Interest of Trimodality PET-CT Choline MRI Before Radiotherapy in High Risk Prostate Cancer
DEMETER
1 other identifier
interventional
20
1 country
1
Brief Summary
The initial staging of locally advanced prostate cancer is made with Computed Tomography scan (CT), Magnetic Resonance Imaging (MRI), and bone scan (BS). For this type of cancer, reference treatment is radiotherapy combined with hormone therapy. The added value of MRI in the delineation of volumes for radiotherapy is known, especially for the definition of extra-prostatic extensions and prostatic apex. However, its regular use is difficult. Indeed, acquisition of Magnetic Resonance Imaging parameters for diagnostic are not adapted to be fused with the planning Computed Tomography. The literature shows that Positron Emission Tomography-Computed Tomography with Fluorocholine is better in terms of diagnostic performance compared to bone scan for bone metastases and to pelvic Magnetic Resonance Imaging for nodal extension. It would therefore improve staging for these patients with a high risk of locoregional and metastatic invasion even if its use is currently not recommended in the initial staging. Thanks to Magnetic Resonance Imaging acquisition parameters adapted to Radiotherapy and additional functional information, an acquisition in tri-modality Positron Emission Tomography/computed Tomography/ Magnetic Resonance Imaging could have an impact on the volumes definition for radiotherapy or even on the therapeutic strategy. The aim of the study is to evaluate the volume modifications obtained on the trimodality evaluation, compared to the standard initial staging (geometric comparison). In addition, it would be a preliminary study for a project using Prostate-specific membrane antigen (PSMA) in trimodality, and / or for a therapeutic interventional study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable prostate-cancer
Started Feb 2019
Shorter than P25 for not_applicable prostate-cancer
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
First Submitted
Initial submission to the registry
October 31, 2018
CompletedFirst Posted
Study publicly available on registry
November 8, 2018
CompletedStudy Start
First participant enrolled
February 14, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 10, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 10, 2020
CompletedJanuary 2, 2026
December 1, 2025
1.8 years
October 31, 2018
December 29, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Delineation volumes
Measure of volumes delineation for radiotherapy thanks to trimodality and comparison to those obtained with standard technique
1 day
Secondary Outcomes (4)
Treatment plan
6 weeks
Dosimetry
6 weeks
F-choline fixation in MRI
1 day
contouring of target lesions and organ at risk
6 weeks
Study Arms (1)
Trimodality
EXPERIMENTALPET-CT with fluorocholine and MRI
Interventions
Eligibility Criteria
You may qualify if:
- More than 18 years
- prostate cancer : High risk (according to D'Amico Classification)
- and/or Node positive on MRI
- T2c-T3 on MRI
- with staging assessment
- will receive radiotherapy
You may not qualify if:
- second cancer
- contraindication to MRI
- participation in an another therapeutic trial
- patients under guardianship or curatorship
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre Henri Becquerel
Rouen, 76038, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 31, 2018
First Posted
November 8, 2018
Study Start
February 14, 2019
Primary Completion
December 10, 2020
Study Completion
December 10, 2020
Last Updated
January 2, 2026
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share