FET PET/CT Imaging To Localize Pituitary Adenomas In Cushing Disease

Overview

About this study

The purpose of this study is to evaluate the performance [sensitivity, specificity, accuracy] of 18Fluoro-O-(2) fluoroethyl-L-tyrosine (FET) PET/CT imaging to detect ACTH-secreting pituitary adenoma, using operative findings and histopathology as truth standard.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

​​​​​​​Inclusion Criteria:

  • Biochemically diagnosed ACTH-dependent Cushing disease.

  • No previous pituitary surgery.

  • Planned to undergo pituitary surgery for localization/resection of adenoma.

  • No contraindications for PET/CT.

  • Recent (within 3 months) pituitary MR, or pending pituitary MR to be performed as close as possible to FET PET/CT.

  • Age ≥ 18 years.

  • Ability to provide informed consent.
     

     

Exclusion Criteria:

  • Pregnant as determined by a pregnancy test as per institutional guidelines for individuals of child-bearing potential.

  • Declining to use effective contraceptive methods during the study (for individuals of child-bearing potential).

  • Need for emergent surgery that would be delayed by participation.

  • Bacterial, viral, or fungal infections requiring systemic therapy.

  • Serious co-morbidities and serious nonmalignant disease (e.g., hydronephrosis, kidney failure, liver failure, systemic or local inflammatory or autoimmune diseases or other conditions) that in the opinion of the investigator could compromise patient safety and/or protocol objectives.

  • Known diagnosis of autoimmune disorders.

  • Patients receiving any other investigational agent within the past 28 days.

  • Breastfeeding. Note: nursing parents are allowed if the potential participant commits to pumping breast milk and discarding it from injection to ≥ 24 hours from the time of the FET injection.

  • Known hypersensitivity to any excipients used in FET.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 09/09/2022. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Derek Johnson, M.D.

Contact us for the latest status

Contact information:

Brent Gessner M.B.A.

gessner.brent@mayo.edu

More information

Publications

Publications are currently not available
.
CLS-20596144

Mayo Clinic Footer