Standard Diagnostic Procedures With or Without Fludeoxyglucose F 18 Positron Emission Tomography in Finding Cancer in Patients With a Blood Clot in a Vein

NCT ID: NCT00964275

Last Updated: 2014-12-08

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

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2014-10-31

Brief Summary

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RATIONALE: Diagnostic procedures, such as fludeoxyglucose F 18 positron emission tomography, may help find and diagnose cancer. It is not yet known whether standard diagnostic procedures are more effective when given with or without fludeoxyglucose F 18 positron emission tomography in finding cancer.

PURPOSE: This randomized clinical trial is studying fludeoxyglucose F 18 positron emission tomography given together with standard diagnostic procedures to see how well it works compared with standard diagnostic procedures alone in finding cancer in patients with a blood clot in a vein.

Detailed Description

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OBJECTIVES:

Primary

* Demonstrate the efficacy, in terms of increased numbers of cancer diagnoses, of PET-CT with 18-FDG in patients with idiopathic venous thromboembolism.

Secondary

* Assess the risk of cancer detected at 1 year.
* Assess whether PET allows earlier detection of cancer.
* Evaluate survival.

OUTLINE: This is a multicenter study.

All patients undergo standard (clinical and biological) diagnostic tests for cancer. Patients are randomized to 1 of 2 diagnostic arms.

* Arm I: Patients undergo diagnostic fludeoxyglucose F 18 PET in addition to standard methods.
* Arm II: Patients only undergo standard diagnostic methods. Patients are followed up for 2 years.

Conditions

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Thromboembolism Unspecified Adult Solid Tumor, Protocol Specific

Keywords

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unspecified adult solid tumor, protocol specific thromboembolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Arm I

Patients undergo diagnostic fludeoxyglucose F 18 PET in addition to standard methods.

Group Type EXPERIMENTAL

fludeoxyglucose F 18

Intervention Type RADIATION

PET with flueoxyglucose F 18

Arm II

Patients only undergo standard diagnostic methods.

Group Type ACTIVE_COMPARATOR

diagnostic procedure

Intervention Type PROCEDURE

Standard diagnostic procedures followed

Interventions

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diagnostic procedure

Standard diagnostic procedures followed

Intervention Type PROCEDURE

fludeoxyglucose F 18

PET with flueoxyglucose F 18

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of idiopathic venous thromboembolism (IVTE) meeting 1 of the following criteria:

* Newly diagnosed
* Recurrent disease controlled by anticoagulant therapy
* No IVTE caused by a reversible major risk factor
* No IVTE caused by a major constitutional risk factor, including any of the following:

* Antiphospholipid antibody syndrome
* Antithrombin deficit
* Protein C
* Protein S

PATIENT CHARACTERISTICS:

* Not pregnant
* No other known active cancer at the onset of IVTE
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pierre-Yves Salaun, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Brest - Hopital De La Cavale Blanche

Locations

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CHU Brest - Hopital De La Cavale Blanche

Brest, , France

Site Status

Countries

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France

References

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Robertson L, Broderick C, Yeoh SE, Stansby G. Effect of testing for cancer on cancer- or venous thromboembolism (VTE)-related mortality and morbidity in people with unprovoked VTE. Cochrane Database Syst Rev. 2021 Oct 1;10(10):CD010837. doi: 10.1002/14651858.CD010837.pub5.

Reference Type DERIVED
PMID: 34597414 (View on PubMed)

Robin P, Le Roux PY, Tromeur C, Planquette B, Prevot-Bitot N, Lavigne C, Pastre J, Merah A, Couturaud F, Le Gal G, Salaun PY. Risk factors of occult malignancy in patients with unprovoked venous thromboembolism. Thromb Res. 2017 Nov;159:48-51. doi: 10.1016/j.thromres.2017.08.021. Epub 2017 Sep 28.

Reference Type DERIVED
PMID: 28978463 (View on PubMed)

Robin P, Le Roux PY, Planquette B, Accassat S, Roy PM, Couturaud F, Ghazzar N, Prevot-Bitot N, Couturier O, Delluc A, Sanchez O, Tardy B, Le Gal G, Salaun PY; MVTEP study group. Limited screening with versus without (18)F-fluorodeoxyglucose PET/CT for occult malignancy in unprovoked venous thromboembolism: an open-label randomised controlled trial. Lancet Oncol. 2016 Feb;17(2):193-199. doi: 10.1016/S1470-2045(15)00480-5. Epub 2015 Dec 8.

Reference Type DERIVED
PMID: 26672686 (View on PubMed)

Other Identifiers

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HCB-MVTEP

Identifier Type: -

Identifier Source: secondary_id

RB 08-062

Identifier Type: -

Identifier Source: secondary_id

INCA-RECF0945

Identifier Type: -

Identifier Source: secondary_id

EUDRACT-2008-004135-38

Identifier Type: -

Identifier Source: secondary_id

CDR0000639720

Identifier Type: -

Identifier Source: org_study_id