18F-sodium Fluoride (NaF) PET to Replace Bone Scintigraphy: Safety and Efficacy Assessment

NCT ID: NCT04842071

Last Updated: 2024-02-07

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

2500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-01

Study Completion Date

2025-12-31

Brief Summary

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18F-sodium fluoride (18F-NaF) was already investigated numerous times in the last 40 years as a PET alternative to standard 99m-technetium-derived bone scintigraphy. However, lack of universal tracer availability and higher costs contributed to the failure of 18F-NaF to systematically supplant bone scintigraphy as a standard of care.

Recently, an isotope shortage crisis occurred and evidenced the need to have non-reactor-derived alternatives for many nuclear medicine procedures, including bone scintigraphy. Since 18F-NaF is cyclotron-produced, it could become a necessary alternative to bone scintigraphy in case of another worldwide isotope shortage.

The study aims to evaluate the safety profile of 18F-NaF injection. Moreover, a patient registry will be compiled in order to perform sub-studies on 18F-NaF diagnostic performance on diverse bone and articular diseases.

Detailed Description

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Conditions

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Bone Cancer Articular Disease Infectious Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Every patient in need and/or eligible for a standard 99mTc-biphosphonate bone scintigraphy is eligible to participate to this study. Patient data and examination results will be compiled and monitored. The safety profile of 18F-NaF produced in the primary site will be determined.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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18F-NaF eligible patients

Eligibility for 18F-NaF PET scans is the same than for bone scintigraphy routinely prescribed in the clinic.

Group Type EXPERIMENTAL

18F-sodium fluoride

Intervention Type DIAGNOSTIC_TEST

Intravenous injection of 4 MBq/kg for pediatric patients, or 5 MBq/kg for adult patients (maximum of 555 MBq), followed by a 45 minutes waiting time. Patients is then placed in supine position in a PET/CT scanner for a duration of no more than 30 minutes.

Interventions

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18F-sodium fluoride

Intravenous injection of 4 MBq/kg for pediatric patients, or 5 MBq/kg for adult patients (maximum of 555 MBq), followed by a 45 minutes waiting time. Patients is then placed in supine position in a PET/CT scanner for a duration of no more than 30 minutes.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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18F-NaF

Eligibility Criteria

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Inclusion Criteria

* Patients for whom a 99mTc-biphosphonate bone scintigraphy is indicated;
* Pediatric patients for whom a 99mTc-biphosphonate bone scintigraphy is indicated for oncologic or infectious reasons
* Able to tolerate supine position
* Written consent

Exclusion Criteria

* Healthy subjects
* Pregnancy
* Unable of maintaining supine position for more than 15 minutes
* Refusal to sign the consent form
* Known allergy or hypersensitivity to 18F-NaF or any of its constituants.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Université de Sherbrooke

OTHER

Sponsor Role collaborator

Centre de recherche du Centre hospitalier universitaire de Sherbrooke

OTHER

Sponsor Role lead

Responsible Party

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Dr Éric E Turcotte, MD

Head of clinical research, CIMS, CRCHUS

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Éric E Turcotte, MD

Role: PRINCIPAL_INVESTIGATOR

Université de Sherbrooke, Centre de Recherche du CHUS

Locations

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CHUS

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Université deSherbrooke

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Stéphanie Dubreuil

Role: CONTACT

819-346-1110 ext. 16617

Facility Contacts

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Stéphanie Dubreuil

Role: primary

819-346-1110 ext. 16617

Eric E Turcotte, MD

Role: primary

346-1110 ext. 11887

Stephanie Dubreuil

Role: backup

819-346-1110 ext. 16617

Other Identifiers

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CIMS-2008-01

Identifier Type: -

Identifier Source: org_study_id

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