- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00685997
Whole-body Magnetic Resonance Imaging (MRI) for Staging Malignant Lymphomas
Whole-body MR Imaging for Staging Malignant Lymphomas
Background:
The malignant lymphomas, Hodgkin´s disease (HD) and non-Hodgkin´s lymphoma (NHL), comprise approximately 5-6% of all malignancies in adults and account for 10% of childhood cancers. Once the diagnosis has been established histologically, extent of disease (staging) and response to therapy will be assessed by means of a computed tomography (CT) scan of the body. The staging at presentation is important for determining prognosis and choice of treatment. Unfortunately, CT is accompanied by a significant amount of radiation exposure which may induce second cancers. This is especially important in childhood, because rapidly dividing cells are more sensitive to radiation induced effects and children will have more years ahead in which cancerous changes might occur. New magnetic resonance imaging (MRI) techniques offer an alternative way for staging and follow-up of cancers, including the malignant lymphomas. Whole-body MRI (WB-MRI) is a radiation-free method which allows imaging of the body with excellent soft tissue contrast in a single examination.
Purpose:
The aim of this study is to examine if WB-MRI can replace CT in staging of patients with a malignant lymphoma.
Design:
This will be a multicenter, prospective, diagnostic cohort study (timeschedule: 36 months). 135 eligible patients will undergo WB-MRI on top of the protocolar imaging routinely done.
Study population:
Patients aged 8 years and older with a histological diagnosis of HD or NHL.
Statistical analysis:
The challenge of this study will be to show non-inferiority of WB-MRI compared to CT in staging malignant lymphoma. Testing of this hypothesis will be one-sided and performed using recently proposed techniques by Lui et al.
Radiation-related risk assessment:
A risk model will be used, based on the BEIR VII report, for modelling the late-term mortality from radiation induced tumors after exposure to ionizing radiation.
Economic evaluation:
Actual costs (from a societal perspective) will be determined for the two diagnostic tests. In case of clinical equivalence and similar costs or cost savings associated with MRI the latter can be considered dominant, obviating further economic evaluation. Otherwise, through modelling of expected long term health impact and associated outcomes such as quality of life and costs the incremental cost effectiveness will be evaluated.
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
-
-
-
Utrecht, Pays-Bas, 3584 CX
- University Medical Center Utrecht
-
-
Noord-Holland
-
Amsterdam, Noord-Holland, Pays-Bas, 1105 AZ
- Academic Medical Center Amsterdam
-
-
Utrecht
-
Amersfoort, Utrecht, Pays-Bas, 3818 ES
- Meander Medical Center Amersfoort
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- male or female patients
- age: 8 years and older
- histologically proven Hodgkin's disease or non-Hodgkin's lymphoma
- patients scheduled for a CT of the body for initial staging
- participant's parents (participant < 18 years) or the participant (participant >18 years) must willingly give written informed consent prior to the start of the study
- whole-body MRI has to be performed within 10 days before or after CT, and before therapy has been started.
Exclusion Criteria:
- patients with a general contraindication for MRI (including cardiovascular pacemakers, claustrophobia)
- patients who have had a previous malignancy
- patients who are pregnant or nursing
- patients in whom therapy has already started after CT and before MRI could be performed
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
The primary outcome will be the clinical stage according to WB-MRI findings and according to CT-findings. This clinical stage will be determined according to the Ann Arbor classification system.
Délai: December 2010
|
December 2010
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
---|---|
The secondary outcome will be a (subjective) assessment of image quality and presence of artefacts, for both T1-weighted and T2-weighted MR images as well as CT.
Délai: December 2010
|
December 2010
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Rutger A. J. Nievelstein, MD PhD, UMC Utrecht
Publications et liens utiles
Publications générales
- Brenner DJ, Hall EJ. Computed tomography--an increasing source of radiation exposure. N Engl J Med. 2007 Nov 29;357(22):2277-84. doi: 10.1056/NEJMra072149. No abstract available.
- Brennan DD, Gleeson T, Coate LE, Cronin C, Carney D, Eustace SJ. A comparison of whole-body MRI and CT for the staging of lymphoma. AJR Am J Roentgenol. 2005 Sep;185(3):711-6. doi: 10.2214/ajr.185.3.01850711.
- Kellenberger CJ, Epelman M, Miller SF, Babyn PS. Fast STIR whole-body MR imaging in children. Radiographics. 2004 Sep-Oct;24(5):1317-30. doi: 10.1148/rg.245045048.
- Lauenstein TC, Goehde SC, Herborn CU, Goyen M, Oberhoff C, Debatin JF, Ruehm SG, Barkhausen J. Whole-body MR imaging: evaluation of patients for metastases. Radiology. 2004 Oct;233(1):139-48. doi: 10.1148/radiol.2331030777. Epub 2004 Aug 18.
- Antoch G, Vogt FM, Freudenberg LS, Nazaradeh F, Goehde SC, Barkhausen J, Dahmen G, Bockisch A, Debatin JF, Ruehm SG. Whole-body dual-modality PET/CT and whole-body MRI for tumor staging in oncology. JAMA. 2003 Dec 24;290(24):3199-206. doi: 10.1001/jama.290.24.3199.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 80-82310-98-08012
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Lymphome non hodgkinien
-
Université Catholique de LouvainSuspenduSourd non parlant, non classé ailleursBelgique
-
Universidad Autonoma de MadridActif, ne recrute pasFracture non syndiquéFrance, Espagne, Allemagne, Italie
-
National Institute on Aging (NIA)RecrutementVolontaires en bonne santé | Non sain/non fragile | FrêleÉtats-Unis
-
Stanford UniversityNational Institutes of Health (NIH); AmgenComplétéLymphome non hodgkinien | Lymphomes : non hodgkiniens | Lymphomes : lymphocytes T périphériques non hodgkiniens | Lymphomes : lymphome cutané non hodgkinien | Lymphomes : non hodgkiniens diffus à grandes cellules B | Lymphomes : folliculaires non hodgkiniens/cellules B indolentes | Lymphomes... et d'autres conditionsÉtats-Unis
-
Rutgers, The State University of New JerseyComplétéMBSR-STIM | PMR-STEM | MBSR-NON-STEM | PMR -NON STEMÉtats-Unis
-
Histograft Co., Ltd.S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian...InconnueFracture non syndiqué | Non-union de l'articulation de la cheville sans infectionFédération Russe
-
Indonesia UniversityInconnueFracture non syndiqué | Défaut fibreux métaphysaireIndonésie
-
Western Regional Medical CenterRésiliéCancer du poumon non à petites cellules non épidermoïde non métastatique | Cancer du poumon non à petites cellules non métastatique à cellules squameusesÉtats-Unis
-
Peking University First HospitalMerck Sharp & Dohme LLCPas encore de recrutementCancer du poumon non à petites cellules non épidermoïde avancé | Cancer du poumon non à petites cellules métastatique non épidermoïde | Cancer du poumon non épidermoïde non à petites cellules récurrentChine
-
Navamindradhiraj UniversityActif, ne recrute pasEnlèvement du tissu fibrosynovial | Non-élimination du tissu fibrosynovial | Rotulien non resurfaçantThaïlande