RecruitingNCT07019844

PSMA PET for the Staging and Management of Hepatocellular Carcinoma

Addition of F18-Piflufolastat PET/CT to Cross-Sectional Imaging for the Staging and Management of Hepatocellular Carcinoma


Sponsor

VA Office of Research and Development

Enrollment

90 participants

Start Date

Sep 19, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

This prospective, single-center study evaluates the clinical utility of F18-Piflufolastat (PSMA) PET/CT when added to conventional cross-sectional imaging for patients with suspected or confirmed hepatocellular carcinoma (HCC). The study aims to determine whether PSMA PET/CT improves diagnostic accuracy for indeterminate liver lesions (LI-RADS 3 and 4), enhances staging precision in treatment-naïve patients, and provides more accurate assessment of treatment response in patients undergoing locoregional therapy (LRT). The goal is to assess how PSMA PET/CT may impact clinical decision-making, staging, and management of HCC across multiple stages of disease.


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Adult patients age \>18 years from the VA medical system
  • Treatment-naïve patients with HCC with BCLC B or C disease

Exclusion Criteria2

  • Patients with renal dysfunction or contrast allergy that precludes contrast enhanced cross sectional imaging
  • Patients with presence of active primary malignancy other than HCC and non-melanoma skin cancer in the past 3 years

Locations(1)

Miami VA Healthcare System, Miami, FL

Miami, Florida, United States

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NCT07019844


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