Which scan cracks the mystery of a fever that Won't quit?
NCT ID NCT07816783
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Doctors struggle to find the cause of pyrexia of unknown origin, a fever of at least 38.3°C lasting three weeks or more that routine tests cannot explain. This study compares two imaging approaches as the first scan: FDG-PET/CT, which highlights tissues with unusual glucose use, and contrast-enhanced CT of the chest, abdomen, and pelvis, which shows structural changes. Researchers will enroll 132 adults with unexplained fever and track whether each scan points to a specific organ or tissue, whether that leads to a final diagnosis, how long diagnosis takes, and whether more imaging is needed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- two imaging tests: an FDG-PET/CT scan and a contrast-enhanced CT scan of the chest, abdomen, and pelvis
- What this could lead to
- If FDG-PET/CT proves better at pinpointing the source of unexplained fever, doctors could reach a diagnosis faster and with fewer repeat tests.
- What could go wrong
- This is an observational study at one center, so it can show how the two scans compare but cannot prove one causes better outcomes. Results may not apply to other hospitals or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 132 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \> 18 years * irrespective of gender. * Fever ≥38.3°C documented on ≥2 occasions AND duration ≥3 weeks or inpatient fever ≥1 week without diagnosis despite routine evaluation. * Routine investigations to be done before labelling PUO: Full history \& examination, CBC, ESR/CRP, LFTs, RFTs, blood and urine cultures, urinalysis, ANA, RF, chest X-ray, abdominal ultrasound Exclusion Criteria: * Pregnancy. * Known case of immunosuppression * Contraindication or allergy to iodinated IV contrast (for CECT-CAP arm) that cannot be corrected * Prior FDG PET/CT or CECT-CAP performed prior to randomization for the current febrile illness that would preclude randomization
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Post Graduate Institute of Medical Education and Research, Chandigarh, India
RECRUITINGChandigarh, Chandigarh, 160012, India