RecruitingPhase 2NCT06532071

Advanced Imaging for Pulmonary Fibrosis


Sponsor

Peter Caravan

Enrollment

60 participants

Start Date

Jan 21, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to determine if measurements of active collagen deposition using \[68Ga\]CBP8 positron emission tomography (PET) and tissue injury using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) can predict an individual patient's pace of disease progression in non-idiopathic pulmonary fibrosis interstitial lung disease (non-IPF ILD) and identify which individuals will develop progressive pulmonary fibrosis.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria4

  • Age 18-80 with a diagnosis of chronic hypersensitivity pneumonitis, connective tissue-associated ILD (due to rheumatoid arthritis, systemic sclerosis, mixed connective tissue disease), or undifferentiated ILD.
  • On stable dose immunosuppression treatment (with prednisone, mycophenolate mofetil, mycophenolate sodium, and/or rituximab) for at least 3 months.
  • Pulmonary fibrosis, defined as honeycombing, traction bronchiectasis, or reticular opacities on HRCT performed within 1 year to or at Visit 1.
  • FVC of >/= 45% and DLCO >/= 25% predicted on PFTs performed at Visit 1.

Exclusion Criteria10

  • Current or prior exposure to FDA approved anti-fibrotic therapy.
  • Extent of emphysema greater than extent of fibrosis.
  • Pregnancy or plans to become pregnant at baseline or during follow-up.
  • Contraindications to MRI.
  • Contraindications to receiving gadolinium-based contrast agents.
  • Research-related radiation exposure exceeds 50 mSv in the prior year.
  • Estimated glomerular filtration rate (eGFR) < 30 mL/min (only for individuals with a history of chronic kidney disease).
  • Clinically significant PH defined by use of pulmonary vasodilatory therapy.
  • Respiratory infection within the prior 6 weeks.
  • Smoking of any kind within the prior 6 months.

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Interventions

DRUG[68Ga]CBP8

Participants will receive a single intravenous injection of up to 350 MBq of \[68Ga\]CBP8

DRUGGadoterate Meglumine

Participants will receive a single intravenous injection of 0.05 mmol/kg gadoterate meglumine during DCE-MRI


Locations(1)

Massachusetts General Hospital

Boston, Massachusetts, United States

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NCT06532071


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