PET - New tracers - Design of the study

5 important questions on PET - New tracers - Design of the study

What is the target of 11CSMW139?

P2X7 receptor on pro-inflammatory microglia.

What is the study design of a new tracer in human?

  • Chose a control group that is representable. In oncology patients, you need to select oncology patient but with another type.
  • Number of patients is about 5 patient, 5 control. When there is a trend toward something, you go up to 10 to gain more statistical power.
  • Think about the scan time (half-life)
  • Think about how many becquerel (amount of decay per second)
  • Are you adding an arterial line.

What do the amount of becquerel with the quality of the pictures? What also impacts the quality of the picture (5)?

  • A high becquerel produces more positron emissions, leading to more annihilation events and gamma-ray detections.

  1. higher dose also cause more annihilation
  2. Sensitivity of the detector
  3. Tracer specificity
  4. Biological consideration => metabolites
  5. Long scanning time => more events can be detected
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About what do you need to think for medical ethical approval?

- Cover letter
- Study protocol
  • Show toxicity documents
  • Which laboratory/procedures
- Patient information form / Informed consent form
- Recruitment material
- Investigators brochure (IB)
– summary clinical/preclinical data on the product
- Investigational Medicinal Product Dossier (IMPD)
– Quality/Production; Safety and Efficacy (IB)
- Insurance
- Curriculum vitae researchers
- Research contracts/ consortium agreement

What about the radiation risk for patients?

  • Make an estimation what the exposure is for the participant => low
  • At young age the risk is higher compared to older age => multiple reasons: lifetime of the change of developing cancer is smaller when you are older + when you are younger more cell division and development, so more risks.
  • Male have lower risk than females

The question on the page originate from the summary of the following study material:

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