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Marginal Zone LymphomaPhase 3LYMFORNCT06125028

[68Ga]Ga-PentixaFor-PET Imaging for Staging of Marginal Zone Lymphoma

A Phase 3 study testing [68Ga]Ga-PentixaFor and [18F]Fluorodeoxyglucose in people with Marginal Zone Lymphoma, run by Pentixapharm AG at 12 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This will be a pivotal prospective prospective, international, multi-center, comparative, randomized, cross-over, open-label lymphoma diagnostic trial to assess the diagnostic performance and safety of the positron emission tomography (PET) imaging agent [68Ga]Ga-PTF) , versus [18F]FDG PET/CT imaging, for staging of… Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Marginal Zone Lymphoma
What is being tested?
[68Ga]Ga-PentixaFor and [18F]Fluorodeoxyglucose
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
12 sitesin 5 countries
Study dates
20 May 2024to 18 Jul 2025
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All patients must meet all of the following criteria:
  • Signed informed consent from the patient.
  • Patients of either gender, aged ≥ 18 years.
  • Patients with a histologically proven diagnosis of marginal zone lymphoma (MZL) according to the World Health Organization (WHO) classification of lymphoid neoplasms. Patients must have a biopsy-proven nodal, extranodal, or splenic MZL (at the time of enrolment, the CXCR4 expression status will be unknown).
  • Treatment-naïve.
  • Negative pregnancy test in women capable of child-bearing and their agreement to use highly effective contraception for 1 month after the last dose of [68Ga]Ga-PTF and [18F]FDG.
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  • For male patients whose partner is of child-bearing potential: The patient is willing to ensure that he and his partner use effective contraception for 1 month after the last dose of [68Ga]Ga-PTF and [18F]FDG.
  • Acceptable organ function, as evidenced by the following laboratory data:
  • No renal impairment: Estimated glomerular filtration rate (eGFR) > 30 mL/min/1.73 m2or creatinine clearance > 60 mL/min by the Cockcroft-Gault equation or equivalent
  • Total bilirubin ≤ 1.5 × ULN (upper limit of normal)
  • Serum albumin ≥ 2.5 g/dL.
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 × ULN or ≤ 5 × ULN in the presence of liver metastases
  • International normalized ratio (INR) < 1.3 or ≤ institutional ULN.
  • Life expectancy ≥ 12 weeks as estimated by the Investigator.
  • The patient must not have undergone any physical or pharmacological intervention with curative or palliative intent between the time of any of the diagnostic measures and the [68Ga]Ga-PTF PET/CT and [18F]FDG PET/CT scan.

Who cannot join

  • Patients will be excluded if one or more of the following criteria are met:
  • Known hypersensitivity to any active pharmaceutical agent or constituent of the [68Ga]Ga-PTF and/or [18F]FDG investigational products.
  • Inability to lie still for the entire imaging time.
  • Any severe acute or active chronic infection, as judged by the Investigator, at the time of screening or within two months prior to screening that may interfere with the diagnostic properties of [68Ga]Ga-PTF PET/CT and/or [18F]FDG PET/CT imaging.
  • Patients with plasma glucose levels higher than 11 mmol/L or 200 mg/dL prior to [18F]FDG administration.
  • Administration of any anti-cancer therapy within 1 month prior to study entry.
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  • Patients with complete resection of all tumor lesion(s).
  • Administration of another investigational medicinal product within 30 days or within 5 terminal elimination half-lives of previous investigational medicinal product, whichever is longer, prior to study entry.
  • Current greater than grade 2 toxicity from any reason, per US-NCI "Common Terminology Criteria for Adverse Events v5.0" (NCI CTCAE 2017) except if tumor-related.
  • Pregnant or breast-feeding women.
  • Concomitant prohibited treatment which may interfere with [68Ga]Ga-PTF PET/CT imaging (systemic corticosteroids) administered within the last 1 month prior to study start.
  • Colony-stimulating factor (CSF) therapy within 5 days prior to [18F]FDG PET/CT examination.
  • Any recent myocardial infarction, stroke, or osteomyelitis within two months prior screening.
  • [18F]FDG PET/CT imaging or [68Ga]Ga-PTF PET imaging performed prior to study entry.
  • Judged by the referring physician as not mentally or as not physically fit to understand and comply with protocol-related interventions and procedures (e.g., medically retarded, body weight > 180 kg for PET scanner).
  • Body weight of less than 48 kg.
  • Any other concurrently active neoplasia, or other disease who could jeopardize study safety or data.

Trial locations and contacts

12 sites in 5 countries.

12 sites in 5 countries

France4 sites
  • CHU de Bordeaux

    Bordeaux, 33600

  • CHU La Timone

    Marseille, 13005

  • CHU de Nantes

    Nantes, 44093

  • Hôpital Cochin

    Paris, 75014

Other trials in France

Italy4 sites
  • IRCCS Azienda Ospedaliero-Universitaria di Bologna

    Bologna, 40138

  • L'IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l

    Meldola, 47014

  • Ospedale San Raffaele S.r.l.

    Milan, 20132

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Rome, 00168

Other trials in Italy

Germany2 sites
  • Universitätsklinikum Essen

    Essen, 45147

  • Universitätsklinikum Würzburg

    Würzburg, 97080

Other trials in Germany

Austria1 site
  • Medizinische Universität Innsbruck

    Innsbruck, 6020

Other trials in Austria

Spain1 site
  • Clinica Universidad de Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

About this study

Official title: A Pivotal Phase 3 Clinical Trial to Assess the Diagnostic Performance and Safety of [68Ga]Ga-PentixaFor ([68Ga]Ga-PTF), a Positron Emission Tomography (PET) Imaging Agent, Versus [18F]FDG PET/CT Imaging, for Staging of Patients With Confirmed Marginal Zone Lymphoma Exemplary for CXCR4-positive Malignant Lymphomas: a Prospective, International, Multi-center, Comparative, Randomized, Cross-over, Open-label Lymphoma Diagnostic Trial

This will be a pivotal prospective prospective, international, multi-center, comparative, randomized, cross-over, open-label lymphoma diagnostic trial to assess the diagnostic performance and safety of the positron emission tomography (PET) imaging agent [68Ga]Ga-PTF) , versus [18F]FDG PET/CT imaging, for staging of patients with confirmed marginal zone lymphoma exemplary for CXCR4-positive malignant lymphomas.

Being tested
[68Ga]Ga-PentixaFor, [18F]Fluorodeoxyglucose
Medical subject headings
Lymphoma, B-Cell, Marginal Zone

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • [68Ga]Ga-PentixaForDrug

    Also called [68Ga]Ga-PTF

    [68Ga]Ga-PTF i.v. injection

  • [18F]FluorodeoxyglucoseDrug

    Also called [18F]FDG

    [18F]FDG i.v. injection.

Study groups in NCT06125028
Study groupRoleWhat they receive
[68Ga]Ga-PTF PET/CTExperimental150 (+/-50) MBq [68Ga]Ga-PTF will be administered intravenously and PET/CT will be performed
Receives: Drug: [68Ga]Ga-PentixaFor
[18F]FDG PET/CTActive comparator[18F]FDG will be administered once intravenously according to the SMPC and PET/CT will be performed
Receives: Drug: [18F]Fluorodeoxyglucose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sensitivity of [68Ga]Ga-PTF PET/CT imaging vs. [18F]FDG PET/CT imaging in tumor detection

    Measured: Through study completion, an average of 6 months

  2. Specificity of [68Ga]Ga-PTF PET/CT imaging vs. [18F]FDG PET/CT imaging in tumor detection

    Measured: Through study completion, an average of 6 months

Secondary outcomes (32)
  1. Proportion of patients with additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) compared to pre-PET conventional staging as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  2. Proportion of patients with a change in intended patient management due to additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  3. Proportion of patients with additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) compared to pre-PET conventional staging as assessed by questionnaires completed by an Independent Committee

    Measured: Through study completion, an average of 6 months

  4. Inter-observer agreement of local and central assessment in terms of staging

    Measured: Through study completion, an average of 6 months

  5. Proportion of patients with nodal MZL with additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) compared to pre-PET conventional staging as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  6. Proportion of patients with extranodal MZL with additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) compared to pre-PET conventional staging as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  7. Proportion of patients with splenic MZL with additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) compared to pre-PET conventional staging as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  8. Proportion of patients with nodal MZL with a change in intended patient management due to additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  9. Proportion of patients with extranodal MZL with a change in intended patient management due to additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF;[18F]FDG) as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  10. Proportion of patients with splenic MZL with a change in intended patient management due to additional or less lesions detected by each PET/CT imaging agent ([68Ga]Ga-PTF and [18F]FDG) as assessed by questionnaires completed by the referring physicians

    Measured: Through study completion, an average of 6 months

  11. Diagnostic performance, consisting of sensitivity and specificity, of each PET/CT imaging agent in tumor detection on a region-basis (eyes, ears, nose, throat, liver, spleen, gastrointestinal tract, bone marrow) confirmed by SoT or surrogate SoT

    Measured: Through study completion, an average of 6 months

  12. Sensitivity of each PET/CT imaging agent in tumor detection on a patient-basis confirmed by SoT or surrogate SoT

    Measured: Through study completion, an average of 6 months

  13. Positive and negative predictive values (PPV, NPV) of each PET/CT imaging agent to detect tumor on a patient-basis and lesion-basis

    Measured: Through study completion, an average of 6 months

  14. Detection rate of each PET/CT imaging agent to detect tumor on a patient-basis and lesion-basis confirmed by SoT or surrogate SoT

    Measured: Through study completion, an average of 6 months

  15. Proportion of patients with additional or less tumoral lesions detected by [68Ga]Ga-PTF PET/CT imaging compared to [18F]FDG PET/CT imaging

    Measured: Through study completion, an average of 6 months

  16. Inter-reader and intra-reader agreement for tumor detection of each PET/CT imaging agent on a lesion-basis and patient-basis

    Measured: Through study completion, an average of 6 months

  17. Reproducibility of [68Ga]Ga-PTF PET/CT imaging (reproducibility group)

    Measured: Through study completion, an average of 6 months

  18. Maximum standardized uptake value (SUVmax), SUVpeak and SUV mean of each PET/CT imaging agent

    Measured: Through study completion, an average of 6 months

  19. Target-to-background ratio (TBR) of each PET/CT imaging agent

    Measured: Through study completion, an average of 6 months

  20. Contrast-to-noise ratio (CNR) of each PET/CT imaging agent

    Measured: Through study completion, an average of 6 months

  21. Signal-to-noise ratio (CNR) of each PET/CT imaging agent

    Measured: Through study completion, an average of 6 months

  22. Frequency and Severity of Adverse Events for each PET/CT imaging agent

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  23. Frequency and kind of adverse effects present at the injection site

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of the injection site status (which kind of adverse effects have appeared) after the injection of each PET/CT imaging compound

    Measured: 2-3 hours after injection of each PET/CT imaging agent

  24. Clinical significance of abnormal results during physical examination

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of physical examination findings

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  25. Blood pressure (systolic and diastolic)

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of blood pressure (systolic and diastolic)

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  26. Heart or pulse rate

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of heart or pulse rate

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  27. RR interval findings/abnormalities

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of findings/abnormalities in the RR interval

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  28. PQ interval findings/abnormalities

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of PQ interval findings/abnormalities

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  29. QRS complex findings/abnormalities

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of QRS complex findings/abnormalities

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  30. QT interval findings/abnormalities

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of QT interval findings/abnormalities

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  31. QTc interval findings/abnormalities

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of QTc interval findings/abnormalities

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

  32. Weight

    The safety and tolerability for each PET/CT imaging agent will be evaluated by the assessment of patient weight

    Measured: Prior injection of each PET/CT imaging agent and after injection of each PET/CT imaging agent

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2023
  2. Study start20 May 2024
  3. Primary completion18 Jul 2025
  4. Study completion18 Jul 2025

Why it stopped: low recruitment rate

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06125028
Sponsor's protocol ID
PTF301
Acronym
LYMFOR
Status last verified
Aug 2025
First submitted
13 Oct 2023
Last updated
28 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing [68Ga]Ga-PentixaFor and [18F]Fluorodeoxyglucose in people with Marginal Zone Lymphoma, run by Pentixapharm AG at 12 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in France, Italy, Germany, Austria, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: low recruitment rate). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sensitivity of [68Ga]Ga-PTF PET/CT imaging vs. [18F]FDG PET/CT imaging in tumor detection (time frame: Through study completion, an average of 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2026.

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