Pancreatic Cancer Research

Clinical trialPhase 2Completed

Study of [68Ga]FAPI-46 PET in Patients With Pancreatic Ductal Carcinoma

A Phase 2, Multicenter, Single Arm, Open Label Non-Randomized Study of [68Ga]FAPI-46 PET in Patients With Resectable or Borderline Resectable Pancreatic Ductal Carcinoma

Outcome
Outcome unknown
Phase
Phase 2
Status
Completed
Study type
Interventional
Start
2 May 2022
Expected end
4 November 2025
Enrollment
63 participants
Sites
4
Primary outcomes
Sensitivity of [68Ga]FAPI-46 PET Imaging to Detect PDAC, Using Histopathology as Truth Standard
Sponsor
Industry
Results posted
2026-05-29
Last update
29 May 2026

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Brief summary public domain (ClinicalTrials.gov)

This is a prospective, multi-center, single arm, open label, non-randomized study to evaluate the ability of \[68Ga\]FAPI-46 to detect FAP expressing cells in patients with resectable or borderline resectable PDAC. The \[68Ga\]FAPI-46 PET scans will be acquired after initial staging using institutional standard methods. If the participant is prescribed neoadjuvant therapy, a second \[68Ga\]FAPI-46 PET scan will be performed within 21 days prior to planned surgical resection. This will be followed by histopathology and IHC analyses and comparison to resected PDAC tumor specimens.

Posted results (ClinicalTrials.gov registry) · primary outcome public domain (ClinicalTrials.gov)

Sensitivity of [68Ga]FAPI-46 PET Imaging to Detect PDAC, Using Histopathology as Truth Standard [Day 1]. Number, proportion of participants (90% Confidence Interval). 68Ga-FAPI-46 PET/CT (n=58): 0.741 (0.647 to 0.836).

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Correlation Between [⁶⁸Ga]FAPI-46 PET Uptake (SUVmax) and IHC Staining Intensity (H-score) in FAP-positive Lesions [Day 1]. Number, Correlation coefficient (95% Confidence Interval). 68Ga-FAPI-46 PET/CT (n=27): 0.137 (-0.257 to 0.491).

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Sensitivity of [68Ga]FAPI-46 PET to Detect FAP-expressing Cells Using H-score as Standard of Truth [Day 1]. Number, Proportion of participants (95% Confidence Interval). IHC Cutoff: >50: 68Ga-FAPI-46 PET/CT (n=34): 0.697 (0.540 to 0.854). IHC Cutoff: >100: 68Ga-FAPI-46 PET/CT (n=34): 0.700 (0.536 to 0.864). IHC Cutoff: >200: 68Ga-FAPI-46 PET/CT (n=34): 0.636 (0.352 to 0.921).

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Specificity of [68Ga]FAPI-46 PET to Detect FAP-expressing Cells Using H-score as Standard of Truth [Day 1]. Number, Proportion of participants (95% Confidence Interval). IHC Cutoff: >50: 68Ga-FAPI-46 PET/CT (n=34): 1.000 (1.000 to 1.000). IHC Cutoff: >100: 68Ga-FAPI-46 PET/CT (n=34): 0.500 (0.010 to 0.990). IHC Cutoff: >200: 68Ga-FAPI-46 PET/CT (n=34): 0.304 (0.116 to 0.492).

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Number of Participants Reporting Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs [Up to 2 years]. Count Of Participants, Participants. Any TEAE: [⁶⁸Ga]FAPI-46 PET/CT (n=58): 3. Any Serious TEAE: [⁶⁸Ga]FAPI-46 PET/CT (n=58): 1.