DCE CT/MRI Scanning Study in Patients With Solid Tumours (AstraZeneca and Royal Marsden Hospital Imaging Study)
Exploratory Open-Label, Non-randomised, Single Centre Methodology Study Comparing DCE-CT and DCE-MRI as Markers of Changes in Vascular Activity Mediated by a Positive Control Agent [Cediranib (Recentin™; AZD2171), a Potent Inhibitor of VEGF-driven Angiogenesis] in Patients With Advanced Solid Tumour
2 other identifiers
interventional
35
1 country
1
Brief Summary
This study is being carried out in patients with advanced solid tumours to assess which of two different types of imaging scans best measures activity of an experimental drug called Cediranib. The study compares the imaging tests: Dynamic Contrast Enhanced CT (DCE-CT) and Dynamic Contrast Enhanced MRI (DCE-MRI). It looks at which of these scans is the most accurate and best predicts a response to the treatment. Cediranib is thought to work by stopping blood flow to cancers, and both of these scans assess blood flow. Studying the response of cancers by measuring changes in their blood flow may provide useful information that will guide the way we manage cancers in the future.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 cancer
Started Aug 2008
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2008
CompletedFirst Submitted
Initial submission to the registry
September 5, 2008
CompletedFirst Posted
Study publicly available on registry
September 9, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedJuly 1, 2011
June 1, 2011
1.5 years
September 5, 2008
June 30, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Percentage change in DCE-MRI and DCE-CT vascular parameters. Comparison between vascular parameters of each imaging modality and between modalities.
DCE-MRI and DCE-CT scans taken at Baseline, Day 7 and Day 28. Comparison between modalities from scans taken on Days -8 and Day-1.
Baseline measurements for DCE-MRI-iAUC60(mMol/sec),Ktrans(min-1),ve,vp,kep(min-1,Enhancing Fraction% DCE-CT-Permeability Surface Product(ml/min/100g),Perfusion(ml/min/100g),Mean Transit Time(sec),Blood Volume (ml/100g),Positive Enhancement Integral(Hus).
DCE-MRI and DCE-CT scans taken at Day -8, Day -1, Day 7 and Day 28
Secondary Outcomes (2)
Objective tumour response (RECIST )Progression free survival
RECIST scans within 4 weeks prior to first dose then 8 weekly up to 24 weeks, then 12 weekly thereafter
Baseline and on treatment time-point measurements for iAUC60 (mMol/sec) and Positive Enhancement Integral (Hus)
DCE-MRI and DCE-CT scans taken at Day -8, Day -1, Day 7 and Day 28
Study Arms (1)
1
EXPERIMENTALOpen label 30mg Cediranib administered once daily during scanning phase and if tolerated by patient, until disease progression
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed metastatic tumour which is refractory to standard therapies
- At least one lesion size ≥3cm on in longest diameter suitable for repeat assessment by DCE-CT and DCE-MRI
- Patients must be able to undergo DCE-CT and DCE-MRI scanning procedures
- Life expectancy of at least 12 weeks
You may not qualify if:
- Patients with hormone refractory prostate cancer (HRPC)
- Patients with a history of poorly controlled high blood pressure
- Ineligibility for MRI scanning or DCE-CT or DCE-MRI scanning
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
- Royal Marsden NHS Foundation Trustcollaborator
Study Sites (1)
Research Site
London, United Kingdom
Related Publications (1)
Messiou C, Orton M, Ang JE, Collins DJ, Morgan VA, Mears D, Castellano I, Papadatos-Pastos D, Brunetto A, Tunariu N, Mann H, Tessier J, Young H, Ghiorghiu D, Marley S, Kaye SB, deBono JS, Leach MO, deSouza NM. Advanced solid tumors treated with cediranib: comparison of dynamic contrast-enhanced MR imaging and CT as markers of vascular activity. Radiology. 2012 Nov;265(2):426-36. doi: 10.1148/radiol.12112565. Epub 2012 Aug 13.
PMID: 22891356DERIVED
MeSH Terms
Conditions
Interventions
Study Officials
- STUDY DIRECTOR
Jane Robertson, MD
AstraZeneca, Alderley Park
- PRINCIPAL INVESTIGATOR
Johann De Bono, MD
Institute of Cancer Research, Royal Marsden Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 5, 2008
First Posted
September 9, 2008
Study Start
August 1, 2008
Primary Completion
February 1, 2010
Study Completion
November 1, 2010
Last Updated
July 1, 2011
Record last verified: 2011-06