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18F-2-fluoro-2-deoxy-D-glucose in Positron Emission Tomography Computed Tomography

Primary Purpose

Solitary Pulmonary Nodule, Oncology, 18F-2-fluoro-2-deoxy-D-glucose

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
18F-2-fluoro-2-deoxy-D-glucose
Sponsored by
Eastern Health, Canada
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Solitary Pulmonary Nodule focused on measuring 18F-2-fluoro-2-deoxy-D-glucose, Adverse Event, Solitary Pulmonary Nodule, Oncology

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Known or suspected disease for which 18F-2-fluoro-2-deoxy-D-glucose Positron Emission Tomography Computed Tomography is appropriate for the investigation of. This includes, but is not limited to: Known or suspected cancer, neurological disorders (dementia or epilepsy), cardiac conditions (inflammation or myocardial viability), known or suspected presence of infection/inflammation process

Patients must satisfy all the following:

  • Able to provide written informed consent, or consent obtained from appropriate guardian
  • Able to tolerate the physical and logistic requirements of completing a Positron Emission Tomography Computed Tomography scan

Exclusion Criteria:

  • Pregnant women: if there is any possibility of pregnancy, a blood Beta Human Chorionic Gonadotropin level will be obtained as per Eastern Health policy.
  • Patients unwilling or unable to stop breast feeding for 12 hours
  • Patients who are too medically unstable to tolerate the uptake period or lie flat for the duration of the scan
  • Patients who exceed the safe weight limit of the Positron Emission Tomography Computed Tomography scanner bed (500 lbs.) or who cannot fit through the bore (70 cm diameter)
  • Patients unwilling to proceed with scan (I.e. claustrophobia) prior to injection
  • If patients inability to follow staff direction causes a safety hazard prior to injection

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Evaluation for adverse events from 18F-2-fluoro-2-deoxy-D-glucose produced by a new manufacturer

    Arm Description

    Outcomes

    Primary Outcome Measures

    Measuring the safety of 18F-2-fluoro-2-deoxy-D-glucose produced by a new manufacturer by evaluating for any adverse events that occur during their Positron Emission Tomography Computed Tomography scan appointment.
    Evaluation for any adverse events after administration of 18F-2-fluoro-2-deoxy-D-glucose produced by Eastern Health in the Nuclear and Molecular Medicine Department who is a new manufacturer

    Secondary Outcome Measures

    Evaluation of the sensitivity, specificity and accuracy of 18F-2-fluoro-2-deoxy-D-glucose in the assessment of solitary pulmonary nodules compared to anatomic pathology, or more than 6 month follow-up stability when not available.
    Assess the sensitivity, specificity and accuracy of 18F-2-fluoro-2-deoxy-D-glucose Positron Emission Tomography Computed Tomography in differentiating benign from malignant solitary pulmonary nodules. This is being done with a view towards eventually applying for an Abbreviated New Drug Submission.

    Full Information

    First Posted
    October 28, 2020
    Last Updated
    November 2, 2020
    Sponsor
    Eastern Health, Canada
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04615156
    Brief Title
    18F-2-fluoro-2-deoxy-D-glucose in Positron Emission Tomography Computed Tomography
    Official Title
    Evaluation of 18F-2-fluoro-2-deoxy-D-glucose Produced by a New Manufacturer, for Safety, Through the Identification of Adverse Events, and Efficacy, Through the Evaluation of Its Ability, When Utilized in Performance of a Positron Emission Tomography Computed Tomography Scan, to Correctly Distinguish Benign From Malignant Solitary Pulmonary Nodules.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2020
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 1, 2020 (Anticipated)
    Primary Completion Date
    November 1, 2027 (Anticipated)
    Study Completion Date
    November 1, 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Eastern Health, Canada

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study objectives are as follows: To determine the safety of trial 18F-2-fluoro-2-deoxy-D-glucose, produced by a new manufacturer, by surveillance for adverse events in patients having Positron Emission Tomography Computed Tomography scans in a comprehensive program for indications including, but not limited to, oncology, neurology, cardiac and infectious/inflammatory processes. To determine the efficacy of 18F-2-fluoro-2-deoxy-D-glucose Positron Emission Tomography in differentiating benign from malignant solitary pulmonary nodules and calculate sensitivity, specificity, and accuracy using pathologic confirmation as the gold standard when available, or greater than 6 month follow up stability on Computed Tomography scan when not. The purpose of performing this clinical trial is to provide local access of 18F-2-fluoro-2-deoxy-D-glucose to the patients of Newfoundland and Labrador. This product has been offered to patients over the last three years by transporting from facilities outside of the province. There have been significant delays in access and in fact, times where 18F-2-fluoro-2-deoxy-D-glucose has not been available through this process. This has caused delays and limitations of treatments for patients who rely on Positron Emission Tomography Computed Tomography scans for diagnosis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Solitary Pulmonary Nodule, Oncology, 18F-2-fluoro-2-deoxy-D-glucose, Adverse Event
    Keywords
    18F-2-fluoro-2-deoxy-D-glucose, Adverse Event, Solitary Pulmonary Nodule, Oncology

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    10000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Evaluation for adverse events from 18F-2-fluoro-2-deoxy-D-glucose produced by a new manufacturer
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    18F-2-fluoro-2-deoxy-D-glucose
    Intervention Description
    Administration of 18F-2-fluoro-2-deoxy-D-glucose for the purposes of diagnosis.
    Primary Outcome Measure Information:
    Title
    Measuring the safety of 18F-2-fluoro-2-deoxy-D-glucose produced by a new manufacturer by evaluating for any adverse events that occur during their Positron Emission Tomography Computed Tomography scan appointment.
    Description
    Evaluation for any adverse events after administration of 18F-2-fluoro-2-deoxy-D-glucose produced by Eastern Health in the Nuclear and Molecular Medicine Department who is a new manufacturer
    Time Frame
    For the length of time required to perform informed consent, the scan, and follow-up interview for adverse events, approximately 4 hours
    Secondary Outcome Measure Information:
    Title
    Evaluation of the sensitivity, specificity and accuracy of 18F-2-fluoro-2-deoxy-D-glucose in the assessment of solitary pulmonary nodules compared to anatomic pathology, or more than 6 month follow-up stability when not available.
    Description
    Assess the sensitivity, specificity and accuracy of 18F-2-fluoro-2-deoxy-D-glucose Positron Emission Tomography Computed Tomography in differentiating benign from malignant solitary pulmonary nodules. This is being done with a view towards eventually applying for an Abbreviated New Drug Submission.
    Time Frame
    Variable, from the time of the scan to appropriate follow-up (either biopsy or follow-up imaging that occurs more than 6 months after the Positron Emission Tomography Computed Tomography study)

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Known or suspected disease for which 18F-2-fluoro-2-deoxy-D-glucose Positron Emission Tomography Computed Tomography is appropriate for the investigation of. This includes, but is not limited to: Known or suspected cancer, neurological disorders (dementia or epilepsy), cardiac conditions (inflammation or myocardial viability), known or suspected presence of infection/inflammation process Patients must satisfy all the following: Able to provide written informed consent, or consent obtained from appropriate guardian Able to tolerate the physical and logistic requirements of completing a Positron Emission Tomography Computed Tomography scan Exclusion Criteria: Pregnant women: if there is any possibility of pregnancy, a blood Beta Human Chorionic Gonadotropin level will be obtained as per Eastern Health policy. Patients unwilling or unable to stop breast feeding for 12 hours Patients who are too medically unstable to tolerate the uptake period or lie flat for the duration of the scan Patients who exceed the safe weight limit of the Positron Emission Tomography Computed Tomography scanner bed (500 lbs.) or who cannot fit through the bore (70 cm diameter) Patients unwilling to proceed with scan (I.e. claustrophobia) prior to injection If patients inability to follow staff direction causes a safety hazard prior to injection
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Andrea Morgan, MNRN
    Phone
    709-777-1133
    Email
    andrea.morgan@easternhealth.ca
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jeffery Flemming, MD
    Phone
    709-777-1133
    Email
    jeffery.flemming@easternhealth.ca

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

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