Yttrium-90 (Y90) Glass Microspheres PET/CT in Imaging Patients With Liver Tumors

NCT ID: NCT03109262

Last Updated: 2022-01-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-15

Study Completion Date

2021-02-28

Brief Summary

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This clinical trial studies how well yttrium-90 (Y90) glass microspheres positron emission tomography (PET)/computed tomography (CT) works in imaging patients with liver tumors . Images produced by PET/CT may provide better information about the distribution of particles, such as Y90 glass microspheres, delivered for selective internal radiation therapy (SIRT) as compared to regular medical care images useing technetium Tc-99m albumin-aggregated single photon emission computed tomography (SPECT)/CT images.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate the image quality of yttrium-90 (Y90) microspheres PET/CT post SIRT images as compared to technetium Tc-99m albumin aggregated (99mTc MAA) SPECT/CT.

SECONDARY OBJECTIVES:

I. To determine the superior accuracy in both distribution and dosimetry of Y90 PET/CT post-SIRT imaging compared to 99mTc MAA planar and SPECT/CT imaging.

OUTLINE:

Immediately after standard of care SIRT, patients receive Y90 glass microspheres and undergo PET/CT over 30 minutes.

This study compares the experimental images to the regular medical care images in the same participant.

Conditions

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Primary Malignant Liver Neoplasm

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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Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans

All participants receive both Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans

Group Type EXPERIMENTAL

Computed Tomography (CT)

Intervention Type PROCEDURE

As part of PET/CT and SPECT/CT scans.

Positron Emission Tomography (PET)

Intervention Type PROCEDURE

As part of PET/CT scan

90-Yttrium (Y-90) Glass Microspheres

Intervention Type DEVICE

Radiolabel for PET/CT scan

Technetium 99mTc albumin aggregated (99mTc-MAA)

Intervention Type DIAGNOSTIC_TEST

Radiolabel for 99mTc-MAA SPECT/CT Scan

Single-photon emission computerized tomography (SPECT) scan

Intervention Type PROCEDURE

As part of SPECT/CT scan

Interventions

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Computed Tomography (CT)

As part of PET/CT and SPECT/CT scans.

Intervention Type PROCEDURE

Positron Emission Tomography (PET)

As part of PET/CT scan

Intervention Type PROCEDURE

90-Yttrium (Y-90) Glass Microspheres

Radiolabel for PET/CT scan

Intervention Type DEVICE

Technetium 99mTc albumin aggregated (99mTc-MAA)

Radiolabel for 99mTc-MAA SPECT/CT Scan

Intervention Type DIAGNOSTIC_TEST

Single-photon emission computerized tomography (SPECT) scan

As part of SPECT/CT scan

Intervention Type PROCEDURE

Other Intervention Names

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CAT CAT Scan Computed Tomography Computerized Axial Tomography Computerized Tomography CT CT SCAN tomography X-ray Medical Imaging, Positron Emission Tomography PET PET SCAN Positron Emission Tomography Positron Emission Tomography Scan Positron-Emission Tomography proton magnetic resonance spectroscopic imaging TheraSphere 99mTc-MAA SPECT Scan

Eligibility Criteria

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Inclusion Criteria

* Patient provides written informed consent
* Patient is referred for 90Y SIRT radioembolization of liver tumor(s)
* Patient is capable of complying with study procedures
* Patient is able to remain still for duration of imaging procedure (approximately 30 minutes total for digital PET/CT)

Exclusion Criteria

* Patient is pregnant or nursing
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Andrei Iagaru

Professor of Radiology (Nuclear Medicine)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrei Iagaru

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University

Palo Alto, California, United States

Site Status

Countries

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United States

References

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Duan H, Khalaf MH, Ferri V, Baratto L, Srinivas SM, Sze DY, Iagaru A. High quality imaging and dosimetry for yttrium-90 (90Y) liver radioembolization using a SiPM-based PET/CT scanner. Eur J Nucl Med Mol Imaging. 2021 Jul;48(8):2426-2436. doi: 10.1007/s00259-021-05188-4. Epub 2021 Jan 14.

Reference Type RESULT
PMID: 33443618 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2017-00463

Identifier Type: REGISTRY

Identifier Source: secondary_id

VAR0147

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-39332

Identifier Type: -

Identifier Source: org_study_id

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