124I-Metaiodobenzylguanidine (MIBG) PET/CT Diagnostic Imaging and Dosimetry for Patients With Neuroblastoma: A Pilot Study
Accurate radiation dose evaluation is important in patients with malignant tumors, and this
is especially critical in children with NB who will be receiving several dose of therapeutic
131I. The accurate quantification of the isotope-labeled analog can only be achieved by
using positron emission compounds, such as 124I. Unlike planar images, which were used to
obtain kinetic information, and SPECT reconstruction modalities that were aimed to assess
the spatial distribution of radioactivity, 3D PET imaging-based dosimetry is a method which
provides a more accurate estimation of the cumulated radioactivity distribution. Because PET
provides better quantitative accuracy, when compared to SPECT regarding the tissue absorbed
information, we hypothesize PET would better correspond with tumor response and normal organ
toxicity. Early studies using I-124 for dosimetry in thyroid cancer have been promising.
Demonstration of the feasibility and accuracy of this new imaging modality, with the
excellent prospect for more accurate dosimetry, will improve tumor localization and optimize
therapeutic dosing with 131I-MIBG. The results of our work may potentially have also
implications in the study of other neuroendocrine tumors. The Section of Nuclear Medicine
and the Laboratory of Functional Imaging at the University of California, San Francisco, are
equipped with state of the art instruments and is run by a highly skilled staff which will
guarantee the success of the proposed research.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Measurements of organ dosimetry using high specific activity (no carrier added) 124I-MIBG PET/CT in patients with refractory or relapsed neuroblastoma
Participants will have PET/CT scans on Days 0 - week 7. Average study participation is approximately 7 weeks.
No
Katherine Matthay, MD
Principal Investigator
University of California, San Francisco
United States: Food and Drug Administration
12088
NCT01583842
June 2012
December 2016
Name | Location |
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University of California, San Francisco | San Francisco, California 94143 |