[68Ga]Ga-PentixaFor PET/CT in Acute Myocardial Inflammation

Study Overview
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Brief Summary
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Acute myocardial inflammation is an heterogenic syndrome involving different clinical pathologies with different outcome. For the purpose of this study protocol, we focuse on three entities of this syndrome, namely the acute cellular cardiac allograft rejection (ACR), cardiac sarcoidosis (CS) and the immune checkpoint inhibitor induced myocarditis (ICIM), for which non-invasive diagnosis remains challenging. Since accurate diagnosis of myocardial inflammation in an early stage is crucial, this study aims to investigate the accuracy of [68Ga]Ga-PentixaFor as a marker of for the presence of inflammatory cells (T-lymphocytes and M1) in described patients. The identification of a correlation between [68Ga]Ga-PentixaFor myocardial accumulation with currently accepted diagnostic tools would open up new ways to non-invasively diagnose acute myocardial inflammation.

Detailed Description
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Imaging will consist of administration of maximum 50 µg IV PentixaFor, labelled with 150 ±15 MBq of 68Ga, as bolus injection 60 ±15 minutes prior PET/CT

Official Title
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Pilot Study to Evaluate the Accuracy of [68Ga]Ga-PentixaFor PET/CT in the Diagnosis of Three Clinical Entities of Acute Myocardial Inflammation

Conditions
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Acute Cellular Graft Rejection, Cardiac Sarcoidosis, Myocarditis Due to Drug

Intervention / Treatment
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* Drug: [68Ga]Ga-PentixaFor PET/CT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: signed written informed consent male or female age ≥ 18 years patients with suspicion CS (group II) or ICIM (group III) or in their regular follow-up in their first year after HT (group I) SOC clinical follow-up at the cardiology department in CHUV. Exclusion Criteria: The presence of any one of the following exclusion criteria will lead to exclusion of the participant: absence of a signed written informed consent patients aged < 18 years claustrophobia myocardial ischemia in non-invasive perfusion test or coronarography in group II and III clinically unstable cardiovascular conditions, including: clinically unstable brady-tachyarrhythmia severe and symptomatic hypo- or hypertension with documented systolic blood pressure < 90 mmHg or ≥220 mmHg respectively cardiogenic shock. women who are pregnant or breast feeding intention to become pregnant during the course of the study in group II previous enrolment into the current study moderate to severe renal insufficiency (GFR < 45 mL/min/1,73 m2), with contra-indication to the administration of Gadolinium in group II and III enrollment of the investigator, his/her family members, employees and other dependent persons history of any disease or relevant physical or psychiatric condition or abnormal physical finding which may interfere with the study objectives at the investigator judgment insufficient knowledge of project language, inability to give consent or to follow procedures the patient makes use of his/her right not to know and refuses to be informed about incidental findings

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: acute cellular cardiac allograft rejection<br>[68Ga]Ga-PentixaFor PET/CT | Drug: [68Ga]Ga-PentixaFor PET/CT<br>* [68Ga]Ga-PentixaFor PET/CT<br>* Other names: no other intervention name;|
| Experimental: cardiac sarcoidosis<br>[68Ga]Ga-PentixaFor PET/CT | Drug: [68Ga]Ga-PentixaFor PET/CT<br>* [68Ga]Ga-PentixaFor PET/CT<br>* Other names: no other intervention name;|
| Experimental: immune checkpoint inhibitor induced myocarditis<br>[68Ga]Ga-PentixaFor PET/CT | Drug: [68Ga]Ga-PentixaFor PET/CT<br>* [68Ga]Ga-PentixaFor PET/CT<br>* Other names: no other intervention name;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Imaging results obtained by [68Ga]Ga-PentixaFor PET/CT - lesion number | lesion number imaged | 1 year | 
| Imaging results obtained by [68Ga]Ga-PentixaFor PET/CT - lesion site | lesion sites imaged | 1 year | 
| Imaging results obtained by [68Ga]Ga-PentixaFor PET/CT - SUV | standard uptake value | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| to assess toxicity data | analysis of collected AEs classified according to CTCAE version 5.0 | 1 year |