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18F-FTC-146 PET/CT in Newly-Diagnosed Osteosarcoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04365660
Recruitment Status : Terminated (lack of accrual with no intent of continuing)
First Posted : April 28, 2020
Results First Posted : November 14, 2023
Last Update Posted : November 14, 2023
Sponsor:
Information provided by (Responsible Party):
Kristen Ganjoo, Stanford University

Brief Summary:
The purpose of this research is to evaluate the study drug, 18F FTC-146, as a positron emission tomography (PET) / computed tomography (CT) radiotracer imaging agent to evaluate tumor status in patients newly diagnosed with osteosarcoma ("bone cancer").

Condition or disease Intervention/treatment Phase
Osteosarcoma Drug: 18-F FTC 146 Phase 2

Detailed Description:

Primary Objective: Demonstrate correlation of pre-post reduction in 18F-FTC-146 PET/CT with amount of post-treatment tumor necrosis in newly-diagnosed and treated osteosarcoma patients.

Secondary Objective: Demonstrate correlation of pre-post reduction in 18F-FTC-146 PET/CT with amount of post-treatment pain reduction in newly-diagnosed and treated osteosarcoma patients.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: A Phase 2 Study of 18F FTC 146 PET/CT in Patients With Newly Diagnosed Osteosarcoma
Actual Study Start Date : January 28, 2021
Actual Primary Completion Date : May 28, 2021
Actual Study Completion Date : July 22, 2021

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: 18-F-FTC 146 PET/CT
For PET scans, subjects will receive intravenous injection of 10 mCi 18-F -FTC 146 administered twice with 18-F-FTC 146, once at baseline (pre chemotherapy) and once at final study visit (post chemotherapy).
Drug: 18-F FTC 146
Radiotracer, 10 mCi at pre- and post- chemotherapy, intravenous administration




Primary Outcome Measures :
  1. Detection of Tumor Necrosis Post-chemotherapy [ Time Frame: 12 weeks ]
    Participants will be assessed with 18F FTC 146 PET/CT imaging at baseline and after neoadjuvant (pre surgery) chemotherapy but before surgery itself. Chemotherapy will be nominally three 3 week cycles administered over up to 12 weeks. The ability of 18F FTC 146 PET/CT to evaluate treatment effect will be assessed as the percentage of tumor that is assessed as necrotic after the treatment course. The outcome will be reported as the mean percentage of the resected tumor (removed by surgery) that is assessed by histopathology as necrotic, with standard deviation.


Secondary Outcome Measures :
  1. Maximum Standardized Uptake Value (SUVmax) [ Time Frame: 12 weeks ]
    Participants will be assessed with 18F FTC 146 PET/CT imaging at baseline and after neoadjuvant (pre surgery) chemotherapy but before surgery itself. Chemotherapy will be nominally three 3 week cycles administered over up to 12 weeks. Based on the PET/CT scans, the maximum standardized uptake value (SUVmax) in the tumor region of interest (ROI) will be calculated at baseline and after treatment. The outcome will be reported as the mean percent change in SUVmax from baseline to post treatment, with standard deviation.

  2. Use of Patient Reported Outcomes Measurement Information System (PROMIS) to Assess Treatment Effect [ Time Frame: 12 weeks ]
    Participants will receive neoadjuvant (pre surgery) chemotherapy, nominally three 3 week cycles administered over up to 12 weeks. The treatment effect of the neoadjuvant chemotherapy will be assessed as the change in scores on the PROMIS (Patient Reported Outcomes Measurement Information System) questionnaire, from baseline to post treatment. The result will be reported as the mean difference from baseline to post treatment, with standard deviation.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with biopsy proven osteosarcoma requiring local surgical intervention.
  • ECOG ≤ 2
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • Chemotherapy in the past 2 months.
  • Prior history of allergic reaction to 18F FTC 146.
  • Pregnant or nursing

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04365660


Locations
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United States, California
Stanford University
Stanford, California, United States, 94304
Sponsors and Collaborators
Davidzon, Guido, M.D.
Investigators
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Principal Investigator: Kristen N Ganjoo Stanford Universiy
  Study Documents (Full-Text)

Documents provided by Kristen Ganjoo, Stanford University:
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Responsible Party: Kristen Ganjoo, Professor of Medicine (Oncology), Stanford University
ClinicalTrials.gov Identifier: NCT04365660    
Other Study ID Numbers: IRB-52746
SARCOMA0041 ( Other Identifier: OnCore )
IRB-52746 ( Other Identifier: Stanford IRB )
NCI-2021-03443 ( Registry Identifier: CTRP )
First Posted: April 28, 2020    Key Record Dates
Results First Posted: November 14, 2023
Last Update Posted: November 14, 2023
Last Verified: October 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Osteosarcoma
Neoplasms, Bone Tissue
Neoplasms, Connective Tissue
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type
Neoplasms
Sarcoma