Fluorine F 18 Sodium Fluoride Positron Emission Tomography in Evaluating Response to Dasatinib in Patients With Prostate Cancer and Bone Metastases
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Purpose
This phase II trial is studying how well fluorine F 18 sodium fluoride PET works in evaluating response to dasatinib in patients with prostate cancer and bone metastases. Diagnostic procedures, such as fluorine F 18 sodium fluoride positron emission tomography (PET), may help doctors predict a patient's response to treatment and help plan the best treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Bone Metastases Hormone-resistant Prostate Cancer Recurrent Prostate Cancer Stage IV Prostate Cancer |
Radiation: fluorine F 18 sodium fluoride |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | A Phase 2, Multicenter Evaluation of 18F-Fluoride PET as a Pharmacodynamic Biomarker for Dasatinib, a Src Kinase Inhibitor, in Men With Castration-Resistant Prostate Cancer and Bone Metastases (BMS #180-279) |
- Changes in regional fluoride incorporation as measured by 18F-fluoride PET (SUV and Ki) [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
- Changes in 18F-fluoride transport (K1) [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 24 |
| Study Start Date: | September 2009 |
| Estimated Primary Completion Date: | January 2100 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 18F-Fluoride PET
Patients undergo fluorine F 18 sodium fluoride PET scan at baseline and then at 12 weeks after initiation of treatment with dasatinib.
|
Radiation: fluorine F 18 sodium fluoride
Undergo fluorine F 18 sodium fluoride PET scan
Other Names:
|
Detailed Description:
PRIMARY OBJECTIVES:
I. Determine if changes in regional fluoride incorporation (SUV and Ki), as measured by fluorine F 18 sodium fluoride positron emission tomography, occur in both bone metastases and normal bone as a response to treatment with dasatinib in patients with castration-resistant prostate cancer and bone metastases.
SECONDARY OBJECTIVES:
I. Determine if changes in fluorine F 18 sodium fluoride transport (Kl) occur in both bone metastases and normal bone as a response to treatment with dasatinib in these patients.
OUTLINE: This is a multicenter study.
Patients undergo fluorine F 18 sodium fluoride PET scan at baseline and then at 12 weeks after initiation of treatment with dasatinib. PET parameters (SUV, Ki, and Kl) are also analyzed.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Histologically confirmed prostate cancer:
Metastatic disease
- Has ≥ 1 convincing bone metastasis by bone scintigraphy, CT scan/MRI, or plain x-ray
- Castration-resistant disease
Castrate testosterone levels (< 50 ng/dL)
- Has undergone prior orchiectomy OR is currently on maintenance luteinizing hormone-releasing hormone (LHRH) agonist or LHRH antagonist
- Scheduled to receive treatment with dasatinib on the Febbo clinical trial
- Life expectancy > 12 weeks
- Able to lie still for imaging
- Weighs ≤ 300 lbs.
- No condition that would alter mental status and preclude the basic understanding and/or authorization of informed consent
- No serious underlying condition that would otherwise impair the patient's ability to receive treatment and undergo imaging studies
- No extremely poor IV access that would preclude the placement of a peripheral IV line for injection of a radiotracer
- At least 4 weeks since prior initiation of bisphosphonate therapy
- At least 4 weeks since prior radiotherapy to the bone
- At least 4 weeks since prior radiopharmaceutical treatment to the bone
- More than 4 weeks since prior GM-CSF or G-CSF
Contacts and Locations| United States, Pennsylvania | |
| American College of Radiology Imaging Network | |
| Philadelphia, Pennsylvania, United States, 19103 | |
| Principal Investigator: | Evan Yu | American College of Radiology Imaging Network |
More Information
No publications provided
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00936975 History of Changes |
| Other Study ID Numbers: | NCI-2010-01292, ACRIN 6687, CDR0000647592, U01CA080098 |
| Study First Received: | July 9, 2009 |
| Last Updated: | May 1, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Neoplasm Metastasis Neoplasms, Second Primary Prostatic Neoplasms Bone Neoplasms Bone Marrow Diseases Neoplastic Processes Neoplasms Pathologic Processes Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Genital Diseases, Male Prostatic Diseases |
Bone Diseases Musculoskeletal Diseases Hematologic Diseases Fluorides Sodium Fluoride Dasatinib Cariostatic Agents Protective Agents Physiological Effects of Drugs Pharmacologic Actions Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 17, 2013