Clinical trial Recruiting at 1 site Observational Ages 18 and up

PET imaging that targets CLDN18.2 to find stomach, pancreatic, bile-duct, and esophageal cancers

Official title: Clinical Application of PET Imaging Targeting CLDN18.2 in Malignant Tumors

Run by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · NCT07301814 · Data updated 2026-11-12

This project will try a CLDN18.2-targeted PET scan in adults with suspected or confirmed gastric, pancreatic, bile-duct, or esophageal cancer (and some healthy volunteers) to see if it can show CLDN18.2-positive tumors.

More Pancreatic Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment56 (estimated)
SponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology
Academic / other
Drugs / interventionsradiation, Zolbetuximab
Locations1 site (Wuhan, Hubei)
StatusRecruiting
StartedSeptember 1, 2025
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedDecember 24, 2025
Trial IDNCT07301814 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–70 with suspected or confirmed gastric, pancreatic, bile-duct, or esophageal cancer in good general condition, or healthy volunteers, who can give informed consent and meet laboratory criteria.

Probably not a fit

Patients whose tumors do not express CLDN18.2, those outside the 18–70 age range, or anyone with contraindications to PET imaging are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study uses a CLDN18.2-specific PET probe (for example a 68Ga-labeled humanized antibody fragment) combined with PET/CT or PET/MR to image adults with histologically confirmed or clinically suspected gastric, pancreatic, bile-duct, or esophageal cancers and healthy volunteers. Imaging results will be compared with histopathology and standard [18F]FDG PET to measure diagnostic performance, lesion location, extent, and metabolic features. The study will quantify tumor burden and explore whether CLDN18.2 PET can help select patients for CLDN18.2-targeted therapies such as Zolbetuximab. Primary outcomes focus on the feasibility, accuracy, and clinical value of noninvasive in vivo CLDN18.2 visualization.

Why it matters

Potential benefit: If successful, this scan could noninvasively identify tumors that express CLDN18.2 and help match patients to CLDN18.2-targeted treatments like Zolbetuximab.

How similar studies have gone: Early preclinical and first-in-human imaging work targeting CLDN18.2 and clinical trials of CLDN18.2-directed therapies have shown promise, but CLDN18.2 PET imaging remains novel and not yet widely validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Each participant must meet all inclusion criteria to be eligible to participate in the study:

  1. The participant or their legal representative is able to sign the informed consent form with signature and date;
  2. Commit to adhering to the research procedures and cooperating in the implementation of the entire research process;
  3. Adult patients or healthy volunteers (aged 18-70 years), male or female;
  4. Patients with malignant tumors such as gastric cancer, pancreatic cancer, bile duct cancer, esophageal cancer, etc., suspected or diagnosed clinically (supporting evidence includes serum tumor markers, ultrasound, CT, MRI, and other imaging data, as well as histopathological examination), and in good general condition;
  5. Meet specific laboratory test results;
  6. Women of childbearing age must use contraception for at least one month before screening and commit to using contraception throughout the study period and continuing it until the specified time after the study ends;
  7. Other set inclusion criteria.

Exclusion Criteria:

* All subjects who meet any exclusion criteria baseline will be excluded from the study:

  1. Those unable to complete PET/MR or PET/CT scans (including those unable to lie flat, claustrophobia, radiation phobia, etc.);
  2. Those with other comorbidities;
  3. Patients known to be allergic to the targeted CLDN18.2 PET imaging agent or synthetic excipients; fasting blood glucose level exceeding 11.0 mmol/L before injection of 18F-FDG;
  4. Those with a history of concomitant medication use;
  5. Patients considered to have poor compliance by the researcher.

Where it's running

  • Wuhan Union Hospital, China
    Wuhan, Hubei, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.