Status:

COMPLETED

Evaluation of the Value of 18F-Fluoromisonidazole (18F-FMISO) Positron Emission Tomography Hypoxia Imaging in Idiopathic Pulmonary Fibrosis

Lead Sponsor:

Centre Hospitalier Universitaire Dijon

Conditions:

Idiopathic Pulmonary Fibrosis

Eligibility:

All Genders

50+ years

Phase:

PHASE1

Brief Summary

Idiopathic pulmonary fibrosis (IPF) is a rare, chronic, lethal disease of unknown etiology and with a variable course. There is currently no test in routine care that can assess both the anatomical an...

Eligibility Criteria

Inclusion

  • For all patients (IPF and healthy volunteers) :
  • Person who has given written consent
  • Age ≥ 50 years
  • Absence of disease, comorbidity, or treatment that may interfere with the evaluation of the study objective, as decided by the investigator
  • For patients with IPF only:
  • Diagnosis of IPF according to the criteria of the current international recommendations (ATS/ERS/JRS/ALAT of 2011) and validated in a multi-disciplinary meeting in a Competence or Reference Center
  • Patients who have had a high-resolution thoracic CT scan less than 1 month previously as part of the management of their disease
  • Patients who have had a PFT less than 1 month previously as part of the management of their disease
  • For healthy volunteers only:
  • Absence of functional respiratory signs - absence of dyspnea on exertion and at rest and absence of chronic cough.
  • Normal clinical examination with no crackles on pulmonary auscultation
  • No personal history of chronic hypoxemic respiratory disease

Exclusion

  • Person who is not covered by national health insurance
  • Cancer or history of cancer in the past 5 years (except basal cell skin cancer)
  • Chronic lung disease other than IPF or a history incompatible with the diagnosis of idiopathic pulmonary fibrosis (thoracic radiotherapy, pneumotoxic chemotherapy, etc.)
  • Exacerbation of IPF during treatment
  • Active smoking
  • Patient requiring long-term oxygen therapy (excluding ambulatory oxygen therapy alone)
  • Contraindication to PET or CT scan or presence of a condition disturbing the interpretation :
  • known allergy to 18F-FMISO
  • pregnancy or breastfeeding
  • claustrophobia
  • uncontrolled type I/II diabetes (HbA1c \>7%)
  • surgical intervention in the previous month
  • Radiotherapy session in the previous 3 months
  • concomitant granulomatous condition (sarcoidosis type) or pulmonary inflammation
  • Moderate or severe renal insufficiency (GFR \< 70 ml/min/1.73 m²)
  • Person under legal protection (curatorship, guardianship)
  • Adult unable to express consent
  • SECONDARY EXCLUSION CRITERIA only for healthy volunteers
  • Abnormal 6 min walk test at screening
  • Abnormal PFT at screening with FVC ≤ 80% of predicted value and DLCO ≤ 75% of predicted value

Key Trial Info

Start Date :

March 20 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 20 2025

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT05331729

Start Date

March 20 2023

End Date

February 20 2025

Last Update

March 4 2025

Active Locations (1)

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1

Chu Dijon Bourgogne

Dijon, France, 21000