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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE

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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
Journal Article

A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE

2022
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Overview
Purpose The purpose of this study is to evaluate the diagnostic efficacy of 68  Ga-NODAGA-LM3 and 68  Ga-DOTA-LM3 and compare them with 68  Ga-DOTATATE in patients with well-differentiated neuroendocrine tumors. Methods Patients were prospectively recruited and equally randomized into two arms: Arm A, patients would undergo a whole-body 68  Ga-NODAGA-LM3 PET/CT scan on the 1st day and 68  Ga-DOTATATE PET/CT scan on the 2nd day; Arm B, patients would undergo a whole-body 68  Ga-DOTA-LM3 PET/CT scan on the 1st day and 68  Ga-DOTATATE PET/CT scan on the 2nd day. Biodistribution in normal organs, lesion detection ability, and tumor uptake were compared between antagonist and agonist in each arm. Results A total of 40 patients with well-differentiated NETs, 20 in each arm, were recruited in the study. 68  Ga-NODAGA-LM3 showed a similar pattern as 68  Ga-DOTATATE, while 68  Ga-DOTA-LM3 demonstrated significantly lower uptake in almost all normal organs compared to 68  Ga-DOTATATE. Both 68  Ga-NODAGA-LM3 and 68  Ga-DOTA-LM3 showed superiority in lesion detection compared to 68  Ga-DOTATATE on lesion-based and patient-based comparison. 68  Ga-NODAGA-LM3 showed a significantly higher tumor uptake (median SUVmax 29.1 versus 21.6, P  < 0.05) and tumor-to-background ratio (median tumor-to-liver ratio 5.0 versus 2.9, P  < 0.05) compared to 68  Ga-DOTATATE. 68  Ga-DOTA-LM3 showed comparable uptake (median SUVmax 16.1 versus 17.8, P  = 0.714) and higher tumor-to-background ratio (median tumor-to-liver ratio 5.2 versus 2.1, P  < 0.05). Conclusion Both 68  Ga-NODAGA-LM3 and 68  Ga-DOTA-LM3 are promising SSTR2 antagonists for neuroendocrine tumors. They demonstrated superiority in diagnostic efficacy compared to agonist 68  Ga-DOTATATE. Trial registration ClinicalTrials.gov identifier: NCT04318561

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