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Trial · Interventional

TerminatedPhase 1/2Results postedRegistry data

GA-68 DOTA-TOC of Somatostatin Positive Malignancies

Short name DOTA-TOC

NCTNCT02177773 (opens ClinicalTrials.gov in a new tab)Other id14453-HDFCCCOther idNCI-2017-00451

Overview

Status
Terminated
Phase
Phase 1/2
Enrollment
300 participants (actual)
Sponsor
University of California, San Francisco · Other
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

United States

Start
23 Jun 2014
Primary completion
7 Aug 2017
Completion
7 Aug 2017
First posted
30 Jun 2014 (estimated)
Last update posted
12 Nov 2019
Conditions
Neuroendocrine Tumor · Paraganglioma · Carcinoid Tumors · Neuroblastoma

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20142015201620172018
  1. Ph 1/2

    DOTA-TOC

    NCT02177773

    23 Jun 2014 to 7 Aug 2017

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This phase I/II trial studies how well gallium Ga 68-DOTA-TOC positron emission tomography (PET)/computed tomography (CT) or PET/magnetic resonance imaging (MRI) works in imaging patients with somatostatin receptor positive tumors. Gallium Ga 68-DOTA-TOC binds to somatostatin receptor positive tumors and can be seen using a PET scan. A PET scan uses a special camera to detect energy given off from gallium Ga 68-DOTA-TOC, to make detailed pictures of areas where material accumulates in the body. Diagnostic procedures, such as gallium Ga 68-DOTA-TOC PET/CT or PET/MRI, may help find and diagnose somatostatin receptor positive tumors and help plan the best treatment.

Interventions

  • Computed Tomography (CT)Procedure
  • Gallium Ga 68-EdotreotideDrug
  • Magnetic Resonance Imaging (MRI)Procedure
  • Positron Emission Tomography (PET)Procedure

Arms1

  • Experimental

    Ga-68 DOTA-TOC PET/CT

    Patients receive Gallium Ga 68-DOTA-TOC IV over 1-2 minutes. Within 55-70 minutes, patients then undergo either a PET/CT scan lasting 30-40 minutes or a PET/MRI scan lasting 50 minutes.

Primary outcomes3

Outcomes the sponsor listed as primary.

  1. Number of Lesions as Determined by Gallium Ga 68-DOTA-TOC Positron Emission Tomography (PET) Imaging

    Time frame · 1 day

    Registry description

    The 5 largest lesions in each of eight body regions (head and neck, mediastinum, lung, liver, pancreas, the remaining abdomen and pelvis, bone and lymph nodes), will be measured by size (short and long axis) as well as standardized uptake value maximum on conventional imaging and the gallium Ga 68-DOTA-TOC PET imaging. Additionally, the confidence that each lesion represents a metastasis will be recorded The five largest lesions will be (1 = benign, 2 = likely benign, 3 = indeterminant, 4 = likely malignant, 5 = malignant). The number of positive body regions using conventional imaging and Ga-68 DOTA-TOC PET/CT will be compared using a paired t-test (or Wilcoxon signed-rank test if the data appear to be non-normally distributed). The Wilcoxon signed-rank test will also be used to compare reader confidence of paired lesions between conventional imaging and Ga-68 DOTA-TOC PET/CT

  2. Standardized Uptake Value Maximum (SUVmax)

    Time frame · 1 day

    Registry description

    The 5 largest lesions in each of eight body regions (head and neck, mediastinum, lung, liver, pancreas, the remaining abdomen and pelvis, bone and lymph nodes), will be measured by size (short and long axis) as well as standardized uptake value maximum on conventional imaging and the gallium Ga 68-DOTA-TOC PET imaging. Additionally, the confidence that each lesion represents a metastasis will be recorded.

  3. Inter-reader Variability

    Time frame · 1 day

    Registry description

    Inter-reader variability for the number of positive regions will be compared using Kappa statistics. In all cases we will provide point estimates and 95% confidence intervals for effects along with p-values.

Secondary outcomes(1)
  1. Change in Clinical Stage as Determined by Conventional Imaging and Re-determined by Gallium Ga 68-DOTA-TOC PET Imaging

    Time frame · Up to 2 weeks

    Registry description

    Impact on care will be accessed for value added by the investigational Ga-68 DOTA-TOC PET/CT scan similar to assessment for impact on care as in the National Oncology PET registry. A percentage will then be calculated for both "Change in stage" with a 95% confidence interval determined.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcome· 1 day

Number of Lesions as Determined by Gallium Ga 68-DOTA-TOC Positron Emission Tomography (PET) Imaging

GroupValue
DOTATOC Imagingnot posted
Primary outcome· 1 day

Standardized Uptake Value Maximum (SUVmax)

GroupValue
DOTATOC Imagingnot posted
Primary outcome· 1 day

Inter-reader Variability

GroupValue
DOTATOC Imagingnot posted
Secondary and other outcome results(1)
Secondary outcome· Up to 2 weeks

Change in Clinical Stage as Determined by Conventional Imaging and Re-determined by Gallium Ga 68-DOTA-TOC PET Imaging

GroupValue
DOTATOC Imagingnot posted

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
DOTATOC ImagingAll patients received a single DOTATOC imaging study.0 / 3000 / 3000 / 300

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 2 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Known or suspected somatostatin receptor positive tumor such as carcinoid; neuroendocrine tumor; neuroblastoma; pheochromocytoma. Supporting evidence may include MRI, CT, biochemical markers, and or pathology report. * Age \> 1. * Karnofsky performance status of \> 50 (or Eastern Cooperative Oncology Group (ECOG) / World Health Organization (WHO) equivalent). * Not pregnant. A negative serum pregnancy test is required for all female subjects with childbearing potential. * Ability to understand a written informed consent document, and the willingness to sign it. Exclusion Criteria: * Hepatic enzymes 5 times greater than the upper limits of normal, serum creatinine \> 3.0 mg/dL (270 Micromole per liter (uM/L). * Patients exceeding the weight limitations of the scanner or are not able to enter the bore of the PET /CT scanner due to BMI * Inability to lie still for the entire imaging time (e.g. cough, severe arthritis, etc.); although at Mission Bay Hospital pediatric patients may be sedated per clinical protocol. * Inability to complete the needed investigational and standard-of-care imaging examinations due to other reasons (severe claustrophobia, radiation phobia, etc.). * Any additional medical condition, serious intercurrent illness, or other extenuating circumstance that, in the opinion of the Investigator, may significantly interfere with study compliance. * Recognized concurrent active infection Previous systemic or radiation treatment for another cancer of any type within the last 2 months. * Use of any other investigational product or device within 30 days prior to dosing, or known requirement for any other investigational agent prior to completion of all scheduled study assessments

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