Gallium-68 Prostate Specific Membrane Antigen PET in Diagnosing Patients With Thyroid Cancer

NCT ID: NCT03463889

Last Updated: 2021-06-29

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-19

Study Completion Date

2020-10-31

Brief Summary

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This pilot clinical trial studies how well Gallium-68 prostate specific membrane antigen positron emission tomography (PET) work in diagnosing patients with thyroid cancer. Diagnostic procedures, such as 68Ga-PSMA PET, may more accurately diagnose thyroid cancer and find out how far the disease has spread.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine the feasibility and utility of Gallium Ga 68-labeled PSMA-11 (68Ga-PSMA) PET imaging in patients with thyroid cancer.

SECONDARY OBJECTIVES:

I. To assess the correlation between targeted molecular uptake of 68Ga-PSMA PET in thyroid cancer compared to areas identified as tumor by radioiodine uptake (in well-differentiated cancers) or fludeoxyglucose F-18 (18F-FDG) uptake (in poorly differentiated and/or radioiodine-negative cancers).

II. To determine and compare the sensitivity and specificity of 68Ga-PSMA PET to (18F-FDG) PET and/or radioiodine scintigraphy.

TERTIARY OBJECTIVES:

I. To determine if 68Ga-PSMA PET uptake is related to tumor differentiation and PSMA staining in tissue pathology when available.

II. To determine the correlation between standardized uptake value maximum (SUVmax) of target thyroid cancer lesions on 68Ga-PSMA PET and serum thyroglobulin levels.

OUTLINE:

Participants receive 68Ga-PSMA intravenously (IV) over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan.

Conditions

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Thyroid Gland Carcinoma

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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Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)

Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan.

Group Type EXPERIMENTAL

Gallium Ga 68-labeled PSMA-11

Intervention Type DRUG

Given IV

Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo MRI in combination with PET

Positron Emission Tomography (PET)

Intervention Type PROCEDURE

Undergo PET in combination with MRI

Interventions

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Gallium Ga 68-labeled PSMA-11

Given IV

Intervention Type DRUG

Magnetic Resonance Imaging

Undergo MRI in combination with PET

Intervention Type PROCEDURE

Positron Emission Tomography (PET)

Undergo PET in combination with MRI

Intervention Type PROCEDURE

Other Intervention Names

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68Ga-HBED-CC-PSMA 68Ga-PSMA-11 [68Ga] Prostate-specific Membrane Antigen 11 [68Ga]GaPSMA-11 Ga-68 labeled PSMA-11 Gallium Ga 68 PSMA-11 Magnetic Resonance Imaging Scan Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance MRI MRI Scan Nuclear Magnetic Resonance Imaging (NMRI) Nuclear Magnetic Resonance (NMR) Imaging NMRI Medical Imaging, Positron Emission Tomography PET Scan Positron Emission Tomography Scan Positron-Emission Tomography proton magnetic resonance spectroscopic imaging

Eligibility Criteria

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Inclusion Criteria

* History of thyroid cancer
* Whole body 18F-FDG PET/computed tomography (CT) or I-131 scintigraphy within the past 90 days of the scheduled 68Ga-PSMA PET demonstrating uptake
* Creatinine =\< 3.0 mg/dL
* Ability to understand a written informed consent document, and the willingness to sign it

Exclusion Criteria

* Patients who have had active infection within 15 days of study enrollment that may be considered to interfere with 68Ga-PSMA PET imaging by the study investigators
* Patients who are unable to have placement of intravenous line access
* Pregnant or breastfeeding women
* Patients not capable of undergoing a PET/MRI study due to weight, claustrophobia, or inability to lie still for the duration of the exam
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Robert Flavell, MD, PhD

Asst Professor in Residence

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert Flavell, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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NCI-2018-00055

Identifier Type: REGISTRY

Identifier Source: secondary_id

172016

Identifier Type: -

Identifier Source: org_study_id

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