Clinical trial • Phase IV • Gastroenterology|Immunology|Respiratory|Dermatology|Musculoskeletal

(S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROPYL)PIPERAZIN-1-YL)-2-OXOETHYL)-68GA-[1,4,7,10]-TETRAAZACYCLODODECANE-1,4,7-TRIYL)TRIACETATE for Idiopathic inflammatory myopathy|Crohn's disease|Ulcerative colitis|Fibrotic hypersensitivity pneumonitis|Idiopathic pulmonary fibrosis|Unclassifiable interstitial lung disease|Systemic sclerosis

Phase IV trial of (S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROPYL)PIPERAZI…

Overview

Trial Therapeutic Area
Gastroenterology|Immunology|Respiratory|Dermatology|Musculoskeletal
Trial Disease
Idiopathic inflammatory myopathy|Crohn's disease|Ulcerative colitis|Fibrotic hypersensitivity pneumonitis|Idiopathic pulmonary fibrosis|Unclassifiable interstitial lung disease|Systemic sclerosis
Trial Stage
Phase IV
Drug Modality
Radiopharmaceutical|Diagnostic agent

Key dates

Initial CTIS Submission Date
11-11-2025
First CTIS Authorization Date
02-03-2026

Trial design

Phase IV trial across 1 site in Netherlands.

Target Sample Size
60

Eligibility

Recruits 60 Vulnerable populations are not selected for this trial. Participants must be ≥18 years and able to provide written consent; 'Not able to provide written consent' is an exclusion. Subject information sheets and informed consent forms are provided (L1 SIS and ICF documents). No assent procedures for minors are applicable because minors are excluded..

Pregnancy Exclusion
Pregnancy or lactating
Vulnerable Population
Vulnerable populations are not selected for this trial. Participants must be ≥18 years and able to provide written consent; 'Not able to provide written consent' is an exclusion. Subject information sheets and informed consent forms are provided (L1 SIS and ICF documents). No assent procedures for minors are applicable because minors are excluded.

Inclusion criteria

  • {"criterion_text":"- ≥ 18 years of age and able to undergo a PET/CT-scan and pulmonary function test (if applicable)\n- CD: endoscopically or ultrasonographically confirmed fibrostenotic disease with or without signs of active inflammation\n- UC: therapy-refractory UC requiring surgery or quiescent UC with surveillance endoscopy\n- SSc: SSc with active ILD or non-progressive ILD over two years or end-stage ILD\n- IIM: IIM with active myositis and a clinical need to start imunosupressive agents with or without ILD\n- FHP, uILD and IPF: available chest HRCT data within 12 months prior to screening (or performed at screening), minimum of 20% involvement of the lung parenchyma on HRCT and signs of fibrosis, FVC ≥ 45% predicted from normal, FEV1/FVC ≥ 0.7, DLco corrected for Hb ≥ 40% predicted from normal"}

Exclusion criteria

  • {"criterion_text":"- Pregnancy or lactating\n- Not able to provide written consent\n- Previous anti-fibrotic treatment except for end-stage ILD\n- IBD: colorectal carcinoma or high-grade dysplasia\n- ILD: combined pulmonary fibrosis and emphysema, uncontrolled severe asthma, active malignancy (except for squamous cell carcinoma of the skin, low-risk breast cancer and low-risk prostate cancer), signs of upper or lower respitory tract symptoms during the last 6 weeks before screening or circumstances or comorbidities which interfere, by opinion of the investigator, with evaluation of the PET/CT or with the evaluation of progressive pulmonary fibrosis"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Detection of areas with enhanced 68Ga-FAPi uptake in organs of patients with IBD, CTD or ILD and correlation of imaging outcomes to cellular and serum FAP expression levels","definition_or_measurement_approach":"Imaging detection of enhanced 68Ga-FAPi uptake by PET/CT and correlation of imaging outcomes to cellular and serum FAP expression levels (i.e., imaging measures correlated with cellular and serum FAP measurements)."}
  • {"endpoint_text":"- Transcriptome and proteome analysis of tissue samples for FAP and other potential fibrotic biomarkers as well as regulators of upstream signaling pathways and immune cell markers.","definition_or_measurement_approach":"Transcriptome and proteome analyses of tissue samples to measure FAP and other fibrotic biomarkers and regulators of upstream signaling pathways and immune cell markers (molecular profiling of tissue samples)."}

Secondary endpoints

  • {"endpoint_text":"- Visual and semi-quantitative evaluation of the pharmacokinetics of 68GA-FAPi in patients with CTD and ILD.","definition_or_measurement_approach":"Visual and semi-quantitative assessment of 68Ga-FAPi pharmacokinetics on PET/CT (e.g., uptake patterns and semi-quantitative uptake measures over time)."}
  • {"endpoint_text":"- Optimization of the 68Ga-FAPi PET/CT scanning protocol for patients with CTD and ILD.","definition_or_measurement_approach":"Assessment and adjustment of PET/CT scanning parameters/protocols to identify an optimized scanning protocol for these patient groups."}

Recruitment

Planned Sample Size
60
Recruitment Window Months
44
Consent Approach
Written informed consent is required from participants (participants must be ≥18). Subject information sheets and informed consent forms (L1 SIS and ICF) are provided; documents for patient-facing materials are present. Trial materials include Dutch translations/public-title translations, and local consent processes are handled at the site (Amsterdam UMC).

Geography

Total Number Of Sites
1
Total Number Of Participants
60

Netherlands

Earliest CTIS Part Ii Submission Date
26-02-2026
Latest Decision Or Authorization Date
02-03-2026
Processing Time Days
4
Number Of Sites
1
Number Of Participants
60

Sites

Site Name
Amsterdam UMC Stichting
Department Name
Gastroenterology and hepatology
Contact Person Name
Mark Löwenberg
Contact Person Email
ctis@amsterdamumc.nl
Number Of Participants
60

Sponsor

Primary sponsor

Full Name
Amsterdam UMC Stichting
Organisation Type
Patient organisation/association
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
68Ga-FAPI-46
Active Substance
(S)-2,2',2''-(10-(2-(4-(3-((4-(2-(2-CYANO-4,4-DIFLUOROPYRROLIDIN-1-YL)-2-OXOETHYLCARBAMOYL)-QUINOLIN-6-YL)(METHYL)AMINO)-PROPYL)PIPERAZIN-1-YL)-2-OXOETHYL)-68GA-[1,4,7,10]-TETRAAZACYCLODODECANE-1,4,7-TRIYL)TRIACETATE
Modality
Radiopharmaceutical|Diagnostic agent
Routes Of Administration
Intravenous
Route
Intravenous
Maximum Dose
500 MBq

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