Investigation of 68Ga-DOTATATE, as a PET Imaging Agent in Neuroendocrine Tumor Patients
This is a prospective, Phase 1-2, single center study in a total of 100 subjects with Neuroendocrine Tumors (NETs). Study participants will receive a one-time administration of 68Ga-DOTATATE and undergo a PET/CT imaging study, to investigate its suitability as a PET imaging agent for NETs.
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
|Official Title:||Investigation of 68Ga-DOTATATE, as a PET Imaging Agent in Neuroendocrine Tumor Patients|
- Measure the number of adverse events in patients receiving Ga68-DOTATATE PET [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]We'll assess the safety and tolerability of Ga68-DOTATATE PET
- Number of lesions detected by 68GA-DOTATATE compared to conventional imaging techniques [ Time Frame: 3 Years ] [ Designated as safety issue: No ]We want to determine if the 68Ga-DOTATATE PET scan changes care plans compared to conventional imaging/diagnostic techniques (Octreoscan, MRI, CT).
|Study Start Date:||May 2013|
|Estimated Study Completion Date:||May 2017|
|Estimated Primary Completion Date:||May 2016 (Final data collection date for primary outcome measure)|
Experimental: Diagnostics with PET
68Ga-DOTATATE PET scans will be performed on subjects
Drug: 68Ga-DOTATATE PET Scan
68Ga-DOTATATE will be given in tracer doses and injected intravenously to image Neuroendocrine tumors by Positron Emission Tomography.
In this study, we propose to use a well-established PET isotope, 68-Gallium (68Ga), bound to a somatostatin analogue, DOTA-octreotate, or DOTATATE, which has high affinity for the somatostatin receptor type 2 (SSTR2). Most gastro-entero-pancreatic (GEP) NETs express SSTR2 on their cell surfaces; when the radiolabeled SSTR2 analogue binds to these receptors, the radioactive molecule is internalized and transported to the tumor cell nucleus, thus concentrating the radioactivity and improving the signal-to-noise ratio on the PET scan, particularly as the background rapidly clears. This internalization, combined with the improved physical principles of PET imaging, shorter half-life of the 68Ga (68 minutes vs. about three days for 111In), improved radiation dosimetry, faster scanning, and lower cost results in a greatly improved scan for diagnosis, staging and restaging of NET disease compared to conventional 111In-octreotide imaging. Additionally, 68Ga-DOTATATE PET/CT scanning can be performed in 1.5 hours from injection of the radiopharmaceutical to completion of the scan, vs. 2-3 days for 111In-octreotide imaging.
|Contact: Johannes Czernin, MD||310-206-3226||JCzernin@mednet.ucla.edu|
|United States, California|
|University of California Los Angeles, Nuclear Medicine Clinic of the Department of Molecular and Medical Pharmacology||Recruiting|
|Los Angeles, California, United States, 90095|
|Principal Investigator: Johannes Czernin, MD|
|Sub-Investigator: Martin Auerbach, M.D.|
|Principal Investigator:||Johannes Czernin, MD||University of California, Los Angeles|