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NCT Number: NCT07232459

[18F]FT8 PET Imaging in Immunoglobulin Light Chain Amyloidosis

[18F]FT8, a derivative of 1-(4-pyridyl)-4-piperazinyl arene ([18F]TPZA), exhibits high affinity for AL amyloid in myocardial tissue sections and shows no significant binding to transthyretin amyloid. By comparing its diagnostic performance against established clinical methods, including echocardiography, contrast-enhanced MRI, and relevant laboratory tests, this study aims to establish [18F]FT8 as the basis for a robust PET protocol for the direct visualization and differential diagnosis of AL amyloidosis . The study preimarily evaluates the safety and diagnostic efficacy of [18F]FT8 PET imaging in human subjects.

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Key information

About this study

Subjects will undergo [18F]FT8 PET/CT scans for safety and diagnostic efficacy evaluation. Organ uptake will be quantified using the standard uptake value (SUV). Clinical assessments and laboratory tests, including baseline information collection, physical examination, cardiac function assessment, and hepatic and renal function tests, will be conducted before and after the scan.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

  • Subject Recruitment Participants will be recruited from outpatients and/or inpatient populations of the Hematology Department at Tianjin Medical University General Hospital. The principal investigator and collaborating hematologists will ensure consistent application of diagnosis and enrollment criteria based on standardized guidelines. The planned enrollment includes 20 patients with systemic amyloidosis (including cardiac involvement) and 5 healthy volunteers.
  • Amyloidosis Patients:

2.1 Inclusion Criteria:

Subjects must meet all of the following criteria:

  • Adult patients (age ≥ 18 years);
  • Suspected, newly diagnosed, or previously diagnosed with cardiac amyloidosis, with supporting evidence from one or more of the following: cardiac MRI, contrast-enhanced CT, serum biomarkers (e.g., NT-proBNP, Troponin), or histopathological confirmation of amyloidosis.
  • Scheduled to undergo a clinical Pan-Amyloid PET/CT scan as part of standard care or clinical evaluation.
  • Able to understand the study procedures and provide written informed consent. 2.2 Exclusion Criteria

Subjects will be excluded based on any of the following:

  • Confirmed non-cardiac amyloidosis or other non-amyloid cardiac pathologies that could confound image interpretation.
  • Pregnancy or breastfeeding.
  • Any medical, psychological, or social condition that, in the opinion of the investigator, would compromise the subject's ability to participate fully or complete the study follow-up.
  • Healthy Volunteers: 3.1 Inclusion Criteria:

Subjects must meet all of the following criteria:

  • Adult subjects (age ≥ 18 years);
  • No clinical evidence of active cardiac or systemic disease, as confirmed by medical history review, physical examination, and electrocardiogram (ECG).
  • Able to understand the study procedures and provide written informed consent. 3.2 Exclusion Criteria:

Subjects will be excluded based on any of the following:

  • History or current diagnosis of any significant cardiac, hepatic, renal, or neurological disorder.
  • Pregnancy or breastfeeding.
  • Any condition that, in the opinion of the investigator, could pose an increased risk from the study procedure or interfere with the interpretation of study data.

Treatment and study plan

[18F]FT8

Diagnostic Test

Each subject will receive a single intravenous injection of [18F]FT8 and will undergo PET imaging at a specified time.

Primary outcomes

  1. The safety assessment

    Time frame: From time of injection up to 7 days post-injection

    The incidence of adverse events assessed by the investigator as related to the [18F]FT8 injection. Systematically collect and assess all adverse events within 7 days post-injection through physical examinations, vital signs monitoring, clinical laboratory tests (complete blood count, hepatic and renal function). All events will be graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) v4.0.

  2. [18F]FT8 Organ Uptake measured by Standardized Uptake Value (SUV)

    Time frame: At the time of the single [18F]FT8 PET/CT scan (Day 1)

    Quantification of [18F]FT8 uptake in major organs (e.g., heart, liver, kidneys) using the Standardized Uptake Value (SUV). This measurement will be performed on the PET/CT scans acquired at a specified time. The outcome will be reported as the SUV for each organ in both amyloidosis patients and control subjects.

Secondary outcomes

  1. The Biodistribution of [18F]FT8 in subjects

    Time frame: At the time of the single [18F]FT8 PET/CT scan (Day 1)

    Semi-quantitatively evaluate the tracer's uptake in the interest organs (including heart, liver, kidneys, lungs, brain, bones, thyroid, blood pool, and other related organs) by measuring the Standard Uptake Value (SUV).

  2. Radiation Dosimetry

    Time frame: At the time of the single [18F]FT8 PET/CT scan (Day 1)

    Calculate the effective radiation dose (mSv) to various human organs and the whole body.

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Tianjin Medical University

Other

Collaborators

  • Tianjin Medical University General Hospital

Registry information

Official study title

Clinical Study of [18F]FT8 PET/CT in Evaluating Amyloidosis

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Nov 18, 2025
Registry last updated
Nov 18, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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