Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID04989959

An Exploratory Study of [18F]PT2385 PET/CT in Patients With Renal Cell Carcinoma

Led by Orhan Kemal Oz · Updated on 2025-12-04

35

Participants Needed

1

Research Sites

52 weeks

Total Duration

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AI-Summary

What this Trial Is About

This research aims to evaluate the use of an investigational imaging agent called [18F]PT2385 in patients with renal cell carcinoma (RCC), including clear cell RCC and those with Von Hippel-Lindau (VHL) syndrome. The study is designed to explore how well this imaging method can measure levels of a protein called hypoxia-inducible factor-2alpha (HIF2b1) in tumors, which is important for understanding the disease. It is an open-label, non-therapeutic trial involving three patient groups with different disease presentations. Participants will receive an intravenous injection of [18F]PT2385 followed by PET/CT or PET/MRI scans to observe the distribution and uptake of the tracer in tumors. The first group consists of patients scheduled for surgery, who will have imaging before nephrectomy, with results compared to tissue analysis after surgery. The second group includes patients with metastatic clear cell RCC, who will have imaging and a mandatory biopsy of metastatic sites. The third group involves patients with VHL syndrome and various tumors, who will undergo imaging and are encouraged, but not required, to have a biopsy. Some participants may have repeat imaging after initial dosimetry assessments. Throughout the study, patients will undergo multiple imaging sessions, including dynamic and whole-body scans at different time points after tracer injection to analyze tracer kinetics and distribution. Researchers will collect tissue samples for comparison with imaging findings, and participants will continue with standard or experimental treatments as advised by their doctors. The study aims to correlate imaging results with tissue levels of HIF2b1 over up to five years, monitoring safety and feasibility during the process.

CONDITIONS

Brief Title

[18F]PT2385 PET/CT in Patients With Renal Cell Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ability to understand and sign informed consent including study interventions
  • Ability to lie still for a 30- to 60-minute PET/CT scan
  • Patients planned for surgery with suspected RCC (Cohort 1)
  • Patients with metastatic clear cell RCC or VHL syndrome and RCC requiring biopsy or planned metastatic site resection (Cohort 2)
  • Patients with VHL syndrome with RCC, CNS hemangioblastoma, and/or pancreatic neuroendocrine tumors planning to start belzutifan (Cohort 3)
  • Women of child-bearing potential must have a negative pregnancy test on the day of [18F]PT2385 administration
  • Patients with liver dysfunction may be enrolled with or without meeting above cohort criteria
Not Eligible

You will not qualify if you...

  • Uncontrolled severe or irreversible illness or psychiatric/social issues limiting study compliance
  • Pregnant or nursing women
  • Claustrophobia or other contraindications to PET/CT
  • Weight exceeding PET/CT scanner table limit (>200 kilograms or 440 pounds)
  • For Cohort 2, lack of suitable biopsy sites, such as metastatic disease limited to lungs with high biopsy risk

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Single day for imaging; additional imaging visits up to 4 hours post-injection for some participants

Participants receive an intravenous injection of [18F]PT2385 and undergo PET/CT or PET/MRI imaging to assess HIF2α expression in renal cell carcinoma. Imaging includes dynamic scans and whole-body scans at multiple time points depending on cohort assignment.

1 to 3 imaging visits depending on cohort and imaging protocol

Biopsy

Duration - Single visit

Participants in certain cohorts undergo a CT-guided tumor biopsy to obtain tissue samples for correlation with imaging results. Biopsy is mandatory in the metastatic cohort and encouraged but optional in the VHL syndrome cohort.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Varies by participant

Participants in the pre-surgical cohort undergo surgery following imaging to remove renal tumors. Post-operative care is provided as per standard clinical practice.

1 surgery visit plus routine post-operative visits as needed

Long-term Monitoring

Duration - Up to 5 years

Participants may undergo repeat [18F]PT2385 PET imaging for dosimetry studies or clinical follow-up. Standard or experimental treatments for renal cell carcinoma continue as directed by the treating physician.

Visits as needed for repeat imaging or clinical follow-up

Trial Site Locations

Total: 1 location

1

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

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Research Team

K

Kelli Key, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

3

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