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Trial registered on ANZCTR
Registration number
ACTRN12612000396820
Ethics application status
Approved
Date submitted
5/04/2012
Date registered
10/04/2012
Date last updated
11/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
A Study to Assess the Usefulness of a Magnetic Resonance Imaging Technique for Staging of Head and Neck Cancer
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Scientific title
PROPELLER-DWI in the Staging of Head and Neck Squamous Cell Carcinoma - A Pilot Study
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Secondary ID [1]
280246
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Nil
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Universal Trial Number (UTN)
U1111-1129-6286
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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:
Head and neck squamous cell carcinoma
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Condition category
Condition code
Cancer
286409
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0
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Magnetic resonance imaging, diffusion weighted imaging (MRI/DWI). This test will take approximately one hour, including the completion of a safety screening questionnaire. It will be performed only once on each participant.
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Intervention code [1]
284590
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Diagnosis / Prognosis
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Comparator / control treatment
Positron emission tomography/computed tomography (PET/CT). This test is part of every participant's standard clinical care. It will take approximately one hour. It will be performed only once on each participant during the trial. The research MRI/DWI test and the PET/CT test will not be performed on the same day, but they will be performed within one week of each other.
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Control group
Active
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Outcomes
Primary outcome [1]
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Sensitivity and specificity in the detection of malignant lymph nodes, as compared to PET/CT.
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Assessment method [1]
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Timepoint [1]
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At time of diagnosis/cancer staging
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Secondary outcome [1]
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None
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Assessment method [1]
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Timepoint [1]
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Not applicable
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Eligibility
Key inclusion criteria
Patients with newly diagnosed or recurrent head and neck squamous cell carcinoma who require PET/CT for staging
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Minimum age
17
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
Patients who do not consent to participation; patients who have a contraindication to MRI
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2012
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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
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4231
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Canada
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State/province [1]
4231
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Nova Scotia
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Funding & Sponsors
Funding source category [1]
285008
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Charities/Societies/Foundations
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Name [1]
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Radiological Society of North America Research & Education Foundation
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Address [1]
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820 Jorie Boulevard
Oak Brook, IL 60523
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Country [1]
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United States of America
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Primary sponsor type
Individual
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Name
Dr. Matthias Schmidt
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Address
Department of Diagnostic Imaging
Halifax Infirmary
Room 3388 - 1796 Summer Street
Halifax, Nova Scotia, B3H 3A7
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Country
Canada
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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]
283872
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Country [1]
283872
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Capital Health Research Ethics Board
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Ethics committee address [1]
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Centre for Clinical Research Room 118 5790 University Avenue Halifax, Nova Scotia, B3H 1V7
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Ethics committee country [1]
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Canada
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Date submitted for ethics approval [1]
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19/03/2012
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Approval date [1]
287014
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Ethics approval number [1]
287014
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CDHA-RS/2012-330
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Summary
Brief summary
Before a patient with head and neck cancer can be treated, it is important to know how far the cancer has spread. For example, it is important to know if the cancer has spread to any of the lymph nodes in the neck. To make this determination currently, doctors examine patients, and they order tests such as MRI (magnetic resonance imaging) and PET/CT (positron emission tomography/computed tomography). Although these tests are good at detecting cancer spread, they are not perfect. Recent research has shown that an MRI technique called DWI (diffusion weighted imaging) can improve the detection of cancer. With DWI, it is possible to measure the apparent diffusion coefficient (ADC) of tissues such as lymph nodes. The ADC is reduced in lymph nodes that have been infiltrated by cancer cells. We have been using DWI clinically for a long time. However, we have not yet used DWI for staging of head and neck cancer. The major drawback of DWI is that the images generated by this technique can be degraded by motion, such as breathing and swallowing, and by signal disturbance from the airways. This is particularly problematic in the neck. We have available to us a variant of DWI, called PROPELLER-DWI. This technique was designed to overcome image degradation by motion and signal disturbances from air and bone. We have used PROPELLER-DWI clinically to diagnose some patients who had difficulty holding still in the MRI scanner or who had disease at the skull base. To our knowledge, no-one has tried to use PROPELLER-DWI to stage patients with head and neck cancer. Because of the benefits of DWI demonstrated by others, and because of the theoretical additional benefits of PROPELLER-DWI, we wish to conduct a pilot study to test the feasibility of PROPELLER-DWI for staging of head and neck cancer, comparing it to conventional DWI in this setting. If PROPELLER-DWI shows promise in this pilot project, we will have the justification and the necessary information to plan a larger, prospective study, involving more patients. Ultimately, we hope to improve outcomes for patients with head and neck cancer through more accurate staging.
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Trial website
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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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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 public queries
Name
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Dr. Matthias Schmidt
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Address
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Room 3388 - 1796 Summer Street
Halifax, Nova Scotia, B3H 3A7
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Country
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Canada
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Phone
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1 902 473 5332
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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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Dr. Matthias Schmidt
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Address
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Room 3388 - 1796 Summer Street
Halifax, Nova Scotia, B3H 3A7
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Country
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Canada
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Phone
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1 902 473 5332
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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
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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