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Phase 1 N=9 Diagnostic

Fludeoxyglucose F 18-PET/CT Scans in Patients Receiving Ultra Short-Term Dexamethasone For Lung Nodules

Pulmonary Nodule

Enrolled (actual)
9
Serious AEs
0.0%
Results posted
Sep 2014
Primary outcome: Primary: Feasibility of Ultra Short-term Steroid Therapy to Increase the Accuracy of FDG-PET/CT Imaging — 3.97; 4.27 gm/ml

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
dexamethasone (Drug); PET/Computed Tomography (CT) (Procedure); fludeoxyglucose (18F) (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Barbara Ann Karmanos Cancer Institute
Primary completion
Feb 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Feasibility of Ultra Short-term Steroid Therapy to Increase the Accuracy of FDG-PET/CT Imaging
3.97; 4.27

Summary

RATIONALE: Imaging procedures, such as fludeoxyglucose F 18 (FDG)-PET/CT scan, done before and after steroid therapy may help doctors assess a patient's response to treatment and help plan the best treatment. PURPOSE: This phase I trial is studying fludeoxyglucose F 18 PET scan performed before and after ultra short-term dexamethasone therapy to see how well it measures changes in nodules in patients with lung nodules.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Presence of ≥ 1 measurable pulmonary nodule (1.0-3.0 cm) suggestive of malignancy or chronic inflammatory process on positron emission tomography (PET) scan
  • No lesions consistent with malignancy or inflammation according to history, PET findings, or biopsy
  • Baseline scan average time between injection and start of scan within 50-70 min
  • Mean liver standardized uptake value (SUV) of baseline scan normal
  • No sign of significant partial paravenous tracer administration in the images of baseline scan
  • No lung nodule(s) suggestive of lymphoma
  • No lung lesions suggestive of tuberculosis

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Blood glucose levels ≤ 150 mg/100 mL
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • Able to tolerate PET/CT imaging
  • No history of diabetes
  • No poorly controlled hypertension
  • No prior malignancy other than basal cell or squamous cell carcinoma of the skin, carcinoma in situ, or other cancer from which the participant has been disease free for < 3 years
  • No active malignancy within the past 5 years

PRIOR CONCURRENT THERAPY:

  • More than 5 years since prior chemotherapy or radiotherapy
  • No concurrent steroids
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00906503). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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