Clinical trial • Phase IV • Infectious Disease

FLUDEOXYGLUCOSE (18F) for Cardiovascular device infections | Device related infection

Phase IV trial of FLUDEOXYGLUCOSE (18F) for Cardiovascular device infections | Device related infection.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Cardiovascular device infections | Device related infection
Trial Stage
Phase IV
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
19-12-2025
First CTIS Authorization Date
07-04-2026

Trial design

Standard visual and semiquantitative interpretation (comparator diagnostic method).-controlled Phase IV trial across 1 site in Spain.

Comparator
Standard visual and semiquantitative interpretation (comparator diagnostic method).
Target Sample Size
200
Trial Duration For Participant
365

Eligibility

Recruits 200 Vulnerable population selected (isVulnerablePopulationSelected = true). Participants must be adults (Age ≥ 18 years). Written informed consent required for prospective cohort and control group; refusal or withdrawal of informed consent is an exclusion criterion. No details provided about assent or guardian consent (study documents include adult ICF)..

Pregnancy Exclusion
Pregnancy or breastfeeding.
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Participants must be adults (Age ≥ 18 years). Written informed consent required for prospective cohort and control group; refusal or withdrawal of informed consent is an exclusion criterion. No details provided about assent or guardian consent (study documents include adult ICF).

Inclusion criteria

  • {"criterion_text":"- Age ≥ 18 years.\n- Implanted cardiovascular device (prosthetic valve, TAVI, CIED, vascular graft/endograft).\n- For infected cohorts: patients studied by FDG-PET with definitive diagnosis of CVDI based on multidisciplinary evaluation.\n- For control group: no clinical suspicion of infection at time of inclusion.\n- Written Informed consent provided (prospective cohort and control group).\n- Women of child-bearing potential must have a negative pregnancy test in serum or urine before the inclusion in the study and agree to use highly effective contraceptive methods during the study. Highly effective contraceptive methods will include: intrauterine device, bilateral tubal occlusion, vasectomized partner and sexual abstinence (only if refraining from heterosexual intercourse during the period of twelve months of duration of the study)."}

Exclusion criteria

  • {"criterion_text":"- Inability to undergo FDG-PET due to contraindications (e.g., allergies, claustrophobia).\n- Pregnancy or breastfeeding.\n- Incomplete clinical data or lack of access to imaging studies.\n- Refusal or withdrawal of informed consent (for control and prospective cohort).\n- FDG-PET studies that fail to meet the required quality standards."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Diagnostic accuracy of radiomics applied to FDG-PET for CVDIs, compared with conventional visual and semiquantitative interpretation.","definition_or_measurement_approach":"Assessment of diagnostic accuracy of radiomics applied to FDG-PET compared with conventional visual and semiquantitative interpretation (as stated in endpoint). Specific metrics or thresholds not specified in the record."}

Secondary endpoints

  • {"endpoint_text":"- Performance of AI-based predictive models (combining radiomic and clinical features) for: o Distinguishing infection vs. non-infection. o Predicting resolution of infection and supporting discontinuation of suppressive antimicrobial therapy.","definition_or_measurement_approach":"Evaluation of AI-based predictive models combining radiomic and clinical features to distinguish infection vs non-infection and to predict infection resolution/support discontinuation of suppressive antimicrobial therapy. Specific performance metrics not provided."}
  • {"endpoint_text":"- Characterization of physiological 18F-FDG uptake patterns in cardiovascular device carriers without infection, stratified by sex and time since implantation.","definition_or_measurement_approach":"Characterisation of normal 18F-FDG uptake patterns in patients without suspected infection, stratified by sex and time since device implantation. Specific measurement methods not detailed."}

Recruitment

Planned Sample Size
200
Recruitment Window Months
20
Consent Approach
Written informed consent required from participants (inclusion criterion: Written Informed consent provided for prospective cohort and control group). Age eligibility is ≥18 years; consent obtained from the adult participant. Subject information and informed consent form document exists for adults (L1_SIS and ICF adults_SP_redacted) indicating materials in Spanish. No mention of assent or guardian consent.

Geography

Total Number Of Sites
1
Total Number Of Participants
200

Spain

Earliest CTIS Part Ii Submission Date
12-03-2026
Latest Decision Or Authorization Date
07-04-2026
Processing Time Days
26
Number Of Sites
1
Number Of Participants
200

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Infectious Diseases
Principal Investigator Name
Marta Hernández-Meneses
Principal Investigator Email
MHMENESES@clinic.cat
Contact Person Name
Marta Hernández-Meneses
Contact Person Email
MHMENESES@clinic.cat
Number Of Participants
200

Sponsor

Primary sponsor

Full Name
Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Third parties

  • {"country":"","full_name":"Instituto de Salud Carlos III (PI24/00730)","duties_or_roles":"Monetary support / funding","organisation_type":""}

Investigational products

Investigational Product Name
Fludesoxiglucosa (18F)-Curium 185 MBq/ml, solución inyectable
Active Substance
FLUDEOXYGLUCOSE (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
Intravenous injection
Authorisation Status
Marketing authorisation present (marketingAuthNumber: 71.113)
Starting Dose
5 MBq/kg
Maximum Dose
10 MBq/kg

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