Table 1.
Factors Determining Eligibility |
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Inclusion criteria |
Patient with any one of the following: |
Suspicion of NET on imaging (CT/MRI/18F-FDG PET); and/or |
Biochemical evidence of NET (serum/urinary) on the basis of elevated levels of chromogranin A, pancreatic polypeptide, neuron-specific enolase, vasoactive intestinal polypeptide, serotonin (urinary 5-HIAA), gastrin, somatostatin, catecholamines, metanephrines, calcitonin, fasting insulin, C-peptide (proinsulin), glucagon; and/or |
Familial predisposition to NET in patient with clinical or genetic proof of mutation in MEN1 or VHL (symptomatic and/or asymptomatic case; with biochemical or anatomic imaging evidence of disease). |
Age ≥ 18 years. |
For women: Negative urine pregnancy test or postmenopausal for at least 2 years or if patient has had a hysterectomy. |
Patient must be willing to return to NIH for follow-up. |
Ability of patient or legally authorized representative (if the patient is deemed by the treating physician to be cognitively impaired or questionably impaired in such a way that the ability of the patient to give informed consent is questionable) to understand and the willingness to sign a written informed consent document indicating that he or she is aware of the investigational nature of this study. |
Exclusion criteria |
Patient unwilling to undergo serial noninvasive imaging. |
Pregnant or lactating woman: Pregnant women are excluded from this study because the effects of 68Ga-DOTATATE in pregnancy are not known. Because there is an unknown but potential risk for adverse events in nursing infants secondary to administration of 68Ga-DOTATATE in the mother, breastfeeding should be discontinued for at least 1 day if the mother receives 68Ga-DOTATATE. |
Patient has recognized concurrent active infection. |
Patient has had the use of any investigational product or device, excluding F-DOPA scans, within 30 days before dosing. |
Abbreviations: CT, computed tomography; 18F-FDG, 8F-fluorodeoxyglucose; 5-HIAA, 5-hydroxyindoleacetic acid; MEN1, multiple endocrine neoplasia type 1; MRI, magnetic resonance imaging; NET, neuroendocrine tumor; NIH, National Institutes of Health; PET, positron emission tomography; VHL, von Hippel-Lindau.