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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05095519
Registration number
NCT05095519
Ethics application status
Date submitted
21/09/2021
Date registered
27/10/2021
Date last updated
18/03/2024
Titles & IDs
Public title
Hepatocellular Carcinoma Imaging Using PSMA PET/CT
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Scientific title
Hepatocellular Carcinoma Imaging Using PSMA PET/CT - a Prospective Pilot Trial
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Secondary ID [1]
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HREC/62461/PMCC
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Universal Trial Number (UTN)
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Trial acronym
HepaSMART
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatocellular Carcinoma
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Condition category
Condition code
Cancer
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Non melanoma skin cancer
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Cancer
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Kidney
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Cancer
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Liver
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - 18F-DCFPyL
Experimental: 18F-DCFPyL - Patients will undergo PET/CT imaging following intravenous administration of 18F-DCFPyL
Treatment: Drugs: 18F-DCFPyL
18F-DCFPyL will be administered with a single dose of 3.5 MBq per kg (2-4 MBq per kg), maximum 400 MBq), administered as a slow (over 30 seconds) intravenous injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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True Positive Rate per patient
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Assessment method [1]
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The probability that HCC is present when the PSMA-PET/CT test result is positive on a per patient basis.
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Timepoint [1]
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6 months
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Primary outcome [2]
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True Negative Rate per patient
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Assessment method [2]
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The probability that HCC is absent when the PSMA-PET/CT test result is negative on a per patient basis.
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Timepoint [2]
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6 months
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Primary outcome [3]
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True Positive Rate per lesion
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Assessment method [3]
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The probability that HCC is present when the PSMA-PET/CT test result is positive on a per lesion basis.
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Timepoint [3]
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6 months
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Primary outcome [4]
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True Negative Rate per lesion.
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Assessment method [4]
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The probability that HCC is absent when the PSMA-PET/CT test result is negative on a per lesion basis.
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Timepoint [4]
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6 months
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Secondary outcome [1]
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PSMA uptake
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Assessment method [1]
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Qualitative uptake of PSMA measured on a per lesion basis.
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Timepoint [1]
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6 months
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Secondary outcome [2]
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Maximum standard uptake value
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Assessment method [2]
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Maximum standard uptake value of lesions on PSMA PET/CT.
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Timepoint [2]
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6 months
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Secondary outcome [3]
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CT LIRADS (Liver Imaging Reporting and Data System) Score
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Assessment method [3]
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LI RADS Score for CT lesions.
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Timepoint [3]
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6 months
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Secondary outcome [4]
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PSMA expression.
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Assessment method [4]
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Expression of PSMA per lesion.
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Timepoint [4]
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6 months
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Secondary outcome [5]
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GLUT-1 expression
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Assessment method [5]
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Expression of GLUT 1 per lesion.
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Timepoint [5]
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6 months
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Eligibility
Key inclusion criteria
* Male or female aged 18 years or older at screening
* Has provided written informed consent for participation in the study
* Must have risk factors for HCC e.g. cirrhosis, chronic hepatitis B infection with or without cirrhosis
* Patients with liver lesions =1 cm suspicious for HCC but with indeterminate features on CT and MRI meeting LI-RADS 3 or 4 criteria planned for biopsy, OR patients with liver lesions diagnostic of HCC based on CT or MRI meeting LI-RADS 5 criteria planned for surgical resection
* Patients must be willing and able to comply with the protocol and procedures for the duration of the study
* Patients must be available for follow-up
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Abdominal surgery or radiotherapy to the abdomen within <4 weeks of registration. Patients must have recovered from any effects of any major surgery
* Uncontrolled intercurrent illness that is likely to impede participation and or compliance
* Any history of prostate cancer or elevated PSA level for male patients
* Other malignancies unless curatively treated with no evidence of disease within previous 3-years other than adequately treated non-melanoma skin cancer or melanoma in situ
* Participation in another clinical study with an investigational product or another systemic cancer therapy administered in the last 4 weeks
* Has known psychiatric or substance abuse disorders that would interfere with cooperation with requirements of the study
* Women who are pregnant or lactating
* Cirrhosis due to congenital hepatic fibrosis, vascular disorders (e.g. Budd-Chiari syndrome) or cardiac cirrhosis
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
8/09/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
8/09/2024
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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St Vincent's Hospital - Fitzroy
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Recruitment hospital [2]
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Austin Health - Heidelberg
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Recruitment hospital [3]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [4]
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The Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment postcode(s) [2]
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3084 - Heidelberg
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Recruitment postcode(s) [3]
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3000 - Melbourne
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Recruitment postcode(s) [4]
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- Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Peter MacCallum Cancer Centre, Australia
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the research is to evaluate the use of a PSMA PET/CT (Prostate Specific Membrane Antigen Positron Emission Tomography/Computerized Tomography) scan in the diagnosis of HCC (hepatocellular carcinoma) and comparing it to standard scanning techniques with CT (Computed Tomography) or MRI (Magnetic Resonance Imaging).
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Trial website
https://clinicaltrials.gov/study/NCT05095519
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Grace Kong
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Address
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Country
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Phone
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+61 3 85595000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05095519
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