Trial Outcomes & Findings for Yttrium-90 (Y90) Glass Microspheres PET/CT in Imaging Patients With Liver Tumors (NCT NCT03109262)

NCT ID: NCT03109262

Last Updated: 2022-01-10

Results Overview

Image quality for 90Y PET/CT scan images was assessed relative to the expected image quality of Standard of Care (SoC) 99mTc-MAA SPECT/CT scans obtained from the same participant. Assessments were conducted at 5, 10, 15 and 20 minutes after infusion. Scans were assessed on a 1 to 5 Likert scale by 2 Nuclear Medicine physicians who were blinded to patient information. The Likert scale for image quality was established as follows: 1. = Non-diagnostic 2. = Suboptimal 3. = Acceptable 4. = Good 5. = Excellent, equivalent to a SoC 99mTc-MAA SPECT/CT scan The scans for each individual participant at each timepoint was scored on the Likert scale, as determined by the 2 Nuclear Medicine physicians. The outcome is reported as the overall mean of the physician determinations for each time point, with standard deviation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

42 participants

Primary outcome timeframe

1 day

Results posted on

2022-01-10

Participant Flow

Participant milestones

Participant milestones
Measure
Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans
All participants receive both Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans * Computed Tomography (CT): As part of PET/CT and SPECT/CT scans. * Positron Emission Tomography (PET): As part of PET/CT scan * Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan * 90-Yttrium (Y-90) Glass Microspheres: Radiolabel for PET/CT scan * Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
Overall Study
STARTED
42
Overall Study
COMPLETED
42
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Yttrium-90 (Y90) Glass Microspheres PET/CT in Imaging Patients With Liver Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans
n=42 Participants
All participants receive both Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans * Computed Tomography (CT): As part of PET/CT and SPECT/CT scans. * Positron Emission Tomography (PET): As part of PET/CT scan * Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan * 90-Yttrium (Y-90) Glass Microspheres: Radiolabel for PET/CT scan * Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=99 Participants
Age, Categorical
>=65 years
26 Participants
n=99 Participants
Age, Continuous
67.1 years
STANDARD_DEVIATION 11.4 • n=99 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
Sex: Female, Male
Male
29 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
Race (NIH/OMB)
Asian
13 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
Race (NIH/OMB)
White
22 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
Region of Enrollment
United States
42 participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 day

Image quality for 90Y PET/CT scan images was assessed relative to the expected image quality of Standard of Care (SoC) 99mTc-MAA SPECT/CT scans obtained from the same participant. Assessments were conducted at 5, 10, 15 and 20 minutes after infusion. Scans were assessed on a 1 to 5 Likert scale by 2 Nuclear Medicine physicians who were blinded to patient information. The Likert scale for image quality was established as follows: 1. = Non-diagnostic 2. = Suboptimal 3. = Acceptable 4. = Good 5. = Excellent, equivalent to a SoC 99mTc-MAA SPECT/CT scan The scans for each individual participant at each timepoint was scored on the Likert scale, as determined by the 2 Nuclear Medicine physicians. The outcome is reported as the overall mean of the physician determinations for each time point, with standard deviation.

Outcome measures

Outcome measures
Measure
Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans
n=42 Participants
All participants receive both Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans * Computed Tomography (CT): As part of PET/CT and SPECT/CT scans. * Positron Emission Tomography (PET): As part of PET/CT scan * Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan * 90-Yttrium (Y-90) Glass Microspheres: Radiolabel for PET/CT scan * Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
99mTc-MAA SPECT/CT Scans
All participants receive 99mTc-MAA SPECT/CT scan Computed Tomography (CT): As part of SPECT/CT scans. Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
Image Quality for 90-Y PET/CT Scans
5 minutes
3.56 units on a scale
Standard Deviation 0.43
Image Quality for 90-Y PET/CT Scans
10 minutes
4.63 units on a scale
Standard Deviation 0.49
Image Quality for 90-Y PET/CT Scans
15 minutes
4.89 units on a scale
Standard Deviation 0.28
Image Quality for 90-Y PET/CT Scans
20 minutes
4.93 units on a scale
Standard Deviation 0.21

SECONDARY outcome

Timeframe: 1 day

Radiopharmaceutical dosimetry was assessed based on the numerical tumor-absorbed dose value in Gray as calculated by SurePlan (MIM Software Inc, Cleveland, Ohio). The outcome is reported as the median tumor-absorbed dose in Gray for each scan method (90Y PET/CT and 99mTc-MAA SPECT/CT), with standard deviation.

Outcome measures

Outcome measures
Measure
Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans
n=42 Participants
All participants receive both Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans * Computed Tomography (CT): As part of PET/CT and SPECT/CT scans. * Positron Emission Tomography (PET): As part of PET/CT scan * Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan * 90-Yttrium (Y-90) Glass Microspheres: Radiolabel for PET/CT scan * Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
99mTc-MAA SPECT/CT Scans
n=42 Participants
All participants receive 99mTc-MAA SPECT/CT scan Computed Tomography (CT): As part of SPECT/CT scans. Single-photon emission computerized tomography (SPECT) scan: As part of SPECT/CT scan Technetium 99mTc albumin aggregated (99mTc-MAA): Radiolabel for 99mTc-MAA SPECT/CT Scan
Radiopharmaceutical Dosimetry Accuracy for 90-Y PET/CT Scans and 99mTc-MAA SPECT/CT Scans
142.9 Gray
Standard Error 99.7
118.9 Gray
Standard Error 91.0

Adverse Events

Yttrium Y-90 PET/CT vs 99mTc-MAA SPECT/CT Scans

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Andrei Iagaru, PROFESSOR OF RADIOLOGY (NUCLEAR MEDICINE)

Stanford University

Phone: 1650-725=4711

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place