F18PET/CT Versus TC-MDP Scanning to Detect Bone Mets

NCT ID: NCT00882609

Last Updated: 2012-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

550 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2013-06-30

Brief Summary

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The primary objective is to compare the diagnostic performance of 18F- Fluoride PET/CT scanning to that of conventional bone scanning for detecting cancer that has spread to the bone (bone metastasis). The intent of the study is to determine whether 18F-Fluoride PET/CT will lead to improved treatment and patient outcomes.

Detailed Description

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The trial will accrue four hundred-eighty eight (488) evaluable patients with breast cancer, prostate cancer or lung cancer (approximately 163 of each cancer type) referred for routine bone scanning by their respective physicians. The specific stages of cancer required for eligibility are described in the eligibility criteria.

Approximately eleven to fifteen qualified clinical centers will participate in the trial, with target enrollment for each site set at roughly 40-50 patients per site.

The images of the patients will be transmitted to ACR Image Metrix, an imaging contract research organization (iCRO), for quality assurance and archival. iCRO will conduct blinded core lab interpretations by 3 radiologists who have not been involved in the design of the trial nor the clinical image interpretation. The data from the core lab readings will be compared with the deliberations of a multidisciplinary panel of oncology experts who will be blinded to the initial scan results and will determine the standard of evidence (truth) for each patient. The analysis will be based on this comparison.

Conditions

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Bone Metastases

Keywords

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bone metastasis bone metastases Sodium Fluoride F18 Fluoride bone scan

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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TC-MDP Bone Scan

Patients without known bone metastases who are newly diagnosed with ≥ stage 3 breast cancer, ≥ stage 3 lung cancer, or ≥ stage 2 prostate cancer (and/or PSA \>10 micrograms/L), including patient with recurrent breast, lung or prostate cancer; Patient is scheduled to undergo a conventional bone scan

Group Type ACTIVE_COMPARATOR

Bone Scan: F18-Fluoride PET/CT or TC-MDP

Intervention Type DEVICE

Each patient will be randomized into one of two groups with one group receiving Sodium Fluoride F18 Injection and the other receiving the control agent, 99mTc-MDPSodium Fluoride F18 Injection Dosing and Administration. The dose will be tailored for the specific patient for whom the dose was ordered. The dose of Sodium Fluoride F18 Injection administered will range from 5-10 mCi/patient.Each patient randomized to the control group will be administered 99mTc-MDP as a single intravenous bolus dose. The administered radioactivity will be determined based on the sites routine clinical practice for conventional bone imaging.

F18-Fluoride PET/CT

Patients without known bone metastases who are newly diagnosed with ≥ stage 3 breast cancer, ≥ stage 3 lung cancer, or ≥ stage 2 prostate cancer (and/or PSA \>10 micrograms/L), including patient with recurrent breast, lung or prostate cancer; Patient is scheduled to undergo a conventional bone scan

Group Type EXPERIMENTAL

Bone Scan: F18-Fluoride PET/CT or TC-MDP

Intervention Type DEVICE

Each patient will be randomized into one of two groups with one group receiving Sodium Fluoride F18 Injection and the other receiving the control agent, 99mTc-MDPSodium Fluoride F18 Injection Dosing and Administration. The dose will be tailored for the specific patient for whom the dose was ordered. The dose of Sodium Fluoride F18 Injection administered will range from 5-10 mCi/patient.Each patient randomized to the control group will be administered 99mTc-MDP as a single intravenous bolus dose. The administered radioactivity will be determined based on the sites routine clinical practice for conventional bone imaging.

Interventions

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Bone Scan: F18-Fluoride PET/CT or TC-MDP

Each patient will be randomized into one of two groups with one group receiving Sodium Fluoride F18 Injection and the other receiving the control agent, 99mTc-MDPSodium Fluoride F18 Injection Dosing and Administration. The dose will be tailored for the specific patient for whom the dose was ordered. The dose of Sodium Fluoride F18 Injection administered will range from 5-10 mCi/patient.Each patient randomized to the control group will be administered 99mTc-MDP as a single intravenous bolus dose. The administered radioactivity will be determined based on the sites routine clinical practice for conventional bone imaging.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient is ≥ 18 years old at the time of the drug administration (Patient may be male or female of any race / ethnicity.)
* Patient or patient's legally acceptable representative cognitively provides written informed consent
* Patients without known bone metastases who are newly diagnosed with ≥ stage 3 breast cancer, ≥ stage 3 lung cancer, or ≥ stage 2 prostate cancer (and/or PSA \>10 micrograms/L), including patient with recurrent breast, lung or prostate cancer
* Patient is scheduled to undergo a conventional bone scan
* Patient is capable of complying with study procedures
* Patient is able to remain still for duration of imaging procedure (about one hour)
* Patient may have had a prior PET or PET/CT scan for staging/restaging.

Exclusion Criteria

* Patient is \< 18 years old at the time of the drug administration
* Patient is pregnant or nursing;

* testing on site at the institution (urine or serum ßHCG) within 24 hours prior to the start of investigational product administration
* obtaining surgical history (e.g., tubal ligation or hysterectomy)
* confirming the subject is post menopausal, with a minimum 1 year without menses
* Patient has any other condition or personal circumstance that, in the judgment of the investigator, might interfere with the collection of complete good quality data
* Patient has known bone metastases
* Patient has previously received \[18F\]NaF in the last thirty days
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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World Molecular Imaging Society

UNKNOWN

Sponsor Role collaborator

American College of Radiology - Image Metrix

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Johannes Czernin, MD

Role: PRINCIPAL_INVESTIGATOR

World Molecular Imaging Society

Locations

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Scottsdale Medical Imaging

Scottsdale, Arizona, United States

Site Status RECRUITING

Silicon Valley Imaging

Freemont, California, United States

Site Status COMPLETED

Cedar-Sinai Medical Center

Los Angeles, California, United States

Site Status TERMINATED

VA West Los Angles Medical Center

Los Angeles, California, United States

Site Status RECRUITING

UCLA

Los Angeles, California, United States

Site Status RECRUITING

Stanford University Medical Center

Stanford, California, United States

Site Status RECRUITING

SouthCoast Imaging Center

Savannah, Georgia, United States

Site Status RECRUITING

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status RECRUITING

Saint Luke's Hospital

Kansas City, Missouri, United States

Site Status RECRUITING

John Cochran Veterans Administration

St Louis, Missouri, United States

Site Status RECRUITING

Saint Louis University

St Louis, Missouri, United States

Site Status RECRUITING

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status RECRUITING

New York Presbyterian Weill Cornell

New York, New York, United States

Site Status RECRUITING

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

University of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status RECRUITING

Peter MacCallum

Melbourne, Victoria, Australia

Site Status RECRUITING

PET-CT Linz - St. Vicent's Hospital

Linz, Linz, Austria

Site Status RECRUITING

Hospitais da Universidade de Coimbra

Coimbra, Portugal, Portugal

Site Status RECRUITING

University Hospital Zurich

Zurich, Switzerland, Switzerland

Site Status COMPLETED

Countries

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United States Australia Austria Portugal Switzerland

Central Contacts

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Johannes Czernin, MD

Role: CONTACT

Phone: (310) 983-1443

Email: [email protected]

Facility Contacts

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Jocelyn Harmon

Role: primary

Gholam Berenji, MD

Role: primary

Martin A Auerbach, MD

Role: primary

Lindee Burton

Role: primary

Nicole Couturier

Role: primary

Kristine Wernette

Role: primary

Trent West

Role: primary

Ryan Warhoover

Role: primary

Martha Edwards

Role: primary

Suzanne Lenz

Role: primary

Ame Ng

Role: primary

Louis Kidd

Role: primary

Britney Beardmore

Role: primary

Regan Butterfield

Role: backup

Elizabeth Drummond

Role: primary

Mohsen Beheshti, MD

Role: primary

Paula Lapa, MD

Role: primary

Other Identifiers

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AMI-2008-01

Identifier Type: -

Identifier Source: org_study_id