Primary Hyperparathyroidism Clinical Trial
Official title:
Pre-operative Parathyroid Imaging: a Comparison of 11C-Methionine PET, 18F-FDG PET AND SPEC-CT for the Detection of Hyperfunctional Parathyroid Tissues
The overall sensitivity and specificity of 11C-MET PET/CT is superior to 18F-FDG PET/CT and conventional SPECT-CT for the detection of abnormal parathyroid glands.
STUDY OBJECTIVES Primary: To compare the accuracy, sensitivity and specificity of
11C-methionine (MET) PET/CT and 99mTc-MIBI SPECT-CT in the detection of pathologic
parathyroid glands in patients with primary hyperparathyroidism.
Secondary:To compare the accuracy, sensitivity and specificity of 11C-MET and 18F-FDG PET/CT
scans in the detection of pathologic parathyroid glands in patients with primary
hyperparathyroidism.
STUDY DESIGN A phase II diagnostic imaging, single-centre study to compare the accuracy of
11C-MET PET/CT with standard 99mTc-MIBI SPECT-CT and with 18F-FDG PET/CT imaging in patients
with primary hyperparathyroidism.
STUDY POPULATION Number of Subjects: 50 patients Number of groups: 1: 50 with primary
hyperparathyroidism. Age/Gender: Age greater than or equal to 19 years / Male and Female
Study specific requirements: Subjects with clinically suspected primary hyperparathyroidism
who require 99mTc-MIBI SPECT-CT parathyroid imaging.
INVESTIGATIONAL PRODUCT Product: 11C-Methionine Route of administration: Intravenous
Dosage(s) and frequency: Radioactive dose of 11C-Methionine of 6 MBq per kilogram body
weight per injection (maximum dose of 555 MBq); one injection per patient.
COMPARATOR PRODUCTS Product: 99mTc-Methoxyisobutylisonitrite; 18F-Fluorodeoxyglucose Route
of administration: Intravenous Dosage(s) and frequency: (1) Radioactive dose of
99mTc-Methoxyisobutylisonitrite of 555 - 740 MBq per injection; one injection per patient.
(2) Radioactive dose of 18F-Fluorodeoxyglucose of 296 - 521 MBq per injection; one injection
per patient.
EVALUATION CRITERIA Efficacy: The comparison of the accuracy, sensitivity, and specificity
of 11C-MET PET/CT with 99mTc-MIBI SPECT-CT and 18F-FDG PET/CT in the detection of pathologic
parathyroid glands in patients with primary hyperparathyroidism.
Safety: Vital signs before and following 11C-MET administration; adverse events collection.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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