Novel Gallium 68 Citrate in Orthopedic Infections

NCT ID: NCT03123289

Last Updated: 2021-04-15

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-06

Study Completion Date

2020-10-14

Brief Summary

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In the proposed study, our aim is to evaluate the uptake of 68Gallium-citrate in patients with failed joint prosthesis and compare it with that of conventional 18fluorine-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) scan. We will perform PET/CT scan with 68Gallium citrate and 18F-FDG in subjects with failed hip or knee prosthesis. Both 68Gallium-citrate and 18F-FDG scans, done within 24-48 hours from each other, will be performed within 4 weeks before surgical evaluation/revision of the hardware.

Detailed Description

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Conditions

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Joint Prosthesis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Same patients are scanned with two radiotracers within 24-48 hours. Results of the two scans are compared against each other.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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68Gallium-citrate

This arm, undergoing the "68-Gallium citrate PET/CT scan intervention", includes the PET/CT scans performed with 68Gallium-citrate radiotracer. Note that same patients scanned with different radiotracers serve in both arms.

Group Type EXPERIMENTAL

68-Gallium citrate PET/CT scan

Intervention Type DRUG

After establishment of an intravenous access, approximately 5 mCi of 68Ga-citrate (Zevacor Molecular, Somerset, NJ, USA) will be administered intravenously. Whole body PET/CT scan will be performed after 60 minutes of uptake phase.

18F-FDG

This arm, undergoing the "18F FDG PET/CT scan intervention", includes the PET/CT scans performed with 18F-FDG tracer.

Note that same patients scanned with different radiotracers serve in both arms.

Group Type EXPERIMENTAL

18F FDG PET/CT scan

Intervention Type DRUG

Subjects will undergo FDG PET/CT scan using the same imaging parameters either on the same day or within the next 24-48 hours. The subjects will be requested to fast for a minimum of 4 h prior to PET acquisition. After confirmation of a blood glucose level ≤200 mg/dl, technologists will establish the intravenous access and the subject will receive approximately 10 mCi of 18F-FDG (Zevacor Molecular, Somerset, NJ, USA) intravenously. The subject will be placed in uptake room for 60 minutes to allow for optimal localization of the compound. The subjects will be requested to void prior to administration of 18FDG and again prior to image acquisition.

Interventions

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68-Gallium citrate PET/CT scan

After establishment of an intravenous access, approximately 5 mCi of 68Ga-citrate (Zevacor Molecular, Somerset, NJ, USA) will be administered intravenously. Whole body PET/CT scan will be performed after 60 minutes of uptake phase.

Intervention Type DRUG

18F FDG PET/CT scan

Subjects will undergo FDG PET/CT scan using the same imaging parameters either on the same day or within the next 24-48 hours. The subjects will be requested to fast for a minimum of 4 h prior to PET acquisition. After confirmation of a blood glucose level ≤200 mg/dl, technologists will establish the intravenous access and the subject will receive approximately 10 mCi of 18F-FDG (Zevacor Molecular, Somerset, NJ, USA) intravenously. The subject will be placed in uptake room for 60 minutes to allow for optimal localization of the compound. The subjects will be requested to void prior to administration of 18FDG and again prior to image acquisition.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* At least 6 months after hip replacement with complaint of joint pain.
* Radiographic studies compatible with prosthesis loosening (i.e. periprosthetic infection or aseptic loosening).
* Pending surgical evaluation and tissue sampling within the next few weeks to differentiate between infection and aseptic loosening.

Exclusion Criteria

* Inability to consent
* Pregnancy or known or suspected hypersensitivity to metals or gallium
* Joint replacement for any reason other than primary or secondary osteoarthritis
* Prior surgical therapy for prosthesis failure after initial hospital discharge
* Active inflammatory/infectious process at any location other than prosthetic joint (Sarcoidosis, Rheumatoid arthritis, HIV infection, SLE)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Nasrin Ghesani

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nasrin Ghesani, MD

Role: PRINCIPAL_INVESTIGATOR

Rutgers University

Locations

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Rutgers New Jersey Medical School

Newark, New Jersey, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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20160000134

Identifier Type: -

Identifier Source: org_study_id

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