Recombinant Thyrotropin PET-CT Fusion Scanning in Thyroid Cancer

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.

Verified September 2007 by Johns Hopkins University.
Recruitment status was: Recruiting

Sponsor:

Collaborators:

Gustave Roussy, Cancer Campus, Grand Paris

M.D. Anderson Cancer Center

Genzyme, a Sanofi Company

Information provided by:

Johns Hopkins University

ClinicalTrials.gov Identifier:

NCT00181168

First received: September 12, 2005

Last updated: September 24, 2007

Last verified: September 2007

History of Changes

Purpose

The purpose of this study is to determine [for patients with previously treated well-differentiated thyroid cancer and evidence of residual disease based on serum thyroglobulin (Tg) level] whether positron emission tomography-computed tomography (PET-CT) fusion scanning performed after recombinant TSH (rTSH, thyrotropin alfa for injection) will be more sensitive for the detection of disease sites than PET-CT scanning without rTSH. The study will also determine if this information will significantly alter the therapeutic approach in some patients.

Condition	Intervention	Phase
Thyroid Cancer	Drug: Recombinant thyrotropin	Phase 2


Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Intervention Model: Crossover Assignment Masking: None (Open Label) Primary Purpose: Diagnostic
Official Title:	Utility of Recombinant Human Thyrotropin (rTSH) PET-CT Fusion Scanning to Identify Residual Well-Differentiated Epithelial Thyroid Cancer

Resource links provided by NLM:

MedlinePlus related topics: Nuclear Scans Thyroid Cancer Thyroid Diseases

Drug Information available for: Thyroid Calcitonin

U.S. FDA Resources

Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:

PET-CT fusion scanning after rTSH will be more sensitive to detect disease sites than scanning without rTSH; this information will significantly alter the therapeutic approach in some patients.

Secondary Outcome Measures:

Increase in FDG PET SUV after rTSH will be more specific for metastases than for nonneoplastic processes (e.g., infection and muscle contraction).


Estimated Enrollment:	70
Study Start Date:	March 2005

Eligibility


Ages Eligible for Study:	18 Years and older (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Adults (aged ≥ 18 years) with history of treated well-differentiated epithelial thyroid carcinoma (papillary, follicular or Hurthle cell), for which total or near total thyroidectomy plus postoperative radioiodine remnant ablation with 131-I has either been performed or found to be unnecessary by radioiodine imaging after TSH stimulation.
Serum thyroglobulin (Tg) concentration ≥ 10 ng/mL (in the absence of interfering Tg autoantibodies).
No findings of a "qualifying" radioiodine whole body scan that are sufficient to localize the disease suspected on the basis of the serum Tg.
Inconclusive disease localization despite clinical assessment, cervical sonography, CT or magnetic resonance (MR) of the chest, and when appropriate other imaging and biopsy procedures. Patients must have no more than three foci of known or suspected extra-cervical metastasis.
Must be in stable medical condition.
Must be able to fully understand the protocol and be compliant with instructions.

Exclusion Criteria:

Diabetes mellitus, due to interference with fluorodeoxyglucose (FDG) PET scanning.
Claustrophobia, inability to lay supine, or other factors preventing cooperation with scanning procedures.
Withdrawal of thyroid hormone or rTSH administration within the preceding month.
Presence of circulating Tg autoantibodies interfering with serum Tg measurement.
Women who are pregnant or breastfeeding

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00181168

Contacts


Contact: Paul W Ladenson, MD	410-955-3663	ladenson@jhmi.edu
Contact: Marge E Ewertz, RN	410-955-1667	meewertz@jhmi.edu

Locations


United States, Maryland
Johns Hopkins Division of Endocrinology & Metabolism	Recruiting
Baltimore, Maryland, United States, 21287
Contact: Paul W Ladenson, MD 410-955-3663 ladenson@jhmi.edu
Contact: Marge E Ewertz, RN 410-955-1667 meewertz@jhmi.edu
Principal Investigator: Paul W Ladenson, MD
United States, Texas
M.D. Anderson Cancer Center	Recruiting
Houston, Texas, United States, 77030
Contact: Steven I Sherman, MD sisherma@mail.mdanderson.org
Principal Investigator: Steven I Sherman, MD
France
Institute Gustave Roussy	Recruiting
Paris, France
Contact: Martin Schlumberger, MD schlumbg@igr.fr
Principal Investigator: Martin Schlumberger, MD
Sub-Investigator: Sophie Leboulleux, MD

Sponsors and Collaborators

Johns Hopkins University

Gustave Roussy, Cancer Campus, Grand Paris

M.D. Anderson Cancer Center

Genzyme, a Sanofi Company

Investigators


Principal Investigator:	Paul W Ladenson, MD	Johns Hopkins University

More Information

Publications:

Chin BB, Patel P, Cohade C, Ewertz M, Wahl R, Ladenson P. Recombinant human thyrotropin stimulation of fluoro-D-glucose positron emission tomography uptake in well-differentiated thyroid carcinoma. J Clin Endocrinol Metab. 2004 Jan;89(1):91-5.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Leboulleux S, Schroeder PR, Busaidy NL, Auperin A, Corone C, Jacene HA, Ewertz ME, Bournaud C, Wahl RL, Sherman SI, Ladenson PW, Schlumberger M. Assessment of the incremental value of recombinant thyrotropin stimulation before 2-[18F]-Fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography imaging to localize residual differentiated thyroid cancer. J Clin Endocrinol Metab. 2009 Apr;94(4):1310-6. doi: 10.1210/jc.2008-1747. Epub 2009 Jan 21.


ClinicalTrials.gov Identifier:	NCT00181168 History of Changes
Other Study ID Numbers:	THYR01105ORP JHM IRB #1
Study First Received:	September 12, 2005
Last Updated:	September 24, 2007

Keywords provided by Johns Hopkins University:


thyroid cancer PET scan recombinant thyrotropin thyroglobulin Thyroid cancer, differentiated epithelial

Additional relevant MeSH terms:


Thyroid Diseases Thyroid Neoplasms Endocrine System Diseases Endocrine Gland Neoplasms Neoplasms by Site	Neoplasms Head and Neck Neoplasms Calcitonin Bone Density Conservation Agents Physiological Effects of Drugs

ClinicalTrials.gov processed this record on August 18, 2017

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