- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05251168
PET Guided Bone Marrow Biopsy vs Trephine Bone Marrow Biopsy
February 22, 2022 updated by: Rajender Kumar, Postgraduate Institute of Medical Education and Research
Role of FDG PET/CT Guided Bone Marrow Biopsy vs. Conventional Bone Marrow Trephine Biopsy for Assessing the Bone Marrow Infiltration in Newly Diagnosed Lymphoma
Newly diagnosed lymphoma patients were recruited for FDG PET/CT and PET/CT guided bone marrow biopsy.
All the patients also underwent routine bone marrow sampling from the posterior superior iliac spine.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Newly diagnosed patients underwent FDG PET/CT for whole-body staging.
All the PET/CT images were analyzed by a qualified nuclear medicine physician.
The bone marrow FDG uptake was classified as negative, focal, multifocal and diffuse marrow uptake.
A PET/CT guided metabolic bone marrow sampling from the FDG avid marrow-based lesion was done.
However, patients with diffuse FDG avidity or no uptake in the marrow differed for PET-guided biopsy.
All the patients underwent routine trephine bone marrow sampling.
Bone marrow infiltration (final diagnosis) was established based on trephine bone marrow sampling and FDG PET/CT targeted bone marrow biopsy results in the present study.
The results of both the biopsies were correlated with the final diagnosis.
Study Type
Observational
Enrollment (Actual)
180
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Chandīgarh
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Chandigarh, Chandīgarh, India, 160012
- Department of Nuclear Medicine, PGIMER
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Treatment naïve patients of lymphoma who underwent FDG PET/CT for initial staging were recruited.
Description
Inclusion Criteria:
- Newly diagnosed cases of lymphoma (both HL and NHL).
- Hypermetabolic bone marrow lesions on staging 18F-FDG PET/CT, which are accessible for biopsy.
- Aged between 18 -80 years.
- Informed consent prior to the procedure.
Exclusion Criteria:
- Previously treated/relapsed lymphoma.
- Initiation of therapy (chemotherapy, radiation therapy) and/or hematopoietic growth factor injections before 18F-FDG PET/CT or BMTB.
- Patients who underwent a prior BMTB to evaluate the role of BMI.
- Patients with pre-existing bleeding diatheses like hemophilia, coagulopathy, INR > 1.2 and platelet counts < 50,000/mm3,
- Patients who refuse to provide informed consent.
- No 18F FDG avid skeletal lesions.
- Pregnant/Lactating female patients.
- Non-cooperative patients.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison results of PET guided bone marrow biopsy with trephine bone marrow biopsy
Time Frame: three months
|
The final diagnosis of bone marrow infiltration was based on the pathology findings of trephine bone marrow biopsy and FDG PET/CT targeted bone marrow biopsy. The diagnostic accuracy (in percentage) of FDG PET/CT guided metabolic bone marrow biopsy was compared with the accuracy (in percentage) of trephine bone marrow biopsy with respect to final diagnosis. |
three months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2017
Primary Completion (Actual)
December 31, 2018
Study Completion (Actual)
March 31, 2019
Study Registration Dates
First Submitted
February 11, 2022
First Submitted That Met QC Criteria
February 11, 2022
First Posted (Actual)
February 22, 2022
Study Record Updates
Last Update Posted (Actual)
February 23, 2022
Last Update Submitted That Met QC Criteria
February 22, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- INT/IEC/2017/1416
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
Study protocol can be shared only on reasonable requests.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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