Diagnostic Efficacy of 18F-FAPI-74 PET/CT in Patients with Gastric Cancer

2026-526494-42-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 80
Countries 1
Sites 1

Gastric cancer

1) To assess the accuracy of 18F-FAPI-74 PET/CT in detection of local lymph node or distant metastasis on patient level in patients with primary GC 2) To assess the accuracy of 18F-FAPI-74 PET/CT in assessing the neoadjuvant therapy response among primary GC patients undergoing surgery

Key facts

Sponsor
Varsinais-Suomen hyvinvointialue
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Decision date (initial)
2026-06-05
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Diagnosis

1) To assess the accuracy of 18F-FAPI-74 PET/CT in detection of local lymph node or distant metastasis on patient level in patients with primary GC
2) To assess the accuracy of 18F-FAPI-74 PET/CT in assessing the neoadjuvant therapy response among primary GC patients undergoing surgery

Secondary objectives 2

  1. 1) To calculate inter-rater agreement between the two readers in the FAPI imaging modality
  2. 2) To assess the accuracy of 18F-FAPI-74 PET/CT in local lymph node metastasis and distant metastasis in patient level in patients with recurrent gastric cancer

Conditions and MedDRA coding

Gastric cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Suspected primary or recurrent gastric cancer
  2. Subjects must be male or female aged 18-85 years
  3. WHO performance score 0-2
  4. Subjects must be able and willing to give written informed consent and to comply with the requirements of the study protocol

Exclusion criteria 3

  1. Vulnerable study subjects such as described in Finnish law clinical studies (disabled, children, pregnant or breast-feeding women, prisoners) will not be included
  2. Study subject cannot understand the purpose of the purpose of the study
  3. Medical conditions prohibiting whole-body PET/CT imaging

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary variable of this study is to demonstrate the detection rates of the primary tumor, metastatic lymph nodes and distant metastases in gastric cancer with 18F-FAPI-74 PET/CT

Secondary endpoints 1

  1. Secondary variable is to demonstrate the detection of distant metastases with 18F-FAPI-74 PET/CT. PET findings are compared to the gold standard of histopathological findings, or in recurrent disease to histopathological findings or routine clinical follow-up CT in one year.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[18FFAPI-74

PRD10896779 · Product

Active substance
[AL18FFFAPI-74
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INJECTION
Max daily dose
300 MBq megabecquerel(s)
Max total dose
600 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
VARSINAIS-SUOMEN HYVINVOINTIALUE
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Varsinais-Suomen hyvinvointialue

Sponsor organisation
Varsinais-Suomen hyvinvointialue
Address
Kiinamyllynkatu 4-8
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Varsinais-Suomen hyvinvointialue
Contact name
Kajsa Björkman

Public contact point

Organisation
Varsinais-Suomen hyvinvointialue
Contact name
Kajsa Björkman

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 80 1
Rest of world 0

Investigational sites

Finland

1 site · Authorised, recruitment pending
Varsinais-Suomen hyvinvointialue
Department of gastrointestinal surgery, Kiinamyllynkatu 4-8, 20520, Turku

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Clinical Study Protocol Gastro FAPI 2.0
Recruitment arrangements (for publication) Recruitment and informed consent procedure 240516 2.0
Recruitment arrangements (for publication) Recruitment Arrangements 240516 2.0
Subject information and informed consent form (for publication) Suostumuslomake_251028 2.0
Subject information and informed consent form (for publication) Tiedote_251029 2.0

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-04-10 Finland Acceptable
2026-06-04
2026-06-05