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NCT01717391

[F-18] Fluorothymidine PET/CT Imaging for Pelvic Cancers

Completed Phase 2 Results posted Last updated 26 March 2019
What this trial tests

Phase 2 trial testing fluorothymidine F 18 in Uterine Cervical Neoplasms in 36 participants. Completed in 30 April 2017.

Timeline
1 October 2012
Primary endpoint
29 February 2016
30 April 2017

Quick facts

Lead sponsorJohn M. Buatti
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment36
Start date1 October 2012
Primary completion29 February 2016
Estimated completion30 April 2017
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

John M. Buatti — full company profile →

Who can join

18 and older, any sex, with Uterine Cervical Neoplasms or Endometrial Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Difference From Baseline IMRT Plan (%) Primary · Baseline (pre-treatment)

The difference in volume of bone marrow receiving radiation using a bone-marrow-sparing radiation plan compared to a standard radiation plan (IMRT), expressed as a percentage. Both plans are patient-specific. Bone-marrow is identified using the baseline FLT PET/CT obtained pre-imaging. Active bone marrow is considered to have an uptake value (SUV) of 2, 3, or 4. The standard IMRT plan was created using the criteria of the National Cancer Institute's Radiation Therapy Oncology Group study RTOG-0418. Radiation doses evaluated are 5 Gray, 10 Gray, 20 Gray, and 30 Gray. The change in dose to tumor

% difference, volume receiving 5 Gray
GroupValue95% CI
Basline FLT PET/CT (All Subjects)-4.7± 3.3
% difference, volume receiving 10 Gray
GroupValue95% CI
Basline FLT PET/CT (All Subjects)-9.3± 4.2
% difference, volume receiving 20 Gray
GroupValue95% CI
Basline FLT PET/CT (All Subjects)-14.2± 4.1
% difference, volume receiving 30 Gray
GroupValue95% CI
Basline FLT PET/CT (All Subjects)-13.4± 7.6
% difference, dose to target (tumor) volume
GroupValue95% CI
Basline FLT PET/CT (All Subjects)-0.1± 0.4
Chemotherapy Compliance Secondary · At 24 months

The number of participants who had chemotherapy withheld at least once for low blood counts.

GroupValue95% CI
FLT PET/CT7
Number of Participants With Standardized Toxicity Severity Grades for White Blood Cell Counts Secondary · baseline, weekly during radiation treatment for up to 5 weeks, 30 days and 1 year after treatment

White blood cell counts measurements expressed in standardized toxicity severity grades (Common Terminology Criteria for Adverse Events, v4.03) measured weekly during combined chemotherapy and radiation therapy treatment and then once at 30 day follow-up and at 1 year follow-up

Baseline (pre-treatment)
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 1
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 2
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)15
Bone-marrow Sparing Radiation Therapy (IMRT)7
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)3
Therapy, week 3
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)13
Bone-marrow Sparing Radiation Therapy (IMRT)5
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 4
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)13
Bone-marrow Sparing Radiation Therapy (IMRT)5
Bone-marrow Sparing Radiation Therapy (IMRT)4
Bone-marrow Sparing Radiation Therapy (IMRT)2
Therapy, week 5
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)10
Bone-marrow Sparing Radiation Therapy (IMRT)3
Bone-marrow Sparing Radiation Therapy (IMRT)3
Bone-marrow Sparing Radiation Therapy (IMRT)1
30 days post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)20
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
1 year post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)0
Number of Participants With Standardized Toxicity Severity Grades for Decreased Platelet Counts. Secondary · baseline, weekly during radiation treatment for up to 5 weeks, 30 days and 1 year after treatment

Platelet cell counts measurements expressed in standardized toxicity severity grades (Common Terminology Criteria for Adverse Events, v4.03) measured once weekly during combined chemotherapy and radiation therapy, then once at 30 day follow-up, and once at 1 year follow-up

Baseline (pre-treatment)
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 1
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 2
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)9
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)2
Therapy, week 3
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)12
Bone-marrow Sparing Radiation Therapy (IMRT)6
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 4
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)15
Bone-marrow Sparing Radiation Therapy (IMRT)6
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 5
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)9
Bone-marrow Sparing Radiation Therapy (IMRT)7
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)0
30 days post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)17
Bone-marrow Sparing Radiation Therapy (IMRT)4
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)0
1 year post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Number of Participants With Standardized Toxicity Severity Grades for Decreased Absolute Neutrophil Counts (ANCs) Secondary · baseline, weekly during radiation treatment for up to 5 weeks, 30 days and 1 year after treatment

Absolute neutrophil counts (ANCs) measurements expressed in standardized toxicity severity grades (Common Terminology Criteria for Adverse Events, v4.03) measured once weekly during combined chemotherapy and radiation therapy, then once at 30 day follow-up, and once at 1 year follow-up

Baseline (pre-treatment)
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 1
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)25
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 2
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)8
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 3
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)4
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 4
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)17
Bone-marrow Sparing Radiation Therapy (IMRT)5
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 5
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)13
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
30 days post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)21
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
1 year post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Number of Participants With Standardized Toxicity Severity Grades for Decreased Lymphocyte Counts. Secondary · baseline, weekly during radiation treatment for up to 5 weeks, 30 days and 1 year after treatment

Lymphocyte counts measurements expressed in standardized toxicity severity grades (Common Terminology Criteria for Adverse Events, v4.03) measured once weekly during combined chemotherapy and radiation therapy, then once at 30 day follow-up, and once at 1 year follow-up

Baseline (pre-treatment)
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)27
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 1
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)25
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 2
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)8
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 3
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)4
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)1
Therapy, week 4
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)17
Bone-marrow Sparing Radiation Therapy (IMRT)5
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Therapy, week 5
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)13
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
30 days post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)21
Bone-marrow Sparing Radiation Therapy (IMRT)1
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0
1 year post-therapy
GroupValue95% CI
Bone-marrow Sparing Radiation Therapy (IMRT)16
Bone-marrow Sparing Radiation Therapy (IMRT)2
Bone-marrow Sparing Radiation Therapy (IMRT)0
Bone-marrow Sparing Radiation Therapy (IMRT)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected for 48 hours after injection with FLT, the investigational drug under study.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

FLT PET/CT
Serious: 0/27 (0%)
Deaths: 0/27
Other adverse events (4 terms — click to expand)

ReactionSystemFLT PET/CT
Nausea, grade 1Gastrointestinal disorders
Diarrhea, grade 1Gastrointestinal disorders
Diarrhea, grade 2Gastrointestinal disorders
Headache, grade 1Nervous system disorders

Data from ClinicalTrials.gov NCT01717391 adverse events section.

Sponsor's own description

\[F-18\] Fluorothymidine PET imaging will be used to create a radiation therapy treatment plan to avoid active bone marrow in the pelvis. This will be done to evaluate if sparing bone marrow will help maintain blood counts. This would impact chemotherapy administration.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Using [(18)F]Fluorothymidine Imaged With Positron Emission Tomography to Quantify and Reduce Hematologic Toxicity Due to Chemoradiation Therapy for Pelvic Cancer Patients.
    McGuire SM, Bhatia SK, Sun W, Jacobson GM, et al · · 2016 · cited 36× · PMID 27319286 · DOI 10.1016/j.ijrobp.2016.04.009
  2. Bone marrow sparing in intensity modulated proton therapy for cervical cancer: Efficacy and robustness under range and setup uncertainties.
    Dinges E, Felderman N, McGuire S, Gross B, et al · · 2015 · cited 33× · PMID 25981130 · DOI 10.1016/j.radonc.2015.05.005

Verify or expand the search:

Other recruiting trials for Uterine Cervical Neoplasms

Currently open trials in the same condition.

Other John M. Buatti trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01717391.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing