About this trial
This study aims to evaluate the diagnostic accuracy (sensitivity, specificity, positive/negative predictive value, and overall accuracy) of 18F-FAPI-04 PET imaging in breast cancer for detecting fibroblast activation protein (FAP)-rich lesions. Additionally, the study will longitudinally monitor dynamic changes in FAP expression levels and tumor size during therapy, including chemotherapy, targeted therapy, or immunotherapy.The non-invasive nature of 18F-FAPI-04 PET addresses limitations of traditional biopsy-dependent stromal evaluation, offering whole-body quantification of tumor microenvironment dynamics to optimize therapeutic decision-making.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-75 years old, any gender;
Clinically or pathologically confirmed diagnosis of breast cancer, or suspected recurrence/metastasis;
Presence of at least 1 measurable lesion (RECIST 1.1 criteria);
ECOG score 0-2 and expected survival ≥ 12 weeks;
Disqualifiers
Major surgery or trauma within 4 weeks;
Severe infection, liver or kidney insufficiency;
History of allergies (developer components);
Pregnant/nursing female or not using effective contraception;
Trial population
This study aims to enroll 30 patients aged 18-75 years with clinically or pathologically confirmed breast cancer or suspected recurrence/metastasis, including both early-stage (I-II) and advanced-stage (III-IV) cases. The primary objective is to evaluate the diagnostic and therapeutic monitoring value of 18F-FAPI-04 PET for identifying primary tumors, metastatic lesions, and assessing treatment response. Exclusion criteria include: concurrent malignancies (except non-breast malignancies cured \>5 years prior), severe hepatic or renal dysfunction, and pregnancy.
Trial design
Cohort
Prospective
Treatments tested in this trial
18F-FAPI-04 PET scan
RadiationFAPI-04, labeled with PET radio-nuclide 18F will be used as a molecular imaging tracer for PET scan. All participants will undergo 18F-FAPI-04 PET scan.
Treatment groups
Trial outcomes
Primary outcomes
SUV
The uptake of the tracer in the primary and metastatic tumor lesions by measuring standardized uptake value (SUV) on PET
Sponsors and contacts
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The Affiliated Hospital of Qingdao University
Lead sponsor
Weifang People's Hospital
Collaborator
Zibo Central Hospital
Collaborator
Qianfoshan Hospital
Collaborator
Jining Medical University
Collaborator