Role of PET/CT With Fluorine-18 Tracers of Bone Metastases in Prostate Cancer (FLUPROSTIC)
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Purpose
Compare PET/CT and MRI for the early detection of bone metastases of prostate cancer: diagnostic performance and impact on the patient management.Determine the lowest cost strategy according to the precise clinical circumstances.
| Condition | Intervention |
|---|---|
|
Prostate Cancer |
Device: performance of PET/CT and whole-body MRI |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Role of PET/CT With Fluorine-18 Tracers and of Diffusion Weighted Whole-body MRI in the Early Detection of Bone Metastases in Prostate Cancer |
- bone metastases [ Time Frame: within 6 months ] [ Designated as safety issue: No ]Follow up data (histology, imaging, PSA levels) during 6 months to determine the standard of truth and the adequacy of the management decided on basis of imaging modalities.
| Estimated Enrollment: | 120 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
PET/CT and MRI
all patients will benefit from PET/CT and MRI
|
Device: performance of PET/CT and whole-body MRI
For PET/CT radiopharmaceuticals, both registered in France:Fluoride (18F)FLUOROCHOLINE (18F)No contrast agent scheduled for MRI in the study RadiopharmaceuticalsSingle use, 2-4 MBq/kg body weight, IV infusion
|
Detailed Description:
In patients with high risk prostate cancer and high PSA levels, PET/CT with fluoride (18F) and FLUOROCHOLINE (18F) and whole-body MRI will be performed within one month.
Data of a 6 month follow-up after those examination will be made available to a panel of independent experts. They will determine the standard of truth (SOT) concerning the invasion of the skeleton and also of soft tissue by prostate cancer tissue, the impact of each imaging modality on patient management and the adequacy of the decisions. In some cases (anti-hormone treatment without histology), it will not be possible to determine the SOT.
By comparison of the results of blind readings for each imaging modality with the standard of truth, the diagnostic performance will be determined.
By simulation, several strategies will be constructed concerning the best examinations to be performed and the sequence according to the precise clinical circumstances. Their cost and effectiveness will be evaluated.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Prostate cancer
Inclusion Criteria:
- Age > 18
- Histologically proven prostate cancer.
- Abnormal plasmatic level of prostate specific antigen dating less than 3 months, initial Gleason score available
- Written informed consent.
Exclusion Criteria:
- Other active cancer or bone infection.
- Chemotherapy or change in hormone therapy since the last PSA assay
- Contraindication to MRI without contrast agent (claustrophobia, pace maker, metallic foreign body, some cardiac valves). Metallic joint prostheses are NOT a contraindication.
- Allergic reaction to radiopharmaceuticals that will be used.
- Patient who seems not capable of staying in the gantry of the machines during the examinations without moving.
Contacts and Locations| Contact: Jean-Noël TALBOT, MD,PhD | 33 1 56 01 67 98 | Jean-noel.talbot@tnn.aphp.fr |
| France | |
| Service Médecine Nucléaire - Hôpital TENON | Recruiting |
| Paris, France, 75020 | |
| Contact: Jean-Noël TALBOT, MD,PhD Jean-noel.talbot@tnn.aphp.fr | |
| Principal Investigator: Jean-Noël TALBOT, MD, PhD | |
| Principal Investigator: | Jean-Noël TALBOT, MD,PhD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01501630 History of Changes |
| Other Study ID Numbers: | P090105, 2011-A01041-40 |
| Study First Received: | December 26, 2011 |
| Last Updated: | September 6, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Comparison of imaging modalities Impact on patient management Optimisation of cost of the diagnostic strategy |
Additional relevant MeSH terms:
|
Neoplasm Metastasis Prostatic Neoplasms Neoplastic Processes Neoplasms Pathologic Processes |
Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Genital Diseases, Male Prostatic Diseases |
ClinicalTrials.gov processed this record on May 16, 2013