Whole Body Fluorine F 18 Sodium Fluoride PET/CT Scan and Whole Body MRI in Finding Bone Metastases in Patients With Prostate Cancer

NCT ID: NCT00956163

Last Updated: 2014-07-02

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

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2014-05-31

Brief Summary

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This phase 0 trial studies whole body fluorine F 18 sodium fluoride positron emission tomography (PET)/computed tomography (CT) scan and whole body magnetic resonance imaging (MRI) in finding bone metastases in patients with prostate cancer. Diagnostic procedures, such as whole body fluorine F 18 sodium fluoride PET/CT scan and whole body MRI, may help find and diagnose bone metastases.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate the sensitivity and specificity of whole-body fluorine F 18 sodium fluoride PET/CT scan in detecting bone metastases in patients with high-risk prostate cancer using bone scan as the reference standard.

II. To evaluate the sensitivity and specificity of whole-body MRI in detecting bone metastases in patients with high-risk prostate cancer using bone scan as the reference standard.

OUTLINE:

Patients undergo technetium Tc 99m methylene diphosphonate bone scan, fluorine F 18 sodium fluoride PET/CT scan, and whole-body MRI for the detection of bone metastases. Patients with discordant imaging results (negative bone scan and positive PET/CT scan and/or MRI) undergo additional imaging at 6, 12, 18, and 24 months.

Conditions

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Bone Metastases Recurrent Prostate Cancer Stage I Prostate Cancer Stage IIA Prostate Cancer Stage IIB Prostate Cancer Stage III Prostate Cancer Stage IV Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Diagnostic (fluorine F 18 sodium fluoride PET)

Patients undergo technetium Tc 99m methylene diphosphonate bone scan, fluorine F 18 sodium fluoride PET/CT scan, and whole-body MRI for the detection of bone metastases. Patients with discordant imaging results (negative bone scan and positive PET/CT scan and/or MRI) undergo additional imaging at 6, 12, 18, and 24 months.

Group Type EXPERIMENTAL

magnetic resonance imaging

Intervention Type PROCEDURE

Undergo whole-body MRI

fluorine F 18 sodium fluoride

Intervention Type RADIATION

Undergo fluorine F 18 sodium fluoride PET/CT scan

positron emission tomography

Intervention Type PROCEDURE

Undergo fluorine F 18 sodium fluoride PET/CT scan

computed tomography

Intervention Type PROCEDURE

Undergo fluorine F 18 sodium fluoride PET/CT scan

technetium Tc 99m methylene diphosphonate

Intervention Type RADIATION

Undergo technetium Tc 99m methylene diphosphonate bone scan

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

Interventions

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magnetic resonance imaging

Undergo whole-body MRI

Intervention Type PROCEDURE

fluorine F 18 sodium fluoride

Undergo fluorine F 18 sodium fluoride PET/CT scan

Intervention Type RADIATION

positron emission tomography

Undergo fluorine F 18 sodium fluoride PET/CT scan

Intervention Type PROCEDURE

computed tomography

Undergo fluorine F 18 sodium fluoride PET/CT scan

Intervention Type PROCEDURE

technetium Tc 99m methylene diphosphonate

Undergo technetium Tc 99m methylene diphosphonate bone scan

Intervention Type RADIATION

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

Other Intervention Names

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MRI NMR imaging NMRI nuclear magnetic resonance imaging 18 F-NaF F-18 NaF FDG-PET PET PET scan tomography, emission computed tomography, computed 99mTc-MDP TechneScan MDP technetium Tc 99m medronate

Eligibility Criteria

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Inclusion Criteria

* Any ethnic group
* Pathologically proven prostate cancer with high risk for bone metastases
* Rising prostate-specific antigen (PSA) despite androgen deprivation therapy (ADT), PSA \> 10 ng/mL
* Ability to understand and the willingness to sign a written combined Health Insurance Portability and Accountability Act (HIPAA) and informed consent document
* Patients Eastern Cooperative Oncology Group (ECOG) performance is =\< 1

Exclusion Criteria

* Patients may not receive any other investigational therapeutic agents from within 7 days prior to study drug administration through 7 days following study drug administration
* Patients with known contraindications to MR imaging such as presence of MRI incompatible devices such as pacemakers and certain aneurysm clips, severe claustrophobia, or any other condition which would preclude proximity to a strong magnetic field; this exclusion is a standard of practice
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements; patients in this category are excluded to reduce medical risk to their safety and to avoid confounding variables in regard to the possibility of adverse events
* Patient is unable to tolerate or has a lifer threatening allergy to the radiopharmaceutical used for bone scan or 18F-fluoride PET
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mukesh Harisinghani

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital Cancer Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2011-02972

Identifier Type: REGISTRY

Identifier Source: secondary_id

CDR0000666327

Identifier Type: -

Identifier Source: secondary_id

MGH-09364

Identifier Type: -

Identifier Source: secondary_id

09-364

Identifier Type: OTHER

Identifier Source: secondary_id

8336

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA006516

Identifier Type: NIH

Identifier Source: secondary_id

View Link

N01CM37120

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NCI-2011-02972

Identifier Type: -

Identifier Source: org_study_id

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