A pilot study to investigate how best to integrate a PET-CT scan into the radiotherapy planning pathway for lymphoma

ISRCTN ISRCTN46587767
DOI https://doi.org/10.1186/ISRCTN46587767
Secondary identifying numbers RD12/10519
Submission date
22/06/2016
Registration date
28/06/2016
Last edited
10/07/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Robin Prestwich
Scientific

Level 4 Bexley Wing
St. James's Institute of Oncology
Beckett Street
Leeds
LS9 7TF
United Kingdom

Study information

Study designSingle centre non-randomised interventional pilot study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA pilot study to optimise the use of FDG PET-CT and deformable image co-registration for lymphoma radiotherapy planning
Study objectivesStudy aim is to evaluate the impact of pre-chemotherapy PET-CT performed in the radiotherapy treatment position upon the accuracy of subsequent radiotherapy target volume definition
Ethics approval(s)NRES Committee Yorkshire & The Humber - Leeds East, 24/05/2013, ref: 13/YH/0139
Health condition(s) or problem(s) studiedHigh grade lymphoma
InterventionThe study aims to recruit up to 20 patients with early stage Hodgkin lymphoma or high grade non-Hodgkin lymphoma. A routine staging PET-CT will be followed at the same session by a PET-CT in the radiotherapy treatment position appropriate radiotherapy immobilisation devices.

Participation in the study will not affect treatment decisions or the radiotherapy planning process. The process of planning radiotherapy will not be systematically altered by the study.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)-
Primary outcome measureThe impact of pre-chemotherapy PET-CT performed in the radiotherapy treatment position upon the subsequent radiotherapy target volume on retrospective analysis. (This will not alter routine treatment for participants). This endpoint will be evaluated using methods of positional analysis to compare radiotherapy target volumes that are constructed with and without the benefit of the PET-CT acquired in the radiotherapy position.
Secondary outcome measuresTo assess the accuracy of image coregistration between pre-chemotherapy PET-CT and the post-chemotherapy planning CT scan.
Overall study start date01/01/2013
Completion date31/12/2017

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants20
Total final enrolment19
Key inclusion criteria1. Age ≥18 years
2. WHO Performance status 0-2 (Appendix A)
3. Histologically proven Hodgkin lymphoma or high grade non-Hodgkin lymphoma
4. Ann Arbor Stage I/II disease based upon clinical examination and any radiology investigations performed
5. Clinical decision to proceed with sequential chemotherapy and radiotherapy if stage I/II disease is confirmed on subsequent PET-CT staging
6. Residual disease in situ after biopsy (either palpable or on any imaging acquired pre-PET-CT)
7. Able to provide fully informed written consent
8. Able to lie flat for 1 hour
9. Not be pregnant or breast feeding. Female patients of childbearing potential must agree to use effective contraception, be surgically sterile, or be post-menopausal
Key exclusion criteria1. Hypersensitivity to 18Fluorine-FDG
2. Hypersensitivity to iodinated contrast media
3. Poorly controlled diabetes
4. Acute renal failure or moderate renal impairment (estimated glomerular filtration rate < 30 mL/min)
5. Uncontrolled pain
6. Urinary incontinence
7. Female patients must not be pregnant and if of child bearing age using adequate contraception
8. Breast feeding
9. Serious psychiatric comorbidity
Date of first enrolment12/08/2013
Date of final enrolment31/12/2016

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Leeds Cancer Centre
Beckett Street
Leeds
LS9 7TF
United Kingdom

Sponsor information

Leeds Teaching Hospitals NHS Trust
Hospital/treatment centre

R&D Department, Leeds Teaching Hospitals NHS Trust
34 Hyde Terrace
Leeds
LS2 9LN
England
United Kingdom

ROR logo "ROR" https://ror.org/00v4dac24

Funders

Funder type

Hospital/treatment centre

The Leeds Teaching Hospitals Charitable Foundation

No information available

Results and Publications

Intention to publish date01/01/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe main study results will be prepared for presentation and publication in a peer reviewed journal.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Results article 06/09/2018 10/07/2023 Yes No

Editorial Notes

10/07/2023: Publication reference and total final enrolment added.
13/07/2016: Internal review.