iThrombus

  • Research type

    Research Study

  • Full title

    In vivo thrombus imaging with 18F-GP1: A novel platelet directed PET radiotracer

  • IRAS ID

    244932

  • Contact name

    David Newby

  • Contact email

    d.e.newby@ed.ac.uk

  • Sponsor organisation

    University of Edinburgh

  • Clinicaltrials.gov Identifier

    RG/16/10/32375 , BHF programme grant

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    We aim to examine whether 18F-GP1 (radiotracer that binds to blood clots) can be used to detect activated platelets (key component of blood clots) which are involved in blood clot formation and implicated in a range of conditions; Heart attacks, stent thrombosis (blockages of stents used to treat people with angina and heart attacks), heart valve thrombosis (blood clots on recently replaced heart valves), deep vein thromboses (clots in leg veins or DVT), pulmonary embolism (clots in the lung or PE) and stroke/transient ischaemic attack (TIA) (clots affecting the brain). 18F-GP1 has undergone animal and early human clinical evaluation demonstrating that it binds to platelets in a stable & specific manner in live animals and humans. [Lohrke et al, 2017][Kim et al, 2018, in press]

    In this recent study 18F-GP1 demonstrated a high detection rate of blood clots in 20 patients with recently formed deep vein thrombi (DVT) and pulmonary thromboemboli (clots on the lung). The tracer also performed favourably with regards to its metabolism, body distribution and radiation dose to humans. [Kim et al, 2018, in press]

    If successful, through the identification of activated platelets, this study would be the first demonstration of an imaging technique able to identify blood clots from outside the body. This finding would undoubtedly enhance our understanding of the incidence, consequences and natural history of coronary, stent related, prosthetic valvular, pulmonary/deep venous and cerebral (brain) thrombosis. Other potential applications of 18F-GP1 to thrombotic disease (conditions caused by unwanted blood clots) are widespread and could include improvements in diagnoses and treatment of peripheral arterial disease (narrowing and clotting of blood vessels in arms and legs), intra-cardiac thrombosis (clots within the heart chambers) and endocarditis (infection of the heart valves).

  • REC name

    South East Scotland REC 01

  • REC reference

    18/SS/0143

  • Date of REC Opinion

    12 Nov 2018

  • REC opinion

    Favourable Opinion