Using a new imaging technique to detect cancer-associated fibroblasts in various cancers
Official title: Multicenter Validation Trial of [18F]AlF-FAPI-74 for PET Imaging of Cancer-associated Fibroblasts Through Fibroblast Activation Protein Inhibitors (FAPI) in Different Tumor Types
Run by KU Leuven · NCT06782412 · Data updated 2026-11-12
This study is testing a new imaging method to see if it can better detect certain cancer-related cells in people with newly diagnosed esophageal or pancreatic cancer compared to standard imaging techniques.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 109 (estimated) |
| Sponsor | KU Leuven Academic / other |
| Drugs / interventions | radiation |
| Locations | 3 sites (Edegem and 2 other locations) |
| Status | Recruiting |
| Started | February 6, 2025 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT06782412 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 or older with newly diagnosed oesophagogastric or pancreatic ductal adenocarcinoma who have undergone prior imaging.
✕Probably not a fit
Patients with upfront resectable pancreatic ductal adenocarcinoma may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to validate the effectiveness of [18F]AlF-FAPI-74 PET/CT imaging in detecting cancer-associated fibroblasts in patients with newly diagnosed oesophagogastric adenocarcinoma and pancreatic ductal adenocarcinoma. The study compares the detection rates of this new imaging method against the traditional [18F]FDG PET/CT and other conventional imaging techniques. Participants must have a confirmed diagnosis and specific TNM classifications for their cancer. The trial is designed to assess the clinical utility of this imaging approach in challenging oncological cases.
Why it matters
Potential benefit: If successful, this study could lead to improved detection and management of certain types of cancer, enhancing patient outcomes.
How similar studies have gone: Other studies have shown promising results with similar imaging techniques, suggesting potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria OGA: 1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures. 2. Age 18 or older. 3. New histologic or cytologic proven diagnosis of oesophagogastric adenocarcinoma. 4. Patient underwent a \[18F\]FDG PET/CT. 5. TNM classification: cT1-4N0-3M0 Inclusion Criteria PDAC: 1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures. 2. Age 18 or older. 3. New histologic or cytologic proven diagnosis of pancreatic ductal adenocarcinoma. 4. Patient underwent a \[18F\]FDG PET/CT or conventional staging with CT or MRI. 5. TNM classification: cT1-4N0-2M0-1, with the exception of upfront resectable patients. Inclusion Criteria Clinically challenging cohort: 1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures. 2. Age 18 or older. 3. Histologic or cytologic proven diagnosis of a malignancy. 4. Patient underwent a \[18F\]FDG PET/CT. 5. Unexplained symptoms, complaints, biochemical or imaging (scintigraphy, PET, CT, MR) findings. Exclusion Criteria: 1. Participant is mentally or legally incapacitated, doesn't understand the study design or is not willing or capable to undergo all study-specific procedures. 2. Any disorder or condition, which in the Investigator's opinion might jeopardise the participant's safety or compliance with the protocol. 3. Any prior or concomitant treatment(s) that might jeopardise the participant's safety or that would compromise the integrity of the Trial. 4. Female who is pregnant (urinary hCG test can be performed in case of doubt), breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate, highly effective contraceptive (with a relatively high Pearl Index: natural methods, minipill outside postpartum period, spermicides or condoms in monotherapy or no usage of contraception when sexually active are not accepted). 5. Participation in an interventional Trial with an investigational medicinal product (IMP) or device when the trial designs are not considered compatible by the study team. 6. Participation in a clinical scientific study in the last 12 months with a radiation exposure caused by the experimental procedures greater than 1 mSv. 7. Participant has a known hypersensitivity to \[18F\]AlF-FAPI-74 or the used excipients.
Where it's running
-
University Hospital Ghent
Ghent, Belgium Recruiting -
UZ Leuven
Leuven, Belgium Recruiting -
University Hospital Antwerp (UZA)
Edegem, Belgium Not yet recruiting
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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.