Clinical Trial · NCT05215496

[18F]Fluoro-PEG-folate PET/CT Imaging in Epithelial Ovarian Cancer

Overview

The pre-operative assessment of intra-abdominal tumor load in patients with epithelial ovarian cancer (EOC) remains unreliable with standard imaging modalities. The use of tumor targeted imaging, such as folate receptor (FR)-targeted positron emission tomography (PET) imaging could aid in the preoperative assessment of metastatic tumor load. This study aims to evaluate the safety and tolerability, and pharmacokinetics of the \[18F\]fluoro-PEG-folate PET tracer and to assess the sensitivity and specificity of a \[18F\]fluoro-PEG-folate PET/CT scan for the preoperative detection of intra-abdominal metastatic lesions in patients with advanced stage epithelial ovarian cancer.

Phase

Phase 1

Contacts

Lioe-Fee de Geus-Oei, MD, PhD (PRINCIPAL_INVESTIGATOR)

ClinicalTrials.gov

NCT05215496

Eligibility

Inclusion

  • and with radiologically FIGO stage IIIB/IIIC EOC based on the response evaluation CT scan after NACT
  • Patients with radiologically FIGO stage IIIB/IIIC EOC based on the conventional CT scan who are:
  • in whom EOC is histologically proven, or
  • treated with neoadjuvant chemotherapy (NACT) and are scheduled to undergo interval cytoreductive surgery and
  • in whom EOC is histologically proven, or
  • in whom EOC is cytologically suspected and a serum CA125/CEA ratio \> 25 is foundor
  • in whom EOC is cytologically suspected and a serum CA125/CEA ratio \> 25 was found before NACT
  • scheduled to undergo primary cytoreductive surgery and

Exclusion

  • Clinically significant abnormalities on ECG and/or clinically laboratory test
  • Impaired liver function (ALT, AST or total bilirubin \> 3x upper limit of normal)
  • Thrombocytopenia (platelet count \< 100 x 10\^9/L) and/or INR \> 2
  • Impaired renal function (defined as eGFR \< 50 mL/1.73 m2)
  • Patients who previously underwent primary laparotomy and in whom complete or optimal cytoreduction was not considered feasible.