FLT-PET/MRI for Early Response Monitoring to Novel Cancer Therapeutic Agents

NCT ID: NCT02055586

Last Updated: 2020-09-18

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

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-10-22

Study Completion Date

2017-12-27

Brief Summary

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This pilot clinical trial studies fluorine F 18 fluorothymidine (FLT)-positron emission tomography/magnetic resonance imaging (PET/MRI) in measuring early response in patients with metastatic solid tumors receiving treatment that blocks blood flow to the tumor. Diagnostic procedures, such as FLT-PET/MRI, may help measure a patient's response earlier during treatment.

Detailed Description

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PRIMARY OBJECTIVES:

The primary objective of this pilot imaging study is to determine the feasibility of FLTPET/MR imaging for early prediction of treatment response in patients undergoing antiangiogenic cancer treatment. The study will assess PET/MRI test-retest reproducibility and compare baseline PET/MRI with PET/MRI after initiation (within 2-4 weeks) of antiangiogenic therapy.

SECONDARY OBJECTIVES:

* To compare early changes in PET biomarker (FLT) tumor uptake with treatment response assessed at completion of therapy (prediction of treatment response).
* To compare changes in MRI signal intensities (multi-parametric MRI) with treatment response assessed at completion of therapy.
* To compare results from multi-parametric MR imaging with FLT tumor uptake.
* To assess combinations of quantitative PET and MRI metrics.

OUTLINE:

Patients undergo FLT-PET/MRI twice at baseline and once within 4 weeks after start of treatment.

Conditions

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Unspecified Adult Solid Tumor, Protocol Specific

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Diagnostic (FLT-PET/MRI)

Patients undergo FLT-PET/MRI twice at baseline and once within 4 weeks after start of treatment.

fluorine F 18 fluorothymidine

Intervention Type OTHER

Undergo FLT-PET/MRI

positron emission tomography

Intervention Type DEVICE

Undergo FLT-PET/MRI

magnetic resonance imaging

Intervention Type DEVICE

Undergo FLT-PET/MRI

Interventions

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fluorine F 18 fluorothymidine

Undergo FLT-PET/MRI

Intervention Type OTHER

positron emission tomography

Undergo FLT-PET/MRI

Intervention Type DEVICE

magnetic resonance imaging

Undergo FLT-PET/MRI

Intervention Type DEVICE

Other Intervention Names

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18F-FLT 3'-deoxy-3'-[18F]fluorothymidine fluorothymidine F-18 PET/MR PET PET scan tomography, emission computed MRI NMR imaging NMRI nuclear magnetic resonance imaging

Eligibility Criteria

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Inclusion Criteria

* Patients with metastatic solid tumors scheduled to undergo treatment with novel cancer therapeutic agents as standard of care (SOC) treatment.
* Patients able to tolerate PET/MRI scans
* Informed consent must be given and signed

* Subjects who refuse to give and/or sign the informed consent
* Patients who currently have a pacemaker
* Patients who have a history of serious adverse events related to a previous MRI or PET/CT
* Patients who are unable to undergo MRI scanning due to exclusion by UHCMC MRI restriction policies as mentioned in the standard UHCMC MRI informed consent form
* Patients with a known allergy against any component of the contrast enhancing agent
* Patients who currently pregnant or breast feeding; negative serum pregnancy test within 72 hours of their first FLT-PET/MRI
* Anti-cancer treatment (chemotherapy and/or radiation therapy) within the last 4 weeks
* Renal insufficiency: elevated creatinine and/or glomerular filtration rate (GFR) \< 40 ml/min/1.73\^2 (exclusion criterion only for contrast enhanced MRI)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Case Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Norbert Avril

Role: PRINCIPAL_INVESTIGATOR

Case Comprehensive Cancer Center

Locations

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Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2013-01177

Identifier Type: REGISTRY

Identifier Source: secondary_id

CASE3Y12

Identifier Type: -

Identifier Source: org_study_id

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