UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024201
Receipt number R000027598
Scientific Title Evaluation of effects of Ra-223 chloride therapy for bone metastasis of prostate cancer by quantitative bone SPECT/CT
Date of disclosure of the study information 2016/09/28
Last modified on 2021/07/10 10:10:16

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Basic information

Public title

Evaluation of effects of Ra-223 chloride therapy for bone metastasis of prostate cancer by quantitative bone SPECT/CT

Acronym

Evaluation of Ra-223 therapy for bone metastasis of prostate cancer by quantitative bone SPECT/CT

Scientific Title

Evaluation of effects of Ra-223 chloride therapy for bone metastasis of prostate cancer by quantitative bone SPECT/CT

Scientific Title:Acronym

Evaluation of Ra-223 therapy for bone metastasis of prostate cancer by quantitative bone SPECT/CT

Region

Japan


Condition

Condition

Bone metastasis of castration resistant prostate cancer

Classification by specialty

Urology Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Ra-223 chloride was a novel alpha-emitter for bone metastasis radionuclide therapy, proved the elongation of over-all survival and the delay of skeletal related events. There is no clear evidence of the difference between the effective and non-effective patients. Bone scintigraphy is expected useful for evaluation of the effect of Ra-223 because it is a bone-seeking agent similar to Ra-223. Bone scintigraphy has been evaluated mainly by visual inspection. Recently a bone scan index (BSI) which comes from whole-body images with the automated software is available. A new SPECT/CT which enables precise SUV measurement in our hospital may detect early response to Ra-223 therapy. We explore the possibility of stratification of Ra-223 therapy using the bone SUV observing the serial change by Ra-223 therapy.

Basic objectives2

Others

Basic objectives -Others

Development of evaluation method by bone SUV

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Relationship between bone SUV or bone scan index (BSI) and bone pain evaluation score (VAS score)

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

Key inclusion criteria

・ A patient with bone metastasis of castration resistant prostate cancer
・ A patient without known massive metastatic lesion except bone metastasis
・ A patient who is done or planned a quantitative bone SPECT/CT within 30 days before the initial administration of Ra-233 therapy
・ A patient who consents to this study on the document form

Key exclusion criteria

・ A patient with worse bone marrow dysfunction more than WHO grade III
・ A patient with any massive metastatic lesion except bone, such as brain, lung or liver
・ A patient who received radiation therapy or surgical therapy within 30 days, or who plans either therapy
・ A patient who deny the prosecution of this study in the middle of the study

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ichiei
Middle name
Last name Kuji

Organization

Saitama Medical University International Medical Center

Division name

Department of Nuclear Medicine

Zip code

350-1298

Address

Yamane 1397-1, Hidaka, Saitama

TEL

042-984-4147

Email

kuji@saitama-med.ac.jp


Public contact

Name of contact person

1st name Ichiei
Middle name
Last name Kuji

Organization

Saitama Medical University International Medical Center

Division name

Clinical test assistant center

Zip code

350-1298

Address

Yamane 1397-1, Hidaka, Saitama

TEL

042-984-4523

Homepage URL


Email

chikens@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical University

Institute

Department

Personal name



Funding Source

Organization

Saitama Medical University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Medical University International Medical Center Crinical trial IRB

Address

Yamane 1397-1, Hidaka, Saitama

Tel

042-984-4523

Email

chikens@saitama-med.ac.jp


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

埼玉医科大学国際医療センター(埼玉県)


Other administrative information

Date of disclosure of the study information

2016 Year 09 Month 28 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

29

Results

Compared with BSI (bone scan index) evaluated by the whole-body image, changes similar to MBV (metabolic bone volume) and TBU (total bone uptake) were shown, and BSI, MBV, and TBU seemed to reflect the total amount of bone metastasis lesions. SUVmax correlated with BAP (bone-specific alkaline phosphatase) and seemed to reflect bone metastasis osteoblastic activity.

Results date posted

2021 Year 07 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Ra-223 Treatment Candidates in Patients with Castration-Resistant Prostate Cancer

Participant flow

This research was recruited from applicants for Ra-223 treatment at Saitama Medical University International Medical Center.

Adverse events

No

Outcome measures

SUV, BSI, BAP, MVB, TBU

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 09 Month 26 Day

Date of IRB

2016 Year 09 Month 07 Day

Anticipated trial start date

2016 Year 09 Month 28 Day

Last follow-up date

2021 Year 02 Month 19 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Body weight, Bone pain (VAS score), Blood (blood counts, PSA, ALP, PSA, BAP, 1-CTP) Urine (NTX),Bone scintigraphy (E.O.D.,BSI,SUV)


Management information

Registered date

2016 Year 09 Month 28 Day

Last modified on

2021 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027598


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name