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Trial registered on ANZCTR
Registration number
ACTRN12611001283965
Ethics application status
Approved
Date submitted
15/12/2011
Date registered
15/12/2011
Date last updated
15/12/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of serial 18F-fluorodeoxyglucose (FDG) and 18F-fluorothymidine (FLT) positron emission tomography (PET) & computed tomography (CT) for candidates with non-small cell lung cancer (NSCLC)receiving radical chemo-radiation therapy
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Scientific title
A prospective study to investigate the impact of serial FDG and FLT PET scans on the radiation therapy treatment of patients with NSCLC
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Secondary ID [1]
273607
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
lung cancer
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Condition category
Condition code
Cancer
285543
285543
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0
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Lung - Non small cell
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
FDG and FLT PET/CT scans at baseline, during week two and week four of therapy.
Each scan involves the injection of a radiotracer (FDG or FLT).
Each scan is approximately 30 minutes in duration.
Patients will be recruited over a five year period.
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Intervention code [1]
283863
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Not applicable
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Comparator / control treatment
Observational single arm study, standard treatment adminstered.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To simulate the administration of biologically adapted radiation therapy (BART) to patients with NSCLC using information gained from interim FLT & FDG PET/CT scans.
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Assessment method [1]
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Timepoint [1]
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Following recruitment of all patients
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Secondary outcome [1]
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To determine the role of interim FLT & FDG PET/CT scans as biomarkers of patient prognosis.
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Assessment method [1]
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Timepoint [1]
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Overall survival (OS): time from first RT treatment until death from any cause.
Progression free survival (PFS): time from first RT until progression (local, regional & distant).
OS and PFS will be assessed clinically and with diagnostic imaging, including a follow-up FDG PET/CT scan.
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Eligibility
Key inclusion criteria
Written informed consent provided.
Histologically or cytologically confirmed NSCLC.
Candidate for radical RT (60Gy) & concomitant chemotherapy (standard regimen determined by medical oncologist).
Stage I - III disease (TNM 7th edition).
ECOG performance status 0-1.
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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?
Yes
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Key exclusion criteria
Received previous thoracic RT or a complete macroscopic excision of tumour.
Pregnancy (Women of child-bearing age to ensure adequate contraceptive measures).
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
23/10/2008
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Actual
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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
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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GPO Box 1421
Canberra
ACT
2601
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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Victorian Cancer Agency
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Address [2]
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12 Victoria Street
Carlton
Melbourne
VIC 3053
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Country [2]
284343
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Australia
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
St Andrews Place
East Melbourne
VIC 3001
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
283283
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Grattan Street
Parkville
Melbourne
VIC 3010
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Country [1]
283283
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Australia
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Other collaborator category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Dept Medical Imaging and Radiation Sciences
Wellington Road
Clayton,
VIC 3800
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Country [1]
260377
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286300
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Peter MacCallum Cancer Centre
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Ethics committee address [1]
286300
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St Andrews Place East Melbourne VIC 3001
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Ethics committee country [1]
286300
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Australia
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Date submitted for ethics approval [1]
286300
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Approval date [1]
286300
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14/10/2008
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Ethics approval number [1]
286300
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08/40
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Ethics committee name [2]
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Monash University
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Ethics committee address [2]
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Wellington Road Clayton VIC 3800
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
286338
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Approval date [2]
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23/10/2008
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Ethics approval number [2]
286338
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2008001483
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Summary
Brief summary
This study aims to prospectively explore the anatomical and biological characteristics of non-small cell lung cancers (NSCLC) in patients receiving combined radiation therapy (RT)-chemotherapy treatment with a curative intent. Patients will undergo PET/CT scans during the course of their treatment using two different PET tracers. The first tracer, 18F-FDG, is a proven tracer in current clinical use used to detect glucose metabolism. The second, 18F-FLT, is a novel tracer that can visualize cellular division rates in tumour compared to normal tissue.
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Trial website
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Trial related presentations / publications
Everitt S, Hicks R, Hicks R, Ball D, Kron T, Schneider-Kolsky M, Binns D, Walter T, Mac Manus M, Imaging cellular proliferation during chemo-radiotherapy: A pilot study of serial 18F-FLT-PET/CT imaging for non-small cell lung cancer, International Journal of Radiation Oncology Biology Physics, 2009, 75(4) pp1098-1104 (IF 4.290) Everitt S J, Hicks RJ, Kron T, Schneider-Kolsky M, Binns D, Walter T, Ball D, Mac Manus M, Imaging Cellular Proliferation During Therapy: A Pilot Study of Serial 18F-FLT-PET Scanning During Chemoradiation for Non-small Cell Lung Cancer Journal of Thoracic Oncology, 2008, 3(11) Supp 4, A121 (IF 1.429) Everitt S, A prospective study investigating the impact of serial PET/CT scans on the radiation therapy treatment of patients with lung cancer, Victorian Cancer Agency Conference, Melbourne August 2010, (Invited speaker) Everitt S, J Callahan, T Kron, R Hicks, D Ball, M Schneider-Kolsky and M MacManus, Biologically guided radiation therapy: quality assurance and resource implications in longitudinal PET/CT studies; ESTRO/EANM: Molecular Imaging and Radiation Oncology; Brussels; Belgium March 2010 Everitt S, Hicks R, Ball D, Kron T, Schneider-Kolsky M, Binns D, Walter T, Mac Manus M, Serial 18F-FLT-PET/CT scanning to monitor cellular proliferation in NSCLC during chemoRT, European Association of Nuclear Medicine, Spain, October 2009 Everitt S, Hicks R, Ball D, Kron T, Schneider-Kolsky M, Binns D, Walter T, Mac Manus M, Monitoring cellular proliferation during chemo-radiotherapy: A pilot study of serial 18F-FLTPET/CT scanning for Non-Small Cell Lung Cancer, Royal Australian and New Zealand College of Radiologists and Faculty of Radiation Oncology/Australian Institute of Radiography/Australasian College of Physical Scientists and Engineers in Medicine Combined Scientific Meeting, Brisbane, Australia, October 2009 Everitt S, Hicks R, Ball D, Kron T, Schneider-Kolsky M, Binns D, Walter T, Mac Manus M, Monitoring cellular proliferation during chemo-radiotherapy: A pilot study of serial 18F-FLT-PET/CT scanning for Non-Small Cell Lung Cancer, 39th ASM Australia New Zealand Society of Nuclear Medicine, Sydney, March 2009
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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
33513
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Contact person for public queries
Name
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Sarah Everitt
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Address
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Radiation Therapy
Peter MacCallum Cancer Centre
Locked Bag 1, A'Beckett Street
VIC 8006
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Country
16760
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Australia
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Phone
16760
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61 3 96561111
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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
Name
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Sarah Everitt
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Address
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Radiation Therapy
Peter MacCallum Cancer Centre
Locked Bag 1, A'Beckett Street
VIC 8006
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Country
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Australia
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Phone
7688
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61 3 96561111
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Fax
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Email
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[email protected]
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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
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
Everitt S, Ball D, Hicks R, Callahan J, Plumridge ...
[
More Details
]
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Spleen Volume Variation in Patients with Locally Advanced Non-Small Cell Lung Cancer Receiving Platinum-Based Chemo-Radiotherapy
2015
https://doi.org/10.1371/journal.pone.0142608
Embase
Cone-beam computed tomography for lung cancer - validation with CT and monitoring tumour response during chemo-radiation therapy.
2017
https://dx.doi.org/10.1111/1754-9485.12551
Dimensions AI
Acute radiation oesophagitis associated with 2-deoxy-2-[18F]fluoro-d-glucose uptake on positron emission tomography/CT during chemo-radiation therapy in patients with non-small-cell lung cancer
2017
https://doi.org/10.1111/1754-9485.12631
Embase
What18F-FDG PET response-assessment method best predicts survival after curative-intent chemoradiation in non-small cell lung cancer: EORTC, PERCIST, Peter Mac criteria, or Deauville criteria?.
2019
https://dx.doi.org/10.2967/jnumed.118.214148
Embase
Nodal metabolic tumour volume on baseline 18F-FDG PET/CT and overall survival in stage II and III NSCLC patients undergoing curative-intent chemoradiotherapy/radiotherapy.
2021
https://dx.doi.org/10.1111/1754-9485.13294
Embase
Blood-Derived Extracellular Vesicle-Associated miR-3182 Detects Non-Small Cell Lung Cancer Patients.
2022
https://dx.doi.org/10.3390/cancers14010257
N.B. These documents automatically identified may not have been verified by the study sponsor.
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