PLAQINSTEP: Molecular Imaging of Inflammation With 18F-PBR06 to Identify Unstable Carotid Plaques in Patients With Stroke
Study Details
Study Description
Brief Summary
Evaluating an innovative molecular imaging technique to visualize inflammation of the atherosclerotic plaque in patients with a recent ischemic stroke (<15 days) with carotid stenosis> 50%, by performing a Positron emission tomography-computed tomography (PET-CT) with PBR06 18F, a tracer for Translocator protein (TPSO).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
More than one third of cerebral ischemic events are related to an atheromatous plaque. Inflammation, through a key player, the macrophage, is associated with increased metabolic activity of atherosclerotic plaque and its possible rupture. Inflammation within the plate is thus a marker of instability. These data underscore the importance of a prospective evaluation of inflammation with specific imaging with PET tracers inflammation.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Experimental arm
|
Drug: 18F-PBR06
Positron Emission Tomography / Computed Tomography (PET-CT) using 18F-PBR06
|
Outcome Measures
Primary Outcome Measures
- Correlation between the value of standardized uptake value (SUV) on PET-CT with 18F-PBR06 and the degree of macrophage infiltration at histological examination [15 days]
Secondary Outcome Measures
- Levels of leukocyte and T lymphocyte inflammation of the plaque [15 days]
Evaluate the constitutive parameters of the plaque (surface area, thickness, necrotic core and fibrous cap)
- Plaque parameters composite [15 days]
Evaluate the constitutive parameters of the plaque (surface area, thickness, necrotic core and fibrous cap)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Man with transient ischemic attack or recent ischemic stroke (<15j) in the carotid territory, confirmed by MRI
-
Man with carotid stenosis> 50% on the side of stroke
-
Male candidate for carotid endarterectomy
-
Subject affiliated or beneficiary of a social security scheme
-
Informed written consent
Exclusion Criteria:
-
Women
-
Chronic inflammatory disease in progress (cancer, vasculitis, ...)
-
Patient with infection within 7 days
-
A person placed under judicial protection, guardianship
-
Incapable of giving consent
-
Low affinity binder for TSPO
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU de Bordeaux | Bordeaux | France | 33074 |
Sponsors and Collaborators
- University Hospital, Bordeaux
Investigators
- Principal Investigator: Paolo ZANOTTI-FREGONARA, University Hospital, Bordeaux
- Study Chair: Paul Perez, University Hospital, Bordeaux
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHUBX 2014/17