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Trial registered on ANZCTR
Registration number
ACTRN12615000727549
Ethics application status
Approved
Date submitted
20/05/2015
Date registered
15/07/2015
Date last updated
28/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
An imaging study of 64Cu-SARTATE using positron emission tomography in patients with neuroendocrine tumours
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Scientific title
Safety and Potential Effectiveness of Positron Emission Tomography (PET) Imaging of Patients with Low & Intermediate Grade Neuroendocrine Tumors using 64Cu-SARTATE: A Single Centre, Open-Label, Non-Randomized, Phase-0 Microdosing Investigation
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Secondary ID [1]
286762
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Nil
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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:
Low & Intermediate Grade Neuroendocrine Tumors
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Condition category
Condition code
Cancer
295380
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0
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Neuroendocrine tumour (NET)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
200MBq of 64Cu-MeCOSar-Octreotate ("64Cu-SARTATE") given as a single bolus intravenous injection at day 1. SARTATE dose will not exceed 10micrograms. Followup will occur at 1 week.
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Intervention code [1]
291918
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Diagnosis / Prognosis
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Comparator / control treatment
Up to 200MBq of 68Ga-DOTA-Octreotate ("68Ga-DOTATATE") given as a single bolus intravenous injection up to 2 weeks prior to the study Day 1. DOTATATE dose will not exceed 20micrograms. DOTATATE is the current gold standard diagnostic method.
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Control group
Active
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Outcomes
Primary outcome [1]
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Safety: Occurrence of adverse clinical, biochemical or haematological events following 64Cu-SARTATE administration as assessed using medical history and blood tests (composite outcome) at visit 2 and visit 3.
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Assessment method [1]
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Timepoint [1]
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At visit 2 (day 2) and visit 3 (day 8)
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Primary outcome [2]
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Percentage of injected 64Cu-SARTATE dose found in organs of interest at 30mins, 1hr, 4hrs and 24hrs following administration of Investigational Product, via whole body PET scan
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Assessment method [2]
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Timepoint [2]
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30mins, 1hr, 4hrs and 24hrs following administration
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Primary outcome [3]
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Absorbed organ doses expressed as micro Sv/MBq of administered 64Cu-SARTATE, and whole body dose expressed as milliSv/200MBq of administered dose as assessed using whole body PET scan (composite outcome)
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Assessment method [3]
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Timepoint [3]
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30mins, 1hr, 4hrs and 24hrs following administration
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Secondary outcome [1]
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Whether 64Cu-SARTATE PET/CT scans demonstrate known sites of 68Ga-DOTATATE avid malignancy with equivalent or greater tumor to background ratios, where background uptake is that found in a non-tumor containing area of interest as decided upon by the nuclear medicine physician at the time of scan assessment.
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Assessment method [1]
314808
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Timepoint [1]
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30mins, 1hr, 4hrs and 24hrs following administration
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Secondary outcome [2]
314809
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Whether 64Cu-SARTATE PET/CT scans demonstrate any non-physiological, non-tumor containing tissues with uptake greater than 1.5 x that of the background, where background uptake is defined as in secondary endpoint.
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Assessment method [2]
314809
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Timepoint [2]
314809
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30mins, 1hr, 4hrs and 24hrs following administration
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Eligibility
Key inclusion criteria
1. Signed informed consent
2. Age greater than or equal to 18 years
3. Life expectancy greater than or equal to 8 weeks
4. Low and Intermediate Grade (Ki-67 index <20%) neuroendocrine tumors (NET)
5. At least one site of active somatostatin receptor positive malignancy, as demonstrated on the pre-study 68Ga-DOTATATE PET/CT scan performed as part of routine clinical care
6. Subjects with an estimated glomerular filtration rate (eGFR) greater than 60ml/min as measured using the MDRD formula (Modification of Diet in Renal Disease).
7. Eastern Cooperative Oncology Group (ECOG) performance score of 0-2
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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
1. Pregnant or breastfeeding females
2. Known sensitivity or allergy to somatostatin analogues
3. Subjects who have received interventional treatment for their NET in the interval between 68Ga-DOTATATE PET/CT & 64Cu-SARTATE PET/CT scan
4. Treatment with long acting somatostatin analogues within 28 days prior to the administration of Investigational Product
5. Treatment with short acting somatostatin analogues within 24hrs prior to the administration of Investigational Product
6. QTc interval greater than 0.44seconds as measured by screening ECG
7. Any serious medical condition which the investigator feels may interfere with the procedures or evaluations of the study
8. Patients unwilling or unable to comply with protocol or with a history of non-compliance or inability to grant informed consent
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
"Allocation is not concealed"
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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 0
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
For the 1st primary objective, the number of patients who demonstrate an adverse response judged to be related to 64Cu-SARTATE administration, and its 95% CI will be reported.
For the 2nd and 3rd primary objectives, basic descriptive statistics (mean, median and range) will be provided for the % of injected dose and the absorbed dose for each organ of interest, as well as for the whole body dose.
As a Phase 0 trial, up to 10 patients is considered to be sufficient to determine proof of concept.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/05/2015
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Actual
21/05/2015
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Date of last participant enrolment
Anticipated
30/09/2015
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Actual
16/10/2015
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Date of last data collection
Anticipated
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Actual
25/02/2016
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Peter MacCallum Cancer Institute - East Melbourne
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Clarity Pharmaceuticals PTY LTD
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Address [1]
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Suite 212A National Innovation Centre, ATP
4 Cornwallis St, Eveleigh NSW 2015
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Clarity Pharmaceuticals PTY LTD
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Address
Suite 212A National Innovation Centre, ATP
4 Cornwallis St, Eveleigh NSW 2015
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292876
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Peter MacCallum Cancer Centre Human Research Ethics Committee
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Ethics committee address [1]
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Peter MacCallum Cancer Centre Level 4, 10 St Andrews Place East Melbourne, VIC 3002
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
292876
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Approval date [1]
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26/02/2015
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Ethics approval number [1]
292876
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Summary
Brief summary
The primary purpose of this study is to examine the safety and potential effectiveness of a drug molecule called 64Cu-SARTATE as a potential new way to detect neuroendocrine cancers. Who is it for? You may be eligible to join this study if you are aged 18 years or over, have a life expectancy of 8 weeks or more and Low and Intermediate Grade (Ki-67 index <20%) neuroendocrine tumors (NET). Study details: All participants in this study will be injected with a single dose of 64Cu-SARTATE (a drug molecule). The study lasts for one week and the patient is administered 1 dose of the drug followed by whole body PET scans at 30mins, 1hr, 4hrs, & 24hrs. Complete safety evaluations will occur during visit 2 (day 2) & visit 3 (day 8). These scans will be compared to the current PET imaging standard called 68Ga-DOTATATE which you will have recently received as a standard procedure. It is hoped that this research will help to develop a product which is more accurate for the diagnosis of neuroendocrine tumours in patients.
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Trial website
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Trial related presentations / publications
Manuscript drafted
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Public notes
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Contacts
Principal investigator
Name
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Prof Rodney Hicks
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Address
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Peter MacCallum Cancer Centre
Centre for Cancer Imaging
St Andrews Place
East Melbourne, VIC 3002
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Country
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Australia
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Phone
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+61 3 9656 1111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Elizabeth Drummond
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Address
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Peter MacCallum Cancer Centre
Centre for Cancer Imaging
St Andrews Place
East Melbourne, VIC 3002
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Country
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Australia
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Phone
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+61 3 9656 1856
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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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Rodney Hicks
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Address
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Peter MacCallum Cancer Centre
Centre for Cancer Imaging
St Andrews Place
East Melbourne, VIC 3002
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Country
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Australia
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Phone
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+61 3 9656 1111
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Fax
57440
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Email
57440
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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
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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