Actively Recruiting

Early Phase 1
Age: 18Years - 75Years
All Genders
Healthy Volunteers
NCT06562361

A Microdose Trial Investigating Binding of [68Ga]Ga-DOTA-CYS-ATH001 in Healthy Subjects and Different Patient Groups.

Led by Antaros Medical · Updated on 2024-08-29

30

Participants Needed

3

Research Sites

82 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is to use positron emission tomography (PET) to evaluate and compare the binding of the novel tracer \[68Ga\]Ga-DOTA-Cys-ATH001 in the liver and/or gastrointestinal tract between healthy volunteers and different patient groups including patients with metabolically caused steatohepatitis (MASH), patients with fibrostenotic Crohn´s Disease (CD) and patients with primary sclerosing cholangitis (PSC).The study will also assess the safety of a microdose of 68Ga\]Ga-DOTA-Cys-ATH001 and how it is distributed in different parts of the body. The main questions the study aims to answer are: * What does the uptake of the \[68Ga\]Ga-DOTA-Cys-ATH001 PET-tracer look like in the liver of healthy subjects, and in that of patients with MASH and PSC? * What does the uptake of the \[68Ga\]Ga-DOTA-Cys-ATH001 PET-tracer look like in the GI tract of healthy subjects, and that of patients with fibrostenotic CD? * How much \[68Ga\]Ga-DOTA-Cys-ATH001 PET-tracer can be found in the blood after injection? * How is \[68Ga\]Ga-DOTA-Cys-ATH001 uptake distributed in the body? * What medical problems do participants have when receiving \[68Ga\]Ga-DOTA-Cys-ATH001? Participants will: Receive one administration of \[68Ga\]Ga-DOTA-Cys-ATH001, after which examination with PET is performed. Magnetic Resonance Imaging (MRI) is also used in the study to create a detailed picture of the body and its function which will facilitate the interpretation of the results of the PET examination. A subset of participants will have blood samples collected after the tracer administration to assess the blood levels of the tracer over time. A subset of participants will come back for a second visit where they will receive a second administration of \[68Ga\]Ga-DOTA-Cys-ATH001, followed by PET and MRI. A health check-up is performed before dosing, and a safety assessment will be performed after dosing. A remote follow-up visit is performed the day after the dosing visit.

CONDITIONS

Official Title

A Microdose Trial Investigating Binding of [68Ga]Ga-DOTA-CYS-ATH001 in Healthy Subjects and Different Patient Groups.

Who Can Participate

Age: 18Years - 75Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Willing and able to provide written informed consent and comply with trial procedures
  • Male or female aged 18 to 75 years at screening
  • Body mass index (BMI) between 19 and less than 40 kg/m2 at screening
  • Women of childbearing potential must use effective contraception or abstinence before and after tracer administration as specified
  • Male participants must use condoms, be vasectomized, or abstain from heterosexual intercourse to prevent pregnancy and refrain from sperm donation during the study
  • Cohort 1: Healthy participants with no significant medical history or abnormal findings at screening
  • Cohort 2: Presumed MASH patients with steatosis confirmed by biopsy, imaging, or controlled attenuation parameter (CAP) and at least one cardiometabolic risk factor
  • Cohort 3: Verified MASH patients with historical biopsy-proven disease, steatosis, and cardiometabolic criteria
  • Cohort 4: Patients with fibrostenotic Crohn's Disease with MRI or colonoscopy evidence, Crohn's Disease Activity Index (CDAI) <150, calprotectin <250, and C-reactive protein (CRP) <20
  • Cohort 5: Patients with large duct primary sclerosing cholangitis (PSC) confirmed by MRI/MRCP with ProC3 ≥12.6 ng/mL
Not Eligible

You will not qualify if you...

  • Contraindications for MRI including claustrophobia, metal implants, inability to stay supine for 90 minutes, or permanent makeup/tattoos interfering with imaging
  • History of working as a metal worker or welder
  • Clinically significant disease or illness within 4 weeks before screening that may affect safety or study results
  • Any malignancy within 12 months except certain treated skin or prostate cancers
  • Planned major surgery during the study period
  • Pregnancy, breastfeeding, or intention to become pregnant during the study
  • Positive tests for hepatitis B surface antigen, hepatitis B or C antibodies, or HIV
  • Chronic active infections such as HIV, hepatitis, or tuberculosis
  • Poor peripheral venous access
  • Vital signs outside specified blood pressure or pulse ranges after rest
  • Body weight change ≥5% within 3 months before screening
  • Significant laboratory abnormalities or abnormal ECGs
  • Use of prohibited medications or hormone therapies causing metabolic interference
  • Participation in another clinical trial within 30 days or PET imaging trial within 12 months
  • Positive alcohol screening or history of alcohol/drug abuse
  • History or current use of anabolic steroids
  • Recent plasma or blood donation within specified timeframes
  • Unlikely to comply with trial procedures
  • For cohorts 2-5: unstable or interfering medical conditions, certain liver function abnormalities, and immune-mediated inflammatory diseases except mild or inactive cases
  • Additional liver-specific exclusion criteria related to stiffness, enzyme levels, kidney function, coagulation, and clinical liver disease status
  • For fibrostenotic CD cohort: MRI findings showing only inflammation without fibrostenotic changes

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 3 locations

1

CTC Karolinska

Stockholm, Sweden, SE-171 64 S

Actively Recruiting

2

CTC Akademiska Uppsala University Hospital, Entrance 85, 2nd level

Uppsala, Sweden, SE-751 85

Not Yet Recruiting

3

Section of Gastroenterology/Hepatology, Uppsala University Hospital

Uppsala, Sweden, SE-751 85

Not Yet Recruiting

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Research Team

J

Johan Vessby, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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