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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02131649
Registration number
NCT02131649
Ethics application status
Date submitted
1/05/2014
Date registered
6/05/2014
Date last updated
5/04/2022
Titles & IDs
Public title
PET/MRI for Men Being Considered for Radiotherapy for Suspected Prostate Cancer Recurrence Post-Prostatectomy
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Scientific title
PROPS (PET/MRI Pre-Radiotherapy for Post-Prostatectomy Salvage)
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Secondary ID [1]
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GAP02-01.1
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Universal Trial Number (UTN)
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Trial acronym
PROPS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - 18F-FCH PET/MRI Scan
Experimental: 18F-FCH PET/MRI Scan - Patients will undergo an injection of 18F-fluoromethyl-choline at 3.6 MBq/kg followed by whole body PET/CT imaging. Patients will also undergo a whole body MRI including T2 weighted, Diffusion weighted and Gadolinium Contrast Enhanced sequences. Patients with suspicion for recurrence may undergo biopsy if lesions identified on PET/CT or MRI are accessible for biopsy
Treatment: Devices: 18F-FCH PET/MRI Scan
Patients will first undergo screening to ensure eligibility. If eligible, they will undergo a PET/MRI scan using 18F-FCH as the radiolabeled tracer. If prostate cancer is detected outside the prostate, patients may undergo a biopsy or follow-up 18F-FCH PET/MRI to confirm the results.
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Intervention code [1]
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Treatment: Devices
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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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Proportion of men with negative or equivocal conventional restaging imaging (bone scan + CT scan of abdomen and pelvis) with uptake identified outside of the prostate bed on 18F-FCH PET
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Assessment method [1]
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Timepoint [1]
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Within 2 weeks of 18F-FCH PET scan
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Secondary outcome [1]
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Biochemical disease free survival at 3 years post-treatment
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Assessment method [1]
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Whether biochemical (PSA) control rates 3 years post-treatment are improved for participants with 18F-FCH PET imaging that was negative or demonstrated uptake confined to the prostate bed and received salvage pelvic radiotherapy compared to published results for men with adverse features.
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Timepoint [1]
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3 years post-treatment
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Eligibility
Key inclusion criteria
* Male, aged 18 years or older.
* Confirmation of prostate cancer on prostatectomy pathology report.
* No lymph node involvement (N0 or Nx) reported on prostatectomy pathology report.
* Documented PSA rise measured on 3 occasions.
* PSA = 0.2 ng/ml at enrolment.
* At least one adverse feature: Current PSA > or equal to 1.0, Initial Gleason Grade > or equal to 8, Positive surgical margin, pT3b (seminal vesicle involvement), or PSA doubling time < 10 months.
* Bone scan and CT scan within 12 weeks of enrolment negative or equivocal for metastatic disease.
* Suitable candidate for radiotherapy and not yet had any salvage treatment post-prostatectomy.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prostate cancer with significant sarcomatoid or spindle cell or neuroendocrine small cell components.
* Proven metastatic disease.
* Patients who refuse salvage prostate bed radiotherapy.
* Patients who refuse to join the trial or are unable to consent.
* Patients not being considered for further therapy.
* Patients who cannot lie still for at least 30 minutes or comply with imaging.
* Unequivocal evidence of disease outside the prostate bed on conventional imaging
* Allergy to MRI contrast agent (exclusion for MRI component only) or PET tracer to be used as part of the imaging
* Sickle cell disease or other anemias
* Insufficient renal function (eGFR < 30 mL/min/1.73 m2)
* Residual bladder volume > 150 cc (determined by post-void ultrasound)
* Hip prosthesis, vascular grafting or other conditions affecting imaging or delivery of therapeutic radiation
* Contraindication to MRI, including but not restricted to: pacemaker or other electronic implants, known metal in the orbit, MR incompatible surgical or cerebral aneurysm clips, Shrapnel, tattoos, non-removable body piercings (relative contraindications)
* Hormone Androgen deprivation therapy of any type within 6 months prior to enrollment
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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
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
1/02/2015
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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
1/01/2021
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Sample size
Target
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Accrual to date
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Final
99
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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St. Vincent's Hospital - Sydney
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Recruitment hospital [2]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [3]
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Austin Hospital - Melbourne
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Recruitment hospital [4]
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Eastern Health - Melbourne
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Recruitment postcode(s) [1]
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2010 - Sydney
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Recruitment postcode(s) [2]
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3002 - Melbourne
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Recruitment postcode(s) [3]
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3084 - Melbourne
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Recruitment postcode(s) [4]
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3128 - Melbourne
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Ontario
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Country [2]
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Canada
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State/province [2]
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Quebec
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Country [3]
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United Kingdom
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State/province [3]
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South Glamorgan
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Country [4]
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United Kingdom
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State/province [4]
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
Lawson Health Research Institute
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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 PROPS trial is for men being considered for radiotherapy due to the suspicion that their prostate cancer has recurred following the surgical removal of their prostate (prostatectomy). This suspicion is based on rises seen on Prostate Specific Antigen (PSA) blood tests. Only men who demonstrate the absence of disease on standard imaging scans (Computed Tomography (CT) and bone scans) will be invited to participate. This study will be assessing if the imaging probe 18-F Fluorocholine (18F-FCH) used during Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) scans, can better predict who will benefit from radiotherapy by identifying the source of cancer recurrence. This will be determined by measuring the number of men who have disease identified outside of the prostate bed (the small pocket or depression where the prostate used to be) on their 18F-FCH PET scan. Since F-18-FCH has been shown to be more sensitive in detecting prostate cancer that may have spread into lymph nodes or bone, it may potentially identify areas of prostate cancer spread not seen with standard imaging.
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Trial website
https://clinicaltrials.gov/study/NCT02131649
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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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Glenn Bauman, MD
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Address
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London Regional Cancer Program
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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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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 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/NCT02131649
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