UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014657
Receipt number R000017006
Scientific Title Application of FDG-PET/CT for fever of unknown origin: a comparative study to Gallium SPECT
Date of disclosure of the study information 2014/07/29
Last modified on 2019/03/18 19:26:39

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Basic information

Public title

Application of FDG-PET/CT for fever of unknown origin: a comparative study to Gallium SPECT

Acronym

JPET-FUO

Scientific Title

Application of FDG-PET/CT for fever of unknown origin: a comparative study to Gallium SPECT

Scientific Title:Acronym

JPET-FUO

Region

Japan


Condition

Condition

Fever of unknown origin (FUO)

Classification by specialty

Medicine in general Clinical immunology Infectious disease
Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To demonstrate the usefulness of FDG-PET/CT for the diagnosis of fever of unknown origin (FUO), we will compare the sensitivity of FDG-PET/CT and that of gallium SPECT for the detection of fever origin.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase III


Assessment

Primary outcomes

The primary endpoint of the study will be the difference in the sensitivity of FDG-PET/CT and that of gallium SPECT for the detection of fever origin.

Key secondary outcomes

Secondary endpoints
<Based on the Central Image Interpretation Committee's report>
- Positive lesions on FDG-PET/CT images
- Sensitivity, specificity, positive predictive value, accuracy, and contribution ratio of FDG-PET/CT
- Positive lesions on gallium SPECT images
- Sensitivity, specificity, positive predictive value, accuracy, and contribution ratio of gallium SPECT
<Based on the case report file completed by the physician in charge>
- Clinical impact of FDG-PET/CT on the final diagnosis of FUO.
- Clinical impact of gallium SPECT on the final diagnosis of FUO
<Additional evaluation>
- Consistency of positive lesions identified by the hospital radiologist and that identified by the Central Image Interpretation Committee.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Medicine Device,equipment

Interventions/Control_1

FDG-PET/CT examination and Gallium SPECT examination.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion criteria
1. Patients who were 20 years old or older when they signed the informed consent form.
2. Patients with a fever of 38degree Cercius or higher (axillary temperature) on two occasions per week or more during the 14 days prior to the provision of consent to participate to this study.
3. Patients in whom a cerebrospinal fluid (CSF) examination performed within 3 weeks after fever onset produced normal results or patients who did not exhibit neck stiffness or a disturbance of consciousness.
4. Patients whose fever origin remained undiagnosed even after the completion of blood tests, a thoracic-abdominal CT examination, and other tests listed below within 3 weeks before the provision of consent to participate in this study. Patients, including those with sepsis, whose focus of infection was unknown were regarded as having FUO.
-complete blood cell count, blood sedimentation, blood chemistry (T-Bil, AST, ALT, LDH, ALP, gammaGTP, BUN, Cr, Na, K, Cl, Ca, BS), serological tests (CRP, TP, Alb, ferritin, RF, antinuclear antibody), thyroid tests (F-T3, F-T4, TSH), viral antibody (HIV-Ab, CMV-IgM, EB VCA IgM), urine test, blood culture, and echocardiography.
5. Patients who provided written informed consent.

Key exclusion criteria

Exclusion criteria
1. Patients who had undergone surgery within 1 month.
2. Pregnant or lactating patients.
3. Patients with uncontrolled diabetes mellitus.
4. Patients with neutrophil counts lower than 500/micro Litter
5. Patients who had already undergone an FDG-PET/CT or gallium SPECT examination within 3 weeks.
6. Patients who were suspected of not being able to provide full voluntary agreement to participate in this research study because of mental and/or legal problems.

Target sample size

180


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryogo Minamimoto

Organization

National Center for Global Health and Medicine

Division name

Division of Nuclear Medicine, Department of Radiology.

Zip code


Address

1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, JAPAN

TEL

03-5273-6881

Email

fumeinetsu@clock.ocn.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ryogo Minamimoto

Organization

National Center for Global Health and Medicine

Division name

Division of Nuclear Medicine, Department of Radiology.

Zip code


Address

1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, JAPAN

TEL

03-5273-6881

Homepage URL


Email

fumeinetsu@clock.ocn.ne.jp


Sponsor or person

Institute

National Center for Global Health and Medicine

Institute

Department

Personal name



Funding Source

Organization

National Center for Global Health and Medicine

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立国際医療研究センター病院(東京都)、東北大学病院(宮城県)、公立大学法人横浜市立大学附属病院(神奈川県)、東京医科歯科大学医学部付属病院(東京都)、山形大学医学部付属病院(山形県)、大阪市立大学医学部付属病院(大阪府)、香川大学医学部付属病院(香川県)、大阪大学医学部付属病院(大阪府)、慶応義塾大学病院(東京都)、宮崎大学医学部付属病院(宮崎県)、公立松任石川中央病院(石川県)、社会福祉法人恩師財団大阪府済生会中津病院(大阪府)、東京都健康長寿医療センター(東京都)、独協医科大学病院(栃木県)、京都大学医学部附属病院(京都府)、長崎大学病院(長崎県)、九州大学病院(福岡県)


Other administrative information

Date of disclosure of the study information

2014 Year 07 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 07 Month 22 Day

Date of IRB

2014 Year 04 Month 01 Day

Anticipated trial start date

2014 Year 09 Month 01 Day

Last follow-up date

2019 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 07 Month 26 Day

Last modified on

2019 Year 03 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017006


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name