Positron Emission Tomography (PET) Study for Staging of Muscle Invasive Bladder Cancer
LCCC 1209: Pilot Study of [18F] Fluorodeoxyglucose Positron Emission Tomography-Magnetic Resonance Imaging (FDG-PET-MRI) for Staging of Muscle-Invasive Bladder Cancer
1 other identifier
interventional
22
1 country
1
Brief Summary
This prospective pilot study will enroll 30 patients with cT2/T3-N0-M0 urothelial carcinoma of the bladder for whom radical cystectomy with pelvic lymph node dissection is planned. This pilot study is designed to provide preliminary information on the accuracy of \[18F\] Fluorodeoxyglucose Positron Emission Tomography MRI (FDG-PET-MRI) in the staging of muscle-invasive bladder cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2012
Longer than P75 for not_applicable
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
July 24, 2012
CompletedFirst Submitted
Initial submission to the registry
July 26, 2012
CompletedFirst Posted
Study publicly available on registry
August 2, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2019
CompletedOctober 31, 2019
October 1, 2019
4.4 years
July 26, 2012
October 30, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Sensitivity and specificity of the FDG-PET-MRI for staging of muscle-invasive bladder cancer
The sensitivity and specificity of the FDG-PET-MRI for staging of muscle-invasive bladder will be evaluated by using the pathology from the radical cystectomy and lymph node dissection specimen or biopsy as the reference standard. The sensitivity and specificity of FDG-PET-MRI will be compared to conventional CT performed in all patients in this pilot study and FDG-PET-CT.
3 years
Secondary Outcomes (1)
Association of FDG-PET-MRI with RFS, DSS and OS in patients with muscle-invasive bladder cancer
3 years
Study Arms (2)
FDG PET/MR, No Chemotherapy Arm
EXPERIMENTALPatients that are NOT receiving chemotherapy but are only completing surgical intervention.
FDG PET/MR, Chemotherapy Arm
EXPERIMENTALPatients that are receiving chemotherapy prior to completing surgical intervention. These patients will receive a FDG PET/MR prior to chemotherapy and after completion of chemotherapy (at the time of pre-op, before surgical intervention).
Interventions
All patients will undergo a gadolinium enhanced MRI with simultaneous acquisition of FDG-PET prior to planned radical cystectomy and pelvic lymph node dissection
Eligibility Criteria
You may qualify if:
- ≥ 18 years of age (no upper age limit)
- Informed consent obtained and signed
- cT2/T3-N0-M0 urothelial carcinoma of the bladder
- Planned radical cystectomy with pelvic lymph node dissection
- No known local regional or distant metastatic disease
- Women of childbearing potential must have a negative serum or urine pregnancy test performed within 7 days prior to FDG-PET-MRI
You may not qualify if:
- History of severe reaction to contrast-enhanced CT scan
- Poorly controlled diabetes mellitus
- Inability to tolerate PET and/or MRI
- Presence of pacemaker or intracranial aneurysm clip
- Serum creatinine \>1.8 mg/dL OR GFR \< 30mL/min
- Pregnant or lactating female
- Inability to lie flat for \>1 hour
- Body Mass Index (BMI) \>35
- History of a prior malignancy within past 5 years are excluded unless they have been disease free for 3 or more years or unless they have a completely resected non-melanoma skin cancer.
- Substance abuse, medical, psychological, or social conditions that may interfere with the patient's participation in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Matthew I. Milowsky, MD
University of North Carolina
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
July 26, 2012
First Posted
August 2, 2012
Study Start
July 24, 2012
Primary Completion
December 1, 2016
Study Completion
February 1, 2019
Last Updated
October 31, 2019
Record last verified: 2019-10