Evaluation of Hypoxia by PET With F-Miso in Radiation Therapy of Prostate Cancer

NCT ID: NCT01898065

Last Updated: 2015-11-09

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

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2015-02-28

Brief Summary

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With functional imaging development, it becomes possible to increase radiation dose to radioresistant areas (located inside tumor volume) using radiotherapy dose-painting. This strategy is particularly suitable for prostate cancer where tumor hypoxia plays a major role in the resistance of these tumors to radiation.

In order to develop intratumoral hypoxia targeting by radiotherapy dose-painting areas, we should characterize changes in hypoxia before treatment and during radiotherapy.

* If hypoxia does not change during radiotherapy, radiotherapy dose-painting strategy by an "integrated" boost is performed.
* If hypoxia varied (increasing or incomplete regression), a "final" boost strategy of radiotherapy dose-painting(IMRT, stereotactic brachytherapy or high dose rate) after a first fractionated IMRT could be considered.

This study should show that PET imaging with fluoromisonidazole (18F-MISO) is an available tool to physicians in assessing tumor hypoxia.

Detailed Description

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Conditions

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Prostate Adenocarcinoma

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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PET imaging, 18 F-miso

Single Arm study

Group Type EXPERIMENTAL

18-F-MISO

Intervention Type DRUG

PET scan with the 18 Fluoro Misonidazole

Interventions

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18-F-MISO

PET scan with the 18 Fluoro Misonidazole

Intervention Type DRUG

Other Intervention Names

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18 Fluoro Misonidazole

Eligibility Criteria

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Inclusion Criteria

* histologically proven prostate adenocarcinoma
* Absence of metastases (lymph node or bone)
* One or more tumor nodules seen on MRI and PET Choline.
* Intermediate Risk : Gleason 7 and PSA (prostate specific antigen)\<20 ng / ml, T \<T2c or Gleason 6 and PSA 10-20 ng / ml, T \<T2c
* No concomitant hormonal treatment. (NB: the introduction of hormone therapy during radiotherapy before the second 18F-MISO is a criterion to study exit)
* Indication of radiotherapy up to a total dose\> 70 Gy and 2 Gy/day fractions
* Signed Informed consent
* Social Insurance

Exclusion Criteria

* Age \< 18 years old
* Patient protected by law
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Poitiers University Hospital

OTHER

Sponsor Role collaborator

IASON Gmbh, Feldkirchner strasse 4, 8054 Graz-Seiesberg AUSTRIA

UNKNOWN

Sponsor Role collaborator

Cyclopharma

INDUSTRY

Sponsor Role collaborator

Institut Cancerologie de l'Ouest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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SUPIOT Stéphane, MD

Role: PRINCIPAL_INVESTIGATOR

ICO René Gauducheau

Locations

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CHU Poitiers

Poitiers, , France

Site Status

ICO Rene Gauducheau

Saint-Herblain, , France

Site Status

Countries

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France

References

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Rasey JS, Koh WJ, Evans ML, Peterson LM, Lewellen TK, Graham MM, Krohn KA. Quantifying regional hypoxia in human tumors with positron emission tomography of [18F]fluoromisonidazole: a pretherapy study of 37 patients. Int J Radiat Oncol Biol Phys. 1996 Sep 1;36(2):417-28. doi: 10.1016/s0360-3016(96)00325-2.

Reference Type RESULT
PMID: 8892467 (View on PubMed)

Bentzen SM. Theragnostic imaging for radiation oncology: dose-painting by numbers. Lancet Oncol. 2005 Feb;6(2):112-7. doi: 10.1016/S1470-2045(05)01737-7.

Reference Type RESULT
PMID: 15683820 (View on PubMed)

Related Links

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Other Identifiers

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2011-004582-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

RC11-080

Identifier Type: -

Identifier Source: org_study_id

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