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Trial registered on ANZCTR
Registration number
ACTRN12618001819213
Ethics application status
Approved
Date submitted
30/10/2018
Date registered
8/11/2018
Date last updated
8/11/2018
Date data sharing statement initially provided
8/11/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A novel PET (positron emission tomography) tracer for donut-like PET findings in patients with neuroendocrine tumours
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Scientific title
The role of [18F]FMISO PET in resolving Dotatate uptake in a doNUT-like pattern in neuroendocrine neoplasms
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Secondary ID [1]
296472
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None
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Universal Trial Number (UTN)
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Trial acronym
DONUT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neuroendocrine tumours
310257
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Condition category
Condition code
Cancer
308981
308981
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0
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Neuroendocrine tumour (NET)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
After signing consent, patients will be in the Nuclear Medicine department for approximately 3 hours. The intervention is a one-off injection of [18-F]-FMISO (dosage 300-350MBq), administered by the technologist. Imaging will be a mix of dynamic and static acquisitions from the time of injection to 120 minutes after injection. Standard PET machine settings will otherwise be used.
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Intervention code [1]
312797
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The % of patients with subjectively assessed FMISO avidity in the target lesion
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Assessment method [1]
307951
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Timepoint [1]
307951
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At time of PET imaging
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Secondary outcome [1]
353443
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Distribution of FMISO in target lesion and other tumour lesions - quantitative (SUVmax, peak, mean; ratio of uptake in target versus uptake in normal tissue of same organ) and qualitative assessment (geographical pattern of uptake in lesions). This is a composite outcome.
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Assessment method [1]
353443
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Timepoint [1]
353443
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At time of PET scan
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Secondary outcome [2]
353444
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Safety of FMISO injection as assessed by CTCAE v4.03 criteria
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Assessment method [2]
353444
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Timepoint [2]
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From the time of the injection to 7 days post injection
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Eligibility
Key inclusion criteria
1) Patients 18 years of age or older with metastatic neuroendocrine neoplasm (NEN) and histological confirmation who have undergone PET scans at Royal North Shore Hospital
2) Patients identified by the nuclear medicine physicians as having a lesion with 68Ga-DOTATATE PET (DOTA) avidity on the periphery but not the centre of the lesion (i.e. lack of avidity in the hole of the “donut“-like tumour).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Patients who have not received a PET scan at RNSH
2) Patients without a histological diagnosis of metastatic NEN
3) Inability to lie in a supine position on the PET scanning bed for 15 minutes;
4) Subjects who required sedation for their baseline clinical PET scan;
5) Renal failure requiring haemo- or peritoneal dialysis;
6) Substance abuse, medical, psychological or social conditions that in the opinion of the investigator may interfere with the patient’s participation in the study or evaluation of the study results;
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
31/10/2018
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Date of last participant enrolment
Anticipated
1/11/2019
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Actual
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Date of last data collection
Anticipated
15/11/2019
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Actual
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Sample size
Target
10
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
12305
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
24501
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2065 - St Leonards
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Funding & Sponsors
Funding source category [1]
301065
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Other Collaborative groups
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Name [1]
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Sydney Vital
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Address [1]
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Level 8, Kolling Institute of Medical Research, Reserve Road, St Leonards NSW 2065
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Country [1]
301065
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Australia
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Primary sponsor type
Government body
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Name
Northern Sydney Local Health District
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Address
Reserve Road, St Leonards, NSW 2065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
300674
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Address [1]
300674
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Country [1]
300674
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Sydney Local Health District HREC
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Ethics committee address [1]
301818
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Kolling Building, Level 13 Royal North Shore Hospital St Leonards NSW 2065
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Ethics committee country [1]
301818
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Australia
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Date submitted for ethics approval [1]
301818
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21/05/2018
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Approval date [1]
301818
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28/09/2018
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Ethics approval number [1]
301818
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RESP/18/129
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Summary
Brief summary
The purpose of this study is to examine the area around a neuroendocrine tumour using a scan called FMISO PET. Who is it for? You may be eligible for this study if you are aged 18 or over, and have a metastatic neuroendocrine tumour (NET). Study details All participants in this study will undergo one FMISO PET. The scan requires injection of a chemical called a tracer through a needle in the arm. The scan takes approximately 2 hours with the whole study visit on the day taking approximately 3 hours. It is hoped this research will help clinicians understand the biology of NET better, and help improve health outcomes in the long term as a result of this improved understanding.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr David Chan
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Address
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Department of Nuclear Medicine
Level 2 ASB
Royal North Shore Hospital
St Leonards NSW 2065
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Country
88218
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Australia
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Phone
88218
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+61 299264440
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Fax
88218
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Email
88218
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[email protected]
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Contact person for public queries
Name
88219
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David Chan
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Address
88219
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Department of Nuclear Medicine
Level 2 ASB
Royal North Shore Hospital
St Leonards NSW 2065
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Country
88219
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Australia
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Phone
88219
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+61 299264440
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Fax
88219
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Email
88219
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[email protected]
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Contact person for scientific queries
Name
88220
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David Chan
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Address
88220
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Department of Nuclear Medicine
Level 2 ASB
Royal North Shore Hospital
St Leonards NSW 2065
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Country
88220
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Australia
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Phone
88220
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+61 299264440
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Fax
88220
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Email
88220
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Small patient numbers means that sharing IPD may compromise patient anonymity.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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