PET/CT Scan as a Tool to Rationalize the Treatment of Patients With Advanced ColoRectal Cancer Undergoing First-line Medical Treatment

NCT ID: NCT02618850

Last Updated: 2023-03-24

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2024-12-31

Brief Summary

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The purpose of this study is to test whether an early metabolic response, measured by PET/CT scan after the first cycle of chemotherapy, is able to predict which patients with advanced CRC have a better prognosis.

Detailed Description

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Conditions

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Colorectal Cancer Stage IV

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Advanced CRC patients undergoing first-line chemotherapy

single cohort

Group Type OTHER

PET/CT

Intervention Type PROCEDURE

PET/CT scan at baseline and 10-14 days after day 1 of first cycle chemotherapy

first-line chemotherapy

Intervention Type DRUG

as prescribed by oncologist

Interventions

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PET/CT

PET/CT scan at baseline and 10-14 days after day 1 of first cycle chemotherapy

Intervention Type PROCEDURE

first-line chemotherapy

as prescribed by oncologist

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis histologically confirmed colorectal carcinoma
* stage IV disease
* patients eligible for standard first-line treatment medical therapy (chemotherapy, and when indicated in association with EGFR inhibitor and/or antiangiogenic) for advanced disease, at diagnosis or after primary surgery.
* At least one target or non-target lesion according to RECIST revised version 1.1.
* Age \> or = 18 years .
* ECOG PS 0-2.
* Life expectancy \> 3 months.
* Signed informed consent.

Exclusion Criteria

* Uncontrolled diabetes (glucose \> 200 mg/dl
* Any other malignancies within 5 years (except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer or surgically resected prostate cancer with normal PSA).
* Pregnant or lactating females.
* Previous medical therapy for metastatic disease (prior surgery, radiation therapy are permitted, as well as adjuvant medical therapy completed at least 6 months prior to study entry).
* Any poorly controlled illness (including active infections, significant hepatic, renal, metabolic or cardiac disease, myocardial infarction within previous 12 months) that may, according to physician's judgement, interfere with the patient's ability to undergo chemotherapy and/or the examinations within the study protocol
* Inability to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Secondo Lastoria, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Francesco Perrone, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute Naples, Italy; Director Clinical Trials Unit

Ciro Gallo, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

Second University of Naples, Italy; Chair of Medical Statistics

Luigi Aloj, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Corradina Caracò, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Vincenzo Iaffaioli, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Guglielmo Nasti, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Antonio Avallone, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Giovanni Romano, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Paolo Delrio, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Francesco Izzo, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Locations

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Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Countries

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Italy

Other Identifiers

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PETRA2 - CRC

Identifier Type: -

Identifier Source: org_study_id

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