Using [18F]FET PET to find ACTH-secreting pituitary microadenomas
Official title: Evaluation of [18F]FET PET for the Detection of ACTH-Secreting Corticotroph Pituitary Neuroendocrine Tumors
Run by Hospices Civils de Lyon · NCT07463625 · Data updated 2026-11-12
This project tests whether [18F]FET PET scans can better locate ACTH-secreting pituitary microadenomas in adults with Cushing's disease.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Locations | 1 site (Bron) |
| Status | Recruiting |
| Started | November 23, 2023 |
| Main results expected | November 23, 2027 |
| Study ends | November 23, 2028 |
| Registry record updated | March 11, 2026 |
| Trial ID | NCT07463625 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (age ≥18) with a biochemical diagnosis of Cushing's disease who have a pituitary MRI showing a suspected microadenoma (<10 mm) and are being considered for surgical management are ideal candidates.
✕Probably not a fit
Children, patients with pituitary macroadenomas, or those with ACTH-dependent Cushing's from an ectopic source are unlikely to benefit from this imaging approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational cohort combines retrospective and prospective data to compare [18F]FET PET imaging with standard pituitary MRI for localizing corticotroph microadenomas. Localization on PET will be compared with postoperative histopathology as the reference standard. Secondary goals include measuring how often PET changes the presumed tumor location relative to MRI and whether two readers agree on PET findings. The study aims to determine if PET can inform surgical planning and potentially reduce the need for invasive inferior petrosal sinus sampling.
Why it matters
Potential benefit: If successful, [18F]FET PET could improve preoperative tumor localization and reduce reliance on invasive sampling, leading to more accurate surgery and fewer procedures.
How similar studies have gone: Amino-acid PET tracers such as 11C-methionine have shown improved localization for pituitary microadenomas in prior work, but using [18F]FET specifically for ACTH-secreting corticotroph tumors is relatively novel and less well-studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults (≥18 years). * Biochemical diagnosis of Cushing's disease as part of initial management. * Pituitary MRI performed; if visible, microadenoma \<10 mm in diameter. * Indication for discussion in multidisciplinary tumor board for surgical management. Exclusion Criteria: * Minor (age \<18 years). * Macroadenoma of the pituitary. * ACTH-dependent hypercortisolism secondary to ectopic secretion.
Where it's running
-
Hôpital Louis Pradel - Service de Médecine Nucléaire
Bron, France Recruiting
Study contacts
- Study coordinator: Anthime FLAUS, MD
- Email: anthime.flaus@chu-lyon.fr
- Phone: +33 4 72 35 69 99
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Adrenal Diseases in Modena: A Patient Registry at Modena University Hospital
This study collects medical histories and treatment data from patients with adrenal diseases to see how they are diagnosed and managed in Modena.
-
Fluid-based PET imaging to locate ACTH-secreting pituitary adenomas in Cushing disease
This study tests whether FET PET/CT scanning can accurately locate ACTH-secreting pituitary adenomas in adults with Cushing disease who are planning pituitary surgery.
-
Intraoperative contrast-enhanced ultrasound to locate pituitary adenomas in Cushing's disease
This pilot tests whether using contrast-enhanced ultrasound during transsphenoidal surgery helps surgeons find and remove pituitary adenomas in people with Cushing's disease.
-
Fimepinostat treatment for Cushing Disease
This study is testing a new drug called Fimepinostat to see if it can safely help people with Cushing Disease feel better.
-
Circadian Gene Changes in People with Glucocorticoid Disorders
This study tests whether circadian gene expression in blood cells differs between people with glucocorticoid disorders and healthy controls.
-
Long-term effects of childhood Cushing disease
This study looks at the long-term health effects in people who were treated for Cushing disease as children to see how it has impacted their physical and mental well-being.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.