Trial Outcomes & Findings for Comparative Study of Sensitivity of Ga-DOTATOC PET vs Octreoscan SPECT + CT (NCT NCT01869725)

NCT ID: NCT01869725

Last Updated: 2021-09-22

Results Overview

Tumor lesions detected on 68Ga-DOTATOC PET/CT compared with tumor lesions detected on Octreoscan SPECT imaging plus high-resolution, contrast-enhanced CT.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

68 participants

Primary outcome timeframe

Up to 6 months between the timing of the Octreoscan SPECT/CT plus high-resolution, contrast-enhanced CT and the time of the 68Ga-DOTATOC PET/CT (either imaging type may occur first)

Results posted on

2021-09-22

Participant Flow

Participant milestones

Participant milestones
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Overall Study
STARTED
68
Overall Study
COMPLETED
64
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Overall Study
ineligible after registration
1
Overall Study
Death
1
Overall Study
Lost to Follow-up
2

Baseline Characteristics

Comparative Study of Sensitivity of Ga-DOTATOC PET vs Octreoscan SPECT + CT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
n=68 Participants
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Age, Categorical
<=18 years
5 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
45 Participants
n=5 Participants
Age, Categorical
>=65 years
18 Participants
n=5 Participants
Age, Continuous
55 years
n=5 Participants
Sex: Female, Male
Female
33 Participants
n=5 Participants
Sex: Female, Male
Male
35 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
28 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
38 Participants
n=5 Participants
Region of Enrollment
United States
68 eligible participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 6 months between the timing of the Octreoscan SPECT/CT plus high-resolution, contrast-enhanced CT and the time of the 68Ga-DOTATOC PET/CT (either imaging type may occur first)

Population: Patients with neuroendocrine tumor or other somatostatin receptor positive tumor

Tumor lesions detected on 68Ga-DOTATOC PET/CT compared with tumor lesions detected on Octreoscan SPECT imaging plus high-resolution, contrast-enhanced CT.

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
n=34 Participants
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for OctreoScan as Compared to Pathology · False negative
6 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for OctreoScan as Compared to Pathology · Total negative
5 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for Ga-68-DOTATOC as Compared to Pathology · Total positive
28 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for Ga-68-DOTATOC as Compared to Pathology · False position
0 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for Ga-68-DOTATOC as Compared to Pathology · False negative
1 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for Ga-68-DOTATOC as Compared to Pathology · Total negative
5 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for OctreoScan as Compared to Pathology · Total positive
23 Participants
Comparison of Conventional Imaging and Gallium Ga 68-edotreotide PET Using Concordance in Tumor Detection With Pathology
Sensitivity and Specificity for OctreoScan as Compared to Pathology · False position
0 Participants

PRIMARY outcome

Timeframe: Up to 6 months

Population: Patients with neuroendocrine tumor or other somatostatin receptor positive tumor

Compare sensitivity of 68Ga-DOTATOC PET/CT with Octreoscan + high-resolution, contrast-enhanced CT for diagnosis and staging in neuroendocrine tumors and other somatostatin receptor positive tumors

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
n=34 Participants
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Compare Sensitivity of 68Ga-DOTATOC PET/CT With Octreoscan
Sensitivity of Ga-68-DOTATOC
96.55 percentage of sensitivity
Compare Sensitivity of 68Ga-DOTATOC PET/CT With Octreoscan
Sensitivity of OctreoScan
79.31 percentage of sensitivity
Compare Sensitivity of 68Ga-DOTATOC PET/CT With Octreoscan
Sensitivity of Conventional Imaging (CI)
82.24 percentage of sensitivity

PRIMARY outcome

Timeframe: 6 months

Population: Patients with neuroendocrine tumor or other somatostatin receptor positive tumor

Compare specificity of 68Ga-DOTATOC PET/CT with Octreoscan + high-resolution, contrast-enhanced CT for diagnosis and staging in neuroendocrine tumors and other somatostatin receptor positive tumors

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
n=34 Participants
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Compare Specificity of 68Ga-DOTATOC PET/CT With Octreoscan
Specificity of 68Ga-DOTATOC
100 percentage of specificity
Compare Specificity of 68Ga-DOTATOC PET/CT With Octreoscan
Specificity of Octreoscan
100 percentage of specificity
Compare Specificity of 68Ga-DOTATOC PET/CT With Octreoscan
Specificity of Conventional Imaging (CI)
47.82 percentage of specificity

Adverse Events

Diagnostic (Gallium Ga 68-edotreotide PET/CT)

Serious events: 0 serious events
Other events: 11 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Diagnostic (Gallium Ga 68-edotreotide PET/CT)
n=68 participants at risk
Patients receive gallium Ga 68-edotreotide IV and undergo PET/CT scan. Within 120 days, patients undergo standard indium In 111 pentetreotide contrast-enhanced CT or MRI scan. Patients may undergo a second gallium Ga 68-edotreotide PET/CT scan within 3-6 months if the lesions of the first scan cannot be confirmed. gallium Ga 68-edotreotide: Given IV positron emission tomography/computed tomography: Undergo gallium Ga 68-edotreotide PET/CT scan indium In 111 pentetreotide: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan computed tomography: Undergo indium In 111 pentetreotide contrast-enhanced CT scan contrast-enhanced magnetic resonance imaging: Undergo indium In 111 pentetreotide contrast-enhanced CT or MRI scan
Gastrointestinal disorders
Diarrhea
2.9%
2/68 • Number of events 2 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
1.5%
1/68 • Number of events 1 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Gastrointestinal disorders
Nausea
5.9%
4/68 • Number of events 4 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
General disorders
General disorders and administration site conditions - Other, specify
1.5%
1/68 • Number of events 1 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
General disorders
Pain
2.9%
2/68 • Number of events 2 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Musculoskeletal and connective tissue disorders
Back pain
4.4%
3/68 • Number of events 3 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
1.5%
1/68 • Number of events 1 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.5%
1/68 • Number of events 1 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Vascular disorders
Flushing
2.9%
2/68 • Number of events 2 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2
Vascular disorders
Vascular disorders - Other, specify
1.5%
1/68 • Number of events 1 • Adverse events were collected over 6 months at the following time points: 1) screening visit which occurred within 30 days of Ga-68 DOTATOC PET/CT 2) at scan 1 3) 1-7 days post scan 1 4) at scan 2 5) 1-7 days post scan 2

Additional Information

M. Sue O'Dorisio, MD, PhD

University of Iowa

Phone: 319-335-7234

Results disclosure agreements

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