Trial Outcomes & Findings for 18F- Fluorothymidine to Evaluate Treatment Response in Lymphoma (NCT NCT00775268)

NCT ID: NCT00775268

Last Updated: 2021-03-11

Results Overview

A positive malignant residual mass was defined as focal 18F- Fluorothymidine (FLT) uptake within the residual mass greater than the normal mediastinal background uptake. FLT uptake within the mass lower than the mediastinal was considered non-malignant. The positive/negative FLT uptake was correlated with biopsy results within the residual mass (presence or absence of malignant tumor cells).

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

31 participants

Primary outcome timeframe

Up to 3.5 years

Results posted on

2021-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Participants Scanned at Baseline & After Chemotherapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans at baseline, after 2 courses of chemotherapy, and after completion of chemotherapy. Patients with residual FDG-positive mass after completion of therapy may be enrolled in group B. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Participants Scanned in the Evaluation of Residual Masses After Therapy
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan in the evaluation of FDG-positive residual masses after therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Baseline
STARTED
9
22
Baseline
COMPLETED
8
21
Baseline
NOT COMPLETED
1
1
After 2 Cycles
STARTED
8
0
After 2 Cycles
COMPLETED
7
0
After 2 Cycles
NOT COMPLETED
1
0
After Completion
STARTED
7
0
After Completion
COMPLETED
6
0
After Completion
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants Scanned at Baseline & After Chemotherapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans at baseline, after 2 courses of chemotherapy, and after completion of chemotherapy. Patients with residual FDG-positive mass after completion of therapy may be enrolled in group B. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Participants Scanned in the Evaluation of Residual Masses After Therapy
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan in the evaluation of FDG-positive residual masses after therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Baseline
Drug not synthesize dose
1
0
Baseline
Not treated-ineligible per CT
0
1
After 2 Cycles
Participant refused to be scanned further
1
0
After Completion
Participant missed scan appointment
1
0

Baseline Characteristics

Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants Scanned at Baseline & After Chemotherapy
n=9 Participants
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans at baseline, after 2 courses of chemotherapy, and after completion of chemotherapy. Patients with residual FDG-positive mass after completion of therapy may be enrolled in group B. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=22 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan in the evaluation of FDG-positive residual masses after therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=9 Participants
18 Participants
n=22 Participants
26 Participants
n=31 Participants
Age, Categorical
>=65 years
1 Participants
n=9 Participants
4 Participants
n=22 Participants
5 Participants
n=31 Participants
Age, Continuous
49.3 years
STANDARD_DEVIATION 13.0 • n=9 Participants
48.0 years
STANDARD_DEVIATION 17.3 • n=22 Participants
48.4 years
STANDARD_DEVIATION 16.1 • n=31 Participants
Sex: Female, Male
Female
3 Participants
n=9 Participants
12 Participants
n=22 Participants
15 Participants
n=31 Participants
Sex: Female, Male
Male
6 Participants
n=9 Participants
10 Participants
n=22 Participants
16 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=9 Participants
1 Participants
n=22 Participants
1 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=9 Participants
21 Participants
n=22 Participants
30 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
1 Participants
n=22 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=9 Participants
4 Participants
n=22 Participants
4 Participants
n=31 Participants
Race (NIH/OMB)
White
9 Participants
n=9 Participants
17 Participants
n=22 Participants
26 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=22 Participants
0 Participants
n=31 Participants
Region of Enrollment
United States
9 participants
n=9 Participants
22 participants
n=22 Participants
31 participants
n=31 Participants
Diagnosis
Non-Hodgkin's Lymphoma
6 participants
n=9 Participants
17 participants
n=22 Participants
23 participants
n=31 Participants
Diagnosis
Hodgkin's Lymphoma
3 participants
n=9 Participants
5 participants
n=22 Participants
8 participants
n=31 Participants
Residual Mass Size
Patient 1-Right hilum lymph node
2.4 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.4 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 2-Superior mediastinal lymph node
2.4 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.4 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 3-Lumbar vertebrae
2.5 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.5 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 4-Right pelvic mass
9.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
9.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 5-Intercostal soft tissue mass
2.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 6-Right cervical lymph node
3.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
3.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 7-Anterior mediastinal mass
2.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 8-Anterior mediastinal mass
6.8 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
6.8 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 9-Internal right iliac lymph node
2.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 10-Right pelvic mass
2.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 11-Right paratracheal lymph node
2.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 12-Left inguinal lymph node
1.6 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
1.6 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 13-Left axilla lymph node
3.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
3.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 14-Gastrohepatic lymph node
2.8 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.8 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 15-Right posterior thigh mass
2.5 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.5 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 16-Left abdominal mass
8.0 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
8 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 17-Left suprarenal mass
4.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
4.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 18-Splenic mass
2.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.3 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 19-Right paraaortic lymph node
2.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
2.7 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 20-Right hilum lymph node
1.6 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
1.6 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
Residual Mass Size
Patient 21-Mesenteric mass
5.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.
5.2 cm
n=1 Participants • Measurement of lesions was not required to qualify for scanning in the first Arm/Group. These are 9 different patients scanned before starting chemo (these patients have not Residual Masses). And Note: 21 patients were not scanned after 2-cycles in the Participants Scanned in the Evaluation of Residual Masses After Therapy Arm. They were only scanned at baseline.

PRIMARY outcome

Timeframe: Up to 3.5 years

Population: 21/22 participants were analyzed because one participant was not treated ineligible per CT criteria. Data was collected for only the Arm/Group of participants with residual masses.

A positive malignant residual mass was defined as focal 18F- Fluorothymidine (FLT) uptake within the residual mass greater than the normal mediastinal background uptake. FLT uptake within the mass lower than the mediastinal was considered non-malignant. The positive/negative FLT uptake was correlated with biopsy results within the residual mass (presence or absence of malignant tumor cells).

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=21 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Number of Participants With the Presence/Absence of Abnormal 18F- Fluorothymidine (FLT) Uptake, and Positive/Negative Biopsy
Presence of FLT uptake
9 Participants
Number of Participants With the Presence/Absence of Abnormal 18F- Fluorothymidine (FLT) Uptake, and Positive/Negative Biopsy
Absence of FLT uptake and FLT uptake lower than normal mediastinum
12 Participants
Number of Participants With the Presence/Absence of Abnormal 18F- Fluorothymidine (FLT) Uptake, and Positive/Negative Biopsy
Positive Biopsy
7 Participants
Number of Participants With the Presence/Absence of Abnormal 18F- Fluorothymidine (FLT) Uptake, and Positive/Negative Biopsy
Negative Biopsy
4 Participants
Number of Participants With the Presence/Absence of Abnormal 18F- Fluorothymidine (FLT) Uptake, and Positive/Negative Biopsy
Biopsy not performed
10 Participants

SECONDARY outcome

Timeframe: up to 4.5 years

Population: 8/9 participants were analyzed at baseline because the FLT dose failed synthesis in 1 participant. 6/9 participants were analyzed at completion of therapy because 1 participant refused to be imaged, 1 participant missed scan appointment, and 1 patient's FLT dose failed synthesis at baseline and was not scanned at completion of therapy either The rows at baseline and completion of therapy represent the pts: 8 patients were scanned at baseline and 6 pts were scanned at completion of therapy.

FLT uptake within the tumor(s) using standard uptake value (SUVmax) was compared between baseline and completion of therapy scans.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=8 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
18F- Fluorothymidine (FLT) Uptake Within the Tumor(s) Between Baseline vs Completion of Therapy Scans
Baseline
9.15 SUVmax
Standard Deviation 2.84
18F- Fluorothymidine (FLT) Uptake Within the Tumor(s) Between Baseline vs Completion of Therapy Scans
Completion of therapy scans
0.9 SUVmax
Standard Deviation 0.20

SECONDARY outcome

Timeframe: up to 4.5 years

Population: 8/9 participants were analyzed at baseline and 6/9 were analyzed after completion of therapy because 6 patients completed the 3 scans (baseline, at 2-cycles and after completion of therapy). This outcome measure data is collected only for one of the Arm/Group. The other group of participants were not scanned at baseline and after treatment. This data is for baseline (8 patients) and after therapy (6 patients). The outcome measure refers to baseline and after completion of therapy.

The SUVmax (defined as radiotracer uptake in a region of interest normalized by the injected activity and body weight) was measured within the tumor(s). The SUVmax was defined as the uptake value of the hottest pixels, within a volume of interest containing the entire tumor(s). SUVmax was calculated at baseline and after completion of therapy.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=8 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Tumor(s) Maximum Standard Uptake Value (SUVmax) at Baseline Scan and SUVmax After Completion Scan in Responders and Non-responders' Patients
Baseline
9.1 Standard Uptake Value (SUV) - units
Standard Deviation 2.8
Tumor(s) Maximum Standard Uptake Value (SUVmax) at Baseline Scan and SUVmax After Completion Scan in Responders and Non-responders' Patients
After completion of scan
1.5 Standard Uptake Value (SUV) - units
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Up to 4.5 years

Population: 6/9 participants were analyzed after completion of therapy because the FLT dose failed synthesis in 1 participant at baseline and was not scanned at completion, 1 participant refused to be imaged and 1 participant missed scan appointment. The other group of participants were not scanned at baseline and after treatment.

The maximum standard uptake value (SUVmax) (defined as radiotracer uptake in a region of interest normalized by the injected activity and body weight) was measured within the tumor(s). The SUVmax was defined as the uptake value of the hottest pixels, within a volume of interest containing the entire tumor(s).

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=6 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
n=6 Participants
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 3
10.3 SUV
1.3 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 1
10.9 SUV
0.9 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 2
4.8 SUV
1.0 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 4
9.1 SUV
0.9 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 5
9.3 SUV
0.6 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Patient 6
9.2 SUV
0.9 SUV
Tumor Uptake With Fluorothymidine (FLT) - Maximum Standard Uptake Value (SUVmax)
Group-level (at baseline and after completion of therapy)
9.2 SUV
Standard Deviation 1.9
0.9 SUV
Standard Deviation 0.2

SECONDARY outcome

Timeframe: up to 3.5 years

Population: 21/22 participants were analyzed because one participant was not treated ineligible per CT criteria. Data collected only from residual mass Group of patients for this Outcome Measure.

After 1 hour post-injection of fluorodeoxyglucose (FDG), the maximum uptake value (SUVmax) (defined as radiotracer uptake in a region of interest normalized by the injected activity and body weight) was calculated was calculated within the residual mass. The ratio between SUVmax within the residual mass and SUVmean in the pool blood was measured.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=21 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 7
5.4 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 1
4.6 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 2
8.4 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 3
10.1 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 4
3.8 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 5
6.9 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 6
6.7 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 8
4.7 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 9
4.6 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 10
10.3 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 11
4.8 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 12
3.8 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 13
4.0 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 14
6.9 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 15
6.4 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 16
15.8 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 17
11.2 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 18
2.1 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 19
3.8 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 20
3.5 SUVmax/Tumor blood ratio
18F-fluorodeoxyglucose (18FDG) Standardized Uptake Values (SUV) Estimated Maximum and Tumor: Blood Pool Ratio at 1-hour Post-injection
Patient 21
9.1 SUVmax/Tumor blood ratio

SECONDARY outcome

Timeframe: up to 3.5 years

Population: This outcome measure was collected for Arm/Group of patients with residual tumor masses after therapy. 21/22 participants were analyzed in thisArm/Group because one participant was not scanned with FLT, ineligible per CT criteria. 18/21 were analyzed in the second Arm/Group because no scans were available for three participants at 2 hours post injection.

The maximum uptake value (SUVmax) (defined as radiotracer uptake in a region of interest normalized by the injected activity and body weight) was calculated within the residual mass at 1 h and at 2 hours post-injection of FLT.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=21 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
n=18 Participants
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 1
0.7 SUV
NA SUV
The 2 hour scan was not acquired.
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 6
7.5 SUV
4.6 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 2
2.0 SUV
1.8 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 3
8.9 SUV
NA SUV
The 2 hour scan was not acquired.
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 4
1.6 SUV
0.8 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 5
1.3 SUV
7.9 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 7
3.4 SUV
3.2 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 8
1.6 SUV
1.2 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 9
6.5 SUV
6.0 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 10
2.3 SUV
2.0 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 11
2.5 SUV
2.4 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 12
2.2 SUV
1.5 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 13
7.6 SUV
7.4 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 14
4.5 SUV
4.2 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 15
1.9 SUV
1.6 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 16
3.9 SUV
3.6 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 17
4.7 SUV
4.5 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 18
7.9 SUV
7.9 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 19
1.1 SUV
1.1 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 20
1.5 SUV
NA SUV
The 2 hour scan was not acquired.
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Patient 21
6.4 SUV
5.4 SUV
3'-Deoxy-3'-[18F]-Fluorothymidine (FLT) Dynamic Influx Parameter (Ki) Standardized Uptake Values (SUV) Estimated Maximum at 1- and 2-hours Post-injection
Overall participants
3.6 SUV
Standard Deviation 2.5
2.9 SUV
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Up to 4.5 years

Population: 8/9 participants were analyzed because the FLT dose failed synthesis in 1 participant, 1 participant refused to be imaged.

The SUVmax (defined as radiotracer uptake in a region of interest normalized by the injected activity and body weight) was measured within the tumor(s). The SUVmax was defined as the uptake value of the hottest pixels, within a volume of interest containing the entire tumor(s). SUVmax was calculated at baseline and after 2-cycles of therapy.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=8 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Tumor(s) Maximum Standard Uptake Value (SUVmax) at Baseline and at Mid-treatment (Post-2 Cycles) Scan
2-cycles post treatment
1.5 SUVmax
Standard Deviation 0.63
Tumor(s) Maximum Standard Uptake Value (SUVmax) at Baseline and at Mid-treatment (Post-2 Cycles) Scan
Baseline
9.15 SUVmax
Standard Deviation 2.84

SECONDARY outcome

Timeframe: up to 4.5 years

Population: 3/6 participants were analyzed because 3 did not progress while on study. Data collected only from the Group of patients scanned at baseline and after chemotherapy for this Outcome Measure.

The time to progression (defined as time in months from 3'-deoxy-3'-\[18F\] fluorothymidine (FLT)-scan until patient progressed) was compared between the two groups (patients with higher Maximum Standard Uptake Value (SUVmax) vs lower SUVmax, using the median SUV value).

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=3 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Time to Progression
18.29 Months
Standard Deviation 8.0

SECONDARY outcome

Timeframe: up to 4.5 years

FLT uptake was calculated within malignant residual tumors versus benign lesions using maximum standard uptake value (SUVmax).

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=21 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
18F- Fluorothymidine (FLT) Uptake, Positron-emission Tomography (PET) Standard Uptake Value (SUV)Max in Malignant Residual Tumors Versus Benign Lesions After Therapy
Malignant Lesions
5.5 SUVmax
Standard Deviation 2.2
18F- Fluorothymidine (FLT) Uptake, Positron-emission Tomography (PET) Standard Uptake Value (SUV)Max in Malignant Residual Tumors Versus Benign Lesions After Therapy
Benign Lesions
1.7 SUVmax
Standard Deviation 0.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Date treatment consent signed to date off study, approximately 4 years, 7 months and 9 days.

Population: 8/9 patients were injected with the tracer (FLT) and scanned in the first Arm/Group, and 21/22 in the second Arm/Group.

Here is the number of participants with non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=8 Participants
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F-18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan to evaluate of a residual tumor mass after patients have completed therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected
Participants Scanned After Completion of Therapy
n=21 Participants
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans after completion of chemotherapy. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Number of Participants With Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
7 Participants
20 Participants

Adverse Events

Participants Scanned at Baseline & After Chemotherapy

Serious events: 0 serious events
Other events: 1 other events
Deaths: 3 deaths

Participants Scanned in the Evaluation of Residual Masses After Therapy

Serious events: 0 serious events
Other events: 1 other events
Deaths: 5 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Participants Scanned at Baseline & After Chemotherapy
n=8 participants at risk
Patients undergo 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scans at baseline, after 2 courses of chemotherapy, and after completion of chemotherapy. Patients with residual FDG-positive mass after completion of therapy may be enrolled in group B. Fluorodeoxyglucose F 18: Undergo scans \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans
Participants Scanned in the Evaluation of Residual Masses After Therapy
n=21 participants at risk
Patients undergo a 3'-deoxy-3'-\[18F\] fluorothymidine (FLT) and fluorodeoxyglucose F 18 (FDG) Positron-emission tomography (PET)/Computed tomography (CT) scan in the evaluation of FDG-positive residual masses after therapy. Patients also undergo a biopsy or fine-needle aspiration, if clinically indicated. Biopsy: Biopsy taken \[3'-deoxy-3'-\[F-18\] fluorothymidine: Undergo scans computed tomography: Undergo scans fine-needle aspiration: sample collected fine-needle aspiration: sample collected
Cardiac disorders
Chest pain - cardiac
12.5%
1/8 • Number of events 1 • Date treatment consent signed to date off study, approximately 4 years, 7 months and 9 days.
8/9 patients were injected with the tracer (FLT) and scanned in the first Arm/Group, and 21/22 in the second Arm/Group. The risk can only be for 8 patients and 21 participants who received FLT scan.
0.00%
0/21 • Date treatment consent signed to date off study, approximately 4 years, 7 months and 9 days.
8/9 patients were injected with the tracer (FLT) and scanned in the first Arm/Group, and 21/22 in the second Arm/Group. The risk can only be for 8 patients and 21 participants who received FLT scan.
Gastrointestinal disorders
Nausea
0.00%
0/8 • Date treatment consent signed to date off study, approximately 4 years, 7 months and 9 days.
8/9 patients were injected with the tracer (FLT) and scanned in the first Arm/Group, and 21/22 in the second Arm/Group. The risk can only be for 8 patients and 21 participants who received FLT scan.
4.8%
1/21 • Number of events 1 • Date treatment consent signed to date off study, approximately 4 years, 7 months and 9 days.
8/9 patients were injected with the tracer (FLT) and scanned in the first Arm/Group, and 21/22 in the second Arm/Group. The risk can only be for 8 patients and 21 participants who received FLT scan.

Additional Information

Dr. Esther Mena

National Cancer Institute

Phone: 240-760-6111

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place