CT Perfusion Images in Assessing Treatment Response in Patients With Pancreatic Cancer
Evaluation of CT Perfusion Parameters as a Potential Biomarker for Treatment Response in Pancreatic Cancer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
OUTLINE:
Patients undergo CT perfusion sequence during the first 40 seconds of the baseline standard of care CT scan and during follow-up CT scans at 2 and possibly 4 months after chemotherapy, at 4-6 weeks after radiation therapy, or prior to definitive surgery.
After completion of the study, patients are followed up periodically for 2 years.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Washington
-
Seattle, Washington, Forenede Stater, 98109
- Fred Hutch/University of Washington Cancer Consortium
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Signed informed consent form
- A diagnosis of pancreatic ductal adenocarcinoma
Exclusion Criteria:
- Patients unable to provide informed consent
- Women who are pregnant or intending to become pregnant during the study
- Patients with body mass index greater than 40 kg/m^2
- History of severe allergic-like reaction to iodinated contrast media
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Diagnostic (CT perfusion sequence)
Patients undergo CT perfusion sequence during the first 40 seconds of the baseline standard of care CT scan and during follow-up CT scans at 2 and possibly 4 months after chemotherapy, at 4-6 weeks after radiation therapy, or prior to definitive surgery.
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Undergo CT perfusion sequence
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Correlation between pre-treatment computed tomography (CT) tumor perfusion parameters and percentage of patients who achieve curative (R0) surgical resection after neoadjuvant chemotherapy
Tidsramme: Up to 4 years
|
Assessed using logistic regression.
Receiver operating characteristic (ROC) curve analysis will be used to examine the sensitivity and specificity of different thresholds for each parameter.
|
Up to 4 years
|
|
Correlation between pre-treatment CT tumor perfusion parameters and tumor response after treatment
Tidsramme: Up to 1 year
|
Will be defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Assessed using logistic regression.
ROC curve analysis will be used to examine the sensitivity and specificity of different thresholds for each parameter.
If multiple perfusion parameters are found to be predictive of response, a multivariate logistic regression model will be constructed with these variables.
ROC analysis will also be used to summary the predictive performance of the multivariate model.
|
Up to 1 year
|
|
Correlation of pre-treatment CT tumor perfusion parameters with overall survival
Tidsramme: At 1 year
|
Assessed using Cox regression models.
Multivariate Cox models will be constructed if multiple parameters are found to be predictive of survival.
|
At 1 year
|
|
Correlation of pre-treatment CT tumor perfusion parameters with overall survival
Tidsramme: At 2 years
|
Assessed using Cox regression models.
Multivariate Cox models will be constructed if multiple parameters are found to be predictive of survival.
|
At 2 years
|
|
Correlation of pre-treatment CT tumor perfusion parameters with progression free survival
Tidsramme: At 1 year
|
Assessed using Cox regression models.
Multivariate Cox models will be constructed if multiple parameters are found to be predictive of survival.
|
At 1 year
|
|
Correlation of pre-treatment CT tumor perfusion parameters with progression free survival
Tidsramme: At 2 years
|
Assessed using Cox regression models.
Multivariate Cox models will be constructed if multiple parameters are found to be predictive of survival.
|
At 2 years
|
|
Change in computed tomography (CT) tumor perfusion parameters (time to peak concentration)
Tidsramme: Baseline to post-treatment (up to approximately one year)
|
The change in each CT tumor perfusion parameter between the pre-treatment scan and the post-treatment scan where response is assessed will be calculated.
These changes will be compared between the responders and non-responders using the t-test or Mann-Whitney test.
|
Baseline to post-treatment (up to approximately one year)
|
|
Change in CT tumor perfusion parameter (blood flow)
Tidsramme: Baseline to post-treatment (up to approximately one year)
|
The change in each CT tumor perfusion parameter between the pre-treatment scan and the post-treatment scan where response is assessed will be calculated.
These changes will be compared between the responders and non-responders using the t-test or Mann-Whitney test.
|
Baseline to post-treatment (up to approximately one year)
|
|
Change in CT tumor perfusion parameter (blood volume)
Tidsramme: Baseline to post-treatment (up to approximately one year)
|
The change in each CT tumor perfusion parameter between the pre-treatment scan and the post-treatment scan where response is assessed will be calculated.
These changes will be compared between the responders and non-responders using the t-test or Mann-Whitney test.
|
Baseline to post-treatment (up to approximately one year)
|
|
Change in CT tumor perfusion parameter (Ktrans)
Tidsramme: Baseline to post-treatment (up to approximately one year)
|
The change in each CT tumor perfusion parameter between the pre-treatment scan and the post-treatment scan where response is assessed will be calculated.
These changes will be compared between the responders and non-responders using the t-test or Mann-Whitney test.
|
Baseline to post-treatment (up to approximately one year)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Ryan O'Malley, Fred Hutch/University of Washington Cancer Consortium
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 9625 (Anden identifikator: Fred Hutch/University of Washington Cancer Consortium)
- NCI-2016-01780 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- RG3017007 (Anden identifikator: Fred Hutch/University of Washington Cancer Consortium)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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