NCT03717454

Brief Summary

To study the in vivo expression of dopamine D2 receptors in prolactinoma and the predictive role of dopamine D2 receptors PET-MR imaging in the therapeutic effect of dopamine agonists.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2018

Typical duration for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 14, 2018

Completed
10 days until next milestone

First Posted

Study publicly available on registry

October 24, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

December 1, 2018

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2021

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 31, 2022

Completed
Last Updated

November 20, 2018

Status Verified

November 1, 2018

Enrollment Period

3.1 years

First QC Date

October 14, 2018

Last Update Submit

November 19, 2018

Conditions

Keywords

Dopamine agonistDopamine D2 receptorsPET-MR

Outcome Measures

Primary Outcomes (1)

  • Change from baseline on PRL level

    Record the result of PRL on every 3 month follow-up visit

    Up to 6 months

Secondary Outcomes (3)

  • Change from baseline on tumor volume measured by enhanced pituitary Magnetic Resonance Imaging(MRI)

    Up to 6 months

  • Change from baseline of visual field scale

    Up to 6 months

  • Change from baseline of visual acuity

    Up to 6 months

Study Arms (2)

Drug treatment

EXPERIMENTAL

Subjects are treated with CAB tablets 2mg/week or BC tablets 7.5mg/day.The pituitary hormone levels, tumor volume,visual acuity and visual field scale will be measured every 3 months.MRI showed that the tumors shrunk significantly.

Drug: Drug treatment

Surgery

EXPERIMENTAL

Subjects are treated with CAB tablets 2mg/week or BC tablets 7.5mg/day.The pituitary hormone levels, tumor volume, visual acuity and visual field scale will be measured every 3 months. The CAB or BC fail to decrease prolactinoma size.

Other: Surgery

Interventions

SurgeryOTHER

The medication will be stopped if failure to decrease prolactinoma size and the subjects will be advised to endoscopic transphenoidal pituitary surgery .

Surgery

The medication will continue if DA causes tumors to shrink.

Drug treatment

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hyperprolactinemia;
  • Enhanced pituitary MRI shows sella regional tumor;
  • Aged between 18 and 65 years old, either sex;
  • Karnofsky performance status ≥ 70;
  • The patient has signed the informed consent.

You may not qualify if:

  • Patients concomitantly taking the psychotropic drugs or other drugs causing elevated PRL ;
  • Patients with parkinson disease and is taking dopaminergic agents;
  • Patients with prolactinoma who received Gamma knife treatment;
  • Pregnant or lactating women, or women preparing pregnant;
  • Patients with poor compliance, who cannot implement the program strictly.
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to cabergoline.
  • Patients with claustrophobia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (3)

  • Mukherjee J, Majji D, Kaur J, Constantinescu CC, Narayanan TK, Shi B, Nour MT, Pan ML. PET radiotracer development for imaging high-affinity state of dopamine D2 and D3 receptors: Binding studies of fluorine-18 labeled aminotetralins in rodents. Synapse. 2017 Mar;71(3):10.1002/syn.21950. doi: 10.1002/syn.21950. Epub 2016 Nov 30.

  • Melmed S, Casanueva FF, Hoffman AR, Kleinberg DL, Montori VM, Schlechte JA, Wass JA; Endocrine Society. Diagnosis and treatment of hyperprolactinemia: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011 Feb;96(2):273-88. doi: 10.1210/jc.2010-1692.

  • Schonitzer V, Haasters F, Kasbauer S, Ulrich V, Mille E, Gildehaus FJ, Carlsen J, Pape M, Beck R, Delker A, Boning G, Mutschler W, Bocker W, Schieker M, Bartenstein P. In vivo mesenchymal stem cell tracking with PET using the dopamine type 2 receptor and 18F-fallypride. J Nucl Med. 2014 Aug;55(8):1342-7. doi: 10.2967/jnumed.113.134775. Epub 2014 Jul 14.

MeSH Terms

Conditions

Prolactinoma

Interventions

Surgical Procedures, Operative

Condition Hierarchy (Ancestors)

AdenomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsPituitary NeoplasmsEndocrine Gland NeoplasmsNeoplasms by SitePituitary DiseasesHypothalamic DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesEndocrine System Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

October 14, 2018

First Posted

October 24, 2018

Study Start

December 1, 2018

Primary Completion

December 30, 2021

Study Completion

January 31, 2022

Last Updated

November 20, 2018

Record last verified: 2018-11

Data Sharing

IPD Sharing
Will not share

The individual patient Data would not be shared to the third facility, but the sponsor hasn't decided whether to share the individual patient date to the other related studies hold by himself in the future.