Optimising Molecular Radionuclide Therapy
NCT04922801 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2023-03-08
Summary
This project will examine the role of the whole body, PET and SPECT imaging before, during and after radionuclide treatment for 177Lu-Dotatate therapy, whole body and SPECT imaging for 131-I for thyroid cancer therapy, and whole-body imaging for 131I for hyperthyroidism therapy. Whole-body and SPECT images will be linked to personal dosimeter readings to determine whether
* Current radiation protection advice for patients receiving radionuclide treatment is appropriate.
* Radiopharmaceutical retention and/or SUV change in patients undergoing repeated radionuclide treatments.
* Data combined from early (quantitative imaging) and late (whole-body dose rate measurements) could support individual treatment planning for patients undergoing repeated cycles of molecular therapy.
Conditions
- Neuroendocrine Tumors
- Hyperthyroidism
- Thyroid Cancer
- Thyroid Carcinoma
Interventions
- DIAGNOSTIC_TEST
-
Nuclear Medicine whole-body
Gamma-Camera Whole-body scan at 24-48 hour post-Molecular Radiotherapy (MRT).
- DIAGNOSTIC_TEST
-
SPECT/CT imaging.
SPECT/CT scan at 24-48 hr post MRT
- DIAGNOSTIC_TEST
-
PET/CT imaging.
3-6 months Pre and post-therapy PET/CT imaging
- DEVICE
-
Patient-led radiation monitor (SELFIE)
Following MRT administration, a standard whole body dosimetry measurement will be taken by medical physicist at 1 and 2 meters distance. The patient will begin to take SELFIE readings at the same time under supervision so that their records can be compared with the physicists' results. After 28 days, patients will be asked to return the diary sheet and SELFIE monitor by post to GSTTFT in a pre-paid, pre-addressed envelope. On completion of the 28 day exercise, patients will be asked to complete and return a feedback questionnaire.
- DIAGNOSTIC_TEST
-
LAB TEST
Biochemistry, haematology and tumour markers blood tests pre, post and during MRT.
Sponsors & Collaborators
-
Guy's and St Thomas' NHS Foundation Trust
collaborator OTHER - lead OTHER
Principal Investigators
-
Valerie Lewington, Professor · King's College London
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-12-09
- Primary Completion
- 2022-10-20
- Completion
- 2022-11-05
Countries
- United Kingdom
Study Locations
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