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Trial registered on ANZCTR
Registration number
ACTRN12613000205730
Ethics application status
Approved
Date submitted
13/02/2013
Date registered
20/02/2013
Date last updated
20/02/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
A phase II Feasibility Study on the use of 18Fluoro-L-Thymidine and Positron Emission Tomography (FLT-PET) on Prognosis and Staging in Patients with Locoregionally Advanced Mucosal Head and Neck Squamous Cell Carcinoma
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Scientific title
A phase II Feasibility Study on the use of 18Fluoro-L-Thymidine and Positron Emission Tomography (FLT-PET) on Prognosis and Staging in Patients with Locoregionally Advanced Mucosal Head and Neck Squamous Cell Carcinoma
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Secondary ID [1]
281937
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Nil known
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Universal Trial Number (UTN)
U1111-1139-4455
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Trial acronym
FLT PET Trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Head and Neck Cancer
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Condition category
Condition code
Cancer
288694
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0
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Head and neck
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
18-Fluoro-L-Thymidine (FLT)
FLT is administerd for Positron Emission Tomography (PET) for staging of mucosal head and neck cancer. We aim to compare FLT-PET staging with F-2-fluoro-2-deoxy-D-glucose (FDG) PET which is the current best non-surgical staging modality.
FLT is preferentially taken up by cells that undergo rapid proliferation. FDG is the standard tracer and is taken up by cells that utilise glucose. Cancer cells are rapidly dividing cells.
FLT is given via an injection, 60 minutes later the scan is commenced. A total of 2 FLT PET scans are performed. 1 at baseline, the other at radiotherapy week 3.
Patients will be observed for a total of 5 years.
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Intervention code [1]
286510
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Assess the feasibility of conducting a larger trial.
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Assessment method [1]
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Timepoint [1]
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12 months from study entry
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Primary outcome [2]
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Assess the sensitivity and specificity of FLT PET.
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Assessment method [2]
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Timepoint [2]
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12 months from study entry
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Secondary outcome [1]
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Response to treatment. Assessed by clinical reviews and medical imaging.
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Assessment method [1]
301316
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Timepoint [1]
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5 years post study entry
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Eligibility
Key inclusion criteria
- Previously untreated biopsy proven mucosal head and neck Squamous Cell Carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx
- Stage III or IV
- suitable for definitive radiotherapy + concurrent systemic treatment.
- Adequate biopsy samples for EGFR and Ki-67 analyses
- Age >=18
- ECOG performance status <=2
- Absolute neutrophil count >=1.5 x 109/L, platelet count >=100 x 109/L, and hemoglobin >=9 g/dL
- Serum Bilirubin <1.25 times Upper Limit of Normal Range (ULN) and AST/ALT <=2.5 times ULN. Calculated creatinine clearance (Cockcroft-Gault) >=55 ml/min
- Signed informed consent
- Available for follow up for a minimum of 2 years after treatment
- Life expectancy greater than 6 months
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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
- Nasopharyngeal carcinoma
- Paranasal cavity tumours
- Any suggestion of metastases on conventional CT scan and/or FDG-PET images
- History of previous malignancy- excluding superficial Basal Cell Carcinoma and Squamous Cell Carcinoma
- Other synchronous malignancies
- Pregnant or lactating women
- Previous radiotherapy to the head and neck region
- High risk for poor compliance with therapy or follow-up as assessed by investigator
- Unable to undergo PET studies
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
30/04/2008
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Actual
30/04/2008
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Date of last participant enrolment
Anticipated
23/01/2009
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Actual
23/01/2009
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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 in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
572
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
6314
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4029 - Royal Brisbane Hospital
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Brisbane and Women's Hospital Foundation
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Address [1]
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Butterfield Street
Herston QLD 4029
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Brisbane and Women's Hospital
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Address
Butterfield Street
Herston QLD 4029
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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]
285501
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Country [1]
285501
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Brisbane and Women's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Butterfield Street Herston QLD 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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29/08/2007
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Approval date [1]
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07/01/2008
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Ethics approval number [1]
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2007/125
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Summary
Brief summary
This study is an observational study investigating the use of new tracer for Positron Emission Tomography (PET). This tracer is preferentially taken up by cells that undergo rapid proliferation. The study has two aims: to assess the feasibility of conducting a larger trial, and to assess the sensitivity and specificity of FLT PET. The target patient population is those with locoregionally advanced mucosal head and neck squamous cell carcinoma undergoing definitive chemoradiation. You may be eligible to join this study if you are aged 18 and over, and have a previously untreated biopsy proven mucosal head and neck Squamous Cell Carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx - Stage III or IV (TNM staging). You must be suitable for definitive radiotherapy + concurrent systemic treatment. Further details on the inclusion criteria for this study can be found in the relevant section on this form. Trial details All participants in this trial will undergo their standard cancer treatment, but with the addition of 2 18Fluoro-L-Thymidine and Positron Emission Tomography (FLT-PET) scans at baseline and at week 3 of radiotherapy. This will involve injection of FLT (study tracer) with scan commencing 60 minutes later.
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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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Dr Charles Lin
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Address
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Royal Brisbane and Women's Hospital
Butterfield St
Herston QLD 4029
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Country
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Australia
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Phone
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+61 7 3646 8111
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Fax
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+61 7 3646 4221
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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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Jacqui Keller
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Address
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Royal Brisbane and Women's Hospital
Butterfield St
Herston QLD 4029
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Country
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Australia
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Phone
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+61 7 3646 7925
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Fax
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+61 7 3646 6655
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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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Charles Lin
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Address
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Royal Brisbane and Women's Hospital
Butterfield St
Herston QLD 4029
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Country
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Australia
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Phone
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+61 7 3646 8111
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Fax
37776
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+61 7 3646 4221
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Email
37776
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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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