT in Cardiac Sarcoidosis – a pilot study
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Secondary ID [1]
306855
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
DETECT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiac Sarcoidosis
325946
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Condition category
Condition code
Cardiovascular
323256
323256
0
0
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Other cardiovascular diseases
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Inflammatory and Immune System
323257
323257
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This Study is a Open label , non randomized prospective pilot.
We plan to conduct a prospective, observational, pilot study on 10 consecutively recruited patients with known cardiac sarcoidosis, on the basis of current accepted diagnostic criteria.
Eligible patients will be referred by their Cardiologist to the Mercy Radiology.
A member of the Research team will contact those patients to confirm eligibility and willingness to participate. Once patients have been recruited they will undergo a PET CT scan using [68Ga]Ga-FAPI.
We will analyse:
Patient screening rate (number of screened over time); enrolment rate (number of enrolled over time); screening failure (total number of enrolled/total number of screened); reasons for screening failure
Retention rate (number of patients completing the study /number of patients enrolled) and reasons for discontinuing the study before completion.
This information will determine feasibility for a larger multicentre trial
We will also analyse:
Number of patients with cardiac uptake at [68Ga]Ga-FAPI PET/CT deemed diagnostic by study criteria
This information will determine if [68Ga]Ga-FAPI is a more effective agent in diagnosing cardiac sarcoidosis.
Patients will receive 1 dose of [68Ga]Ga-FAPI before their PET scan. Average radiation dose of 260MBq. The Agent will be administered intravenously
So far there is no known adverse effects of FAPI serious or otherwise
The radiation exposure is considerably lower than imaging agents currently used
Patients can expect a single visit to our PETCT department.
The study visit will last approximately 2 hours
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Intervention code [1]
323317
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Diagnosis / Prognosis
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Intervention code [2]
323318
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Early detection / Screening
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Comparator / control treatment
No control group will be used on this trial
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Retention rate (number of patients completing the study /number of patients enrolled) and reasons for discontinuing the study before completion.
This information will determine feasibility for a larger multicentre trial
This data will be collected via audit of study records
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Assessment method [1]
331001
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Timepoint [1]
331001
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at completion of the trial
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Secondary outcome [1]
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Number of patients with cardiac uptake at [68Ga]Ga-FAPI PET/CT deemed diagnostic by study criteria
This information will determine if [68Ga]Ga-FAPI is a more effective agent in diagnosing cardiac sarcoidosis.
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Assessment method [1]
408454
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Timepoint [1]
408454
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24 hours post PET CT
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Eligibility
Key inclusion criteria
• Patient age >= 18 years.
• All patients deemed by the Auckland sarcoid multidisciplinary team to have newly diagnosed, confirmed cardiac sarcoid based on histopathological/clinical/imaging data and who have had a CMR and [18F]FDG PET/CT as part of their diagnostic work up.
• Able to give informed consent
• Willing to use effective contraceptive methods for the duration of the study 90 days after receiving the IMP
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• All pts in which the diagnosis could not be confirmed.
• Pts with confirmed disease who have not had [18F]FDG PET CT or CMR
• Patients who have started therapy for cardiac sarcoidosis.
• Patients unable, or unwilling to consent
• females of childbearing potential must have a negative pregnancy test on the day of treatment study initiation). Participants are considered not of child bearing potential if they are surgically sterile (i.e. they have undergone a hysterectomy, bilateral tubal ligation, or bilateral oophorectomy) or they are postmenopausal.
• Breastfeeding mothers
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Prospective Pilot
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
8/04/2024
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Actual
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Date of last participant enrolment
Anticipated
10/02/2025
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Actual
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Date of last data collection
Anticipated
11/08/2025
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
24709
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New Zealand
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State/province [1]
24709
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Funding & Sponsors
Funding source category [1]
311177
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
311177
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Primary sponsor type
Commercial sector/Industry
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Name
Mercy Radiology
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Address
98 Mountain Road, Epsom, Auckland 1023
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
312537
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Address [1]
312537
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Country [1]
312537
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
310708
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
310708
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
310708
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New Zealand
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Date submitted for ethics approval [1]
310708
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09/05/2022
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Approval date [1]
310708
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17/10/2022
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Ethics approval number [1]
310708
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2022 FULL 12530
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Summary
Brief summary
Myocardial involvement by sarcoid is a rare, but life-threatening manifestation of the disease. Current major criteria for diagnosis include cardiac magnetic resonance imaging to detect scarring and [18F]FDG PET/CT to detect inflammation. [18F]FDG PET/CT for cardiac sarcoidosis is complex, involves arduous preparation for the patient and can carry extra risks and the results of may be inconclusive. [68Ga]FAPI (fibroblast activating protein inhibitor) is a new agent developed for cancer imaging at PET/CT, but has been shown to detect other conditions including heart disease. Siebermair et al (2021), reported increased cardiac uptake in oncology patients with a known history of myocardial infarction, coronary artery disease and left ventricular failure. If [68Ga]-FAPI PET/CT proves to be more sensitive and specific than [18F] FDG PET CT for diagnosing and quantifying the disease and monitoring response, it will also improve the ease of imaging and has a lower radiation burden. Although patients may not directly benefit from this pilot study, there may be significant benefit for future patients who require imaging for Sarcoid Heart disease.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Andrew Henderson
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Address
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Mercy Radiology
98 Mountain Road,
Epsom,
Auckland
1023
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Country
118590
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New Zealand
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Phone
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+6402040926652
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Rosane Joseph
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Address
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Mercy Radiology
98 Mountain Road,
Epsom,
Auckland
1023
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Country
118591
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New Zealand
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Phone
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+64096302234
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Andrew Henderson
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Address
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Mercy Radiology
98 Mountain Road,
Epsom,
Auckland
1023
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Country
118592
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New Zealand
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Phone
118592
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+6402040926652
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Fax
118592
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Email
118592
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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