Blood Oxygen Level Dependent Magnetic Resonance Imaging (BOLD MRI) and Fluorothymidine Positron Emission Tomography (FLT PET) in Patients With Locally Advanced Breast Cancer Undergoing Neoadjuvant Chemotherapy
IMPACT
A Pilot Study of Blood Oxygen Level Dependent Magnetic Resonance Imaging (BOLD MRI) and Fluorothymidine Positron Emission Tomography (FLT PET) in Patients With Locally Advanced Breast Cancer Undergoing Neoadjuvant Chemotherapy
1 other identifier
interventional
32
1 country
4
Brief Summary
The objective of this pilot study is to determine the effectiveness of Fluorothymidine Positron Emission Tomography (FLT PET) and Blood Oxygen Level Dependent Magnetic Resonance Imaging (BOLD MRI) in assessing tumour response to neoadjuvant chemotherapy (NA CT) in women with locally advanced breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2011
Longer than P75 for not_applicable
4 active sites
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
First Submitted
Initial submission to the registry
November 1, 2010
CompletedFirst Posted
Study publicly available on registry
November 15, 2010
CompletedStudy Start
First participant enrolled
April 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedMarch 11, 2015
March 1, 2015
3.8 years
November 1, 2010
March 10, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical response (partial and complete)
Partial clinical response refers to at least a 50% reduction in the dimensions of the tumour mass and a complete clinical response refers to complete absence of the mass on physical exam, as well as absence of inflammation, ulceration and peau d'orange.
6 months (approximately)
Secondary Outcomes (2)
Pathologic response
6 months (approximately)
Imaging Quantification
6 months (approximately)
Study Arms (1)
FLT PET and BOLD MRI scan
OTHERAll subjects will have the study intervention of FLT PET and BOLD MRI at baseline and after the first cycle of chemotherapy
Interventions
Eligible consenting patients with LABC receiving neoadjuvant chemotherapy (NA CT) will undergo FLT PET, BOLD MRI, and clinical examination of the involved breast including ipsilateral axillary and supraclavicular nodes to assess the treatment response to chemotherapy (CT). The imaging studies will be performed at baseline and after the first cycle of NA CT.
Eligibility Criteria
You may qualify if:
- Histologic proof of breast cancer (invasive ductal or lobular carcinoma). Breast sarcoma and lymphoma are not eligible.
- Clinical diagnosis of locally advanced breast cancer (Stage IIB (T3,N0,M0), Stage IIIA, IIIB, or IIIC, according to American Joint Committee on Cancer (AJCC) Tumour-Node-Metastasis (TNM) Cancer Staging), including inflammatory breast cancer.
- Ability to undergo neoadjuvant chemotherapy.
You may not qualify if:
- Evidence of metastatic disease (identified on chest x-ray, liver ultrasound, bone scan or other imaging tests);
- Previous chemotherapy or hormonal therapy for breast cancer;
- Significant concurrent medical problems that result in the patient being unfit for surgery (e.g. uncontrolled diabetes, active cardiac disease, severe chronic obstructive pulmonary disease);
- Known pregnancy or lactating female (e.g. positive serum beta human chorionic gonadotropin (B-hCG) pregnancy test);
- Inability to lie supine for imaging with Positron Emission Tomography (PET);
- Any contraindication to undergoing Magnetic Resonance Imaging (MRI) or PET;
- Currently receiving Antabuse;
- Inability to provide informed consent (e.g. dementia or severe cognitive impairment).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Juravinski Cancer Centre
Hamilton, Ontario, L8V5C2, Canada
London Health Sciences Centres - London Regional Cancer Program
London, Ontario, Canada
Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, P7B6V4, Canada
Sunnybrook Odette Health Sciences Centre
Toronto, Ontario, M4N3M5, Canada
Study Officials
- PRINCIPAL INVESTIGATOR
Som Mukherjee
Juravinski Cancer Centre Hamilton, Ontario
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 1, 2010
First Posted
November 15, 2010
Study Start
April 1, 2011
Primary Completion
January 1, 2015
Study Completion
January 1, 2015
Last Updated
March 11, 2015
Record last verified: 2015-03