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Trial registered on ANZCTR
Registration number
ACTRN12609000108213
Ethics application status
Approved
Date submitted
19/11/2008
Date registered
16/02/2009
Date last updated
4/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The utility of 18F-fluro-deoxy-glucose (FDG) and 11C-choline (C) positron emission tomography (PET scan) for radiotheraupetic management of high risk prostate cancer patients
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Scientific title
The utility of 18F-fluro-deoxy-glucose (FDG) and 11C-choline (C) positron emission tomography (PET) scan in men with localised prostate cancer planned for radiotheraupetic management
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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:
Prostate cancer
3998
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Condition category
Condition code
Cancer
4197
4197
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
30 non randomised patients with prostate cancer undergo baseline/staging assessments. This include blood analysis for prostate specific antigen (PSA) levels, 1xcomputed tomography (CT), 1xmagnetic resonance imaging (MRI), 1xbone scan, 1xFDG and 1xC PET scan, with a 24 hour time lapse betweeen the 2 PET scans. Patients then commence androgen deprivation therapy for 3 years. This involves Eligard injections (dose:22.5mg) every 3 months. 3 months into hormone therapy, patients undergo their 2nd set of assessments to evaluate initial hormone response and for planning radiotherapy treatment. This involves 1xCT, 1xMRI, 1xFDG and 1x C PET scan, with a 24 hour time lapse between the 2 PET scans. Patients undergo normal radiotherapy treatments for 8weeks, 5 days/week. About 9 months into hormone therapy (and 4 months after radiotherapy), patients undergo their 3rd set of assessments involving 1xCT, 1xMRI, 1xFDG and 1xC scan, with 24 hour time lapse between the 2 PET scans. The 4th and final set of assessments are conducted at the end of study, that is 5 years after commencement into study (ie 2 years after completing their hormone therapy). This involve blood analysis for PSA levels, 1x CT, 1xMRI, 1xFDG and 1xC scan, with a 24 hour time lapse between the 2 PET scans
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Intervention code [1]
3723
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Diagnosis / Prognosis
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Comparator / control treatment
Non randomised study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Concordance of Choline and FDG PET with the standard imaging technologies, computed tomography (CT) and magnetic resonance imaging (MRI) by comparing the different scan results
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Assessment method [1]
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Timepoint [1]
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Time=0 baseline/staging images, time= 3 months for radiotherapy treatment planning and time = 8 months for post radiotherapy review
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Secondary outcome [1]
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Prostate specific antigen (PSA) levels, using blood analysis.
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Assessment method [1]
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Timepoint [1]
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Time = 0 to evaluate baseline levels, time = Week 8 to determine initial hormone response, and time = 5 years for end of study review.
Post radiotherapy recurrence is identified either from biochemical (rising PSA levels) or clinical (physical examination) treatment failure.
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Eligibility
Key inclusion criteria
PSA > 20 or Gleason score 8-10 or T stage T3a,T3b or T4
Age > 18 years
Eastern Cooperative Oncology Group Performance Status (ECOG) 0 or 1
No significant medical or psychiatric illness
Written informed consent
Be prepared to undergo PET scanning
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Any form of prostate malignancy
T1-2c prostate cancer and PSA , 10 and Gleason score < 7
Previous radical prostatectomy
Known metastatic prostate cancer
Contraindication to MRI
Contraindication to androgen ablation
Contraindication to PET
Commencement of androgen depriavation therapy prior to study entry
Previous pelvic radiotherapy
Contraindication to radiotherapy
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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
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
Efficacy
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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
20/01/2009
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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
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
4188
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
145 Studley Road
Heidelberg 3084
VIC
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Country
Australia
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Secondary sponsor category [1]
3762
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None
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Name [1]
3762
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Address [1]
3762
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Country [1]
3762
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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HREC Austin Health
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Ethics committee address [1]
6242
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145 Studley Road Heidelbery 3084 VIC
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6242
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Approval date [1]
6242
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Ethics approval number [1]
6242
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H2008/03284
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Summary
Brief summary
This study assesses the usefulness of Choline and Fluro-deoxy-glucose PET scans in determining treatment for men with high risk prostate cancer planned for radical radiotherapy Who is it for? You can join this study if you are a man with high risk prostate cancer and treatment with radical radiotherapy is planned. Trial details A total of 30 participants will all undergo PET scans with radioactive markers Fluro-deoxy-glucose (FDG) and Choline (C) to evaluate whether these diagnostic tools can be used to improve planning for radiotherapy treatment. Results of the scans will be compared with standard imaging technologies (CT and MRI) to see if they provide additional information that can improve treatment. Participants undergo androgen deprivation therapy (hormone therapy) for 3 years. During this period participants also undergo normal radiotherapy treatments. Patients are monitered for 2 years after the completion of radiotherapy to assess the usefulness of the PET scans.
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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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Lekshmy Shanker
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Address
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Room 8244
Harold Stokes Building
145 Studley Road
Heidelberg 3084
VIC
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Country
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Australia
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Phone
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+61 3 9496 3965
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Fax
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+61 3 9496 5749
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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 Daryl Lim Joon
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Address
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Radiation Oncology Centre
Austin Health
330 Waterdale Road
Heidelber West 3081
VIC
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Country
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Australia
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Phone
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+61 3 9496 2800
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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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