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Trial registered on ANZCTR
Registration number
ACTRN12607000604404
Ethics application status
Approved
Date submitted
16/11/2007
Date registered
23/11/2007
Date last updated
31/10/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
A study looking at the effect positron emission tomography (PET) scans have on the treatment decisions specialists make in patients with suspected cancer of the pancreas.
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Scientific title
A prospective study investigating the impact of the addition of FDG-PET/CT on treatment decisions compared to standard pre-operative work up for patients with suspected pancreatic, peri-ampullary or bile duct malignancies
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Universal Trial Number (UTN)
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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:
Pancreatic and peri-ampullary cancers.
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Condition category
Condition code
Cancer
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0
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Pancreatic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Adding 18 fluorodeoxyglucose positron emission tomography (FDG-PET) which,in other cancers, is better able to pick up cancer spread than other tests are. This scan will be done once at the time of diagnosis and staging.
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
Standard or routine pre-operative investigations. This may include
• Dual phase Computed Tomography (CT)
• USS (ultrasound)
• Endoscopic ultrasound
• MRI (magnetic resonance imaging)
• ERCP (endoscopic retrograde cholangiopancreatography) with or without stenting
• MRCP (magnetic resonance cholangiopancreatogrophy
• Percutaneous biliary drainage/ stenting
• Laparoscopy [ ideally, (but not necessarily) this will take place just prior to surgery and after all other pre-operative investigations including PET/CT, have been performed ]
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Control group
Active
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Outcomes
Primary outcome [1]
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Define the percentage of patients in whom, as a result of FDG PET/CT, there is an appropriate change of management plan, treatment strategy or staging.
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Assessment method [1]
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Timepoint [1]
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At the time of staging, at operation or during follow up which is scheduled to occur at 1,3,6,9,12,18,24,30 and 36 months post surgery
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Secondary outcome [1]
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To compare the staging accuracy of standard imaging alone with the staging accuracy of the combination of standard imaging and PET/CT scanning
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Assessment method [1]
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Timepoint [1]
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At the time of staging, at operation or during follow up which is scheduled to occur at 1,3,6,9,12,18,24,30 and 36 months post surgery
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Secondary outcome [2]
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Define the percentage of patients in whom, as a result of FDG PET/CT, there is an inappropriate change of management plan, treatment strategy or staging
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Assessment method [2]
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Timepoint [2]
6009
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At the time of staging, at operation or during follow up which is scheduled to occur at 1,3,6,9,12,18,24,30 and 36 months post surgery
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Eligibility
Key inclusion criteria
•Suspected or proven localized pancreatic, ampullary or bile duct malignancy on the basis of standard investigations;
•= 18 years old;
•Deemed suitable, based on tumour stage and medical fitness, to potentially undergo surgery or radiotherapy with curative intent;
•Available for follow up for at least 12 months from the date of PET/CT scanning;
•Able to provide Informed Consent.
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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
• Claustrophobia;
• Uncontrolled diabetes mellitus;
• Pregnancy;
• Unable to provide informed consent;
• Inability to undergo PET/CT study;
• Any disease, condition, physical examination finding or clinical laboratory finding which, in the opinion of the investigator, makes the patient inappropriate for the study.
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Study design
Purpose of the study
Treatment
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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
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
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
15/01/2008
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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
90
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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 postcode(s) [1]
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4032
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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 Hospital
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Address [1]
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Herston Road
Herston QLD 4032
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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 Hospital
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Address
Herston Road
Herston QLD 4032
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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]
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Country [1]
2532
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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 Womens Hospital
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Ethics committee address [1]
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Herston Road 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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15/10/2007
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Approval date [1]
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Ethics approval number [1]
4755
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Summary
Brief summary
In addition to the standard pre-operative investigations you will also undergo a PET scan. Your results will be compared to people who only receive the routine pre-operative investigations, to see if the use of the PET scan changes the treatment plan. A PET scan is a non-invasive nuclear imaging test. In other cancers, particularly lung cancer, this scan can detect the spread of cancer better than other tests. If you have a suspected pancreatic cancer, the usual tests might include a CT (computed tomography) scan, ultrasound, MRI (magnetic resonance imaging) scan and an ERCP (endoscopic retrograde cholangiopancreatography). If a PET scan helps show the extent of the cancer better, your diagnosis will be more accurate and this might spare you unnecessary major surgery.
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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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Matthew Burge
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Address
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Royal Brisbane Hospital
Herston Road
Herston QLD 4032
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Country
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Australia
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Phone
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+61 7 36368111
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Fax
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+61 2 32522746
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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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Matthew Burge
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Address
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Royal Brisbane Hospital
Herston Road
Herston QLD 4032
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Country
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Australia
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Phone
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+61 7 36368111
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Fax
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+61 2 32522746
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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
Source
Title
Year of Publication
DOI
Embase
High SUVmax on routine pre-operative FDG-PET predicts early recurrence in pancreatic and peri-ampullary cancer.
2022
https://dx.doi.org/10.1016/j.hpb.2022.01.005
N.B. These documents automatically identified may not have been verified by the study sponsor.
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