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CompletedNCT00375830Updated Dec 12, 2023Results posted

Combined 18F-NaF/18F-FDG PET/MRI for Detection of Skeletal Metastases

A Phase 2 interventional study of Bone scan and 99mTc-methyl diphosphonate in Cancer, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-12.

Sponsored by Stanford University · Phase 2, Interventional, and Diagnostic

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Jan 2006, registered Sep 2006).
Phase
Phase 2
Study type
Interventional
Enrollment
114
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical trial studies the use of sodium fluorine-18 (18F-NaF) plus fluorine-18 (18F) fluorodeoxyglucose (FDG) positron emission tomography (PET)/ whole body magnetic resonance imaging (WBMRI) to detect skeletal metastases in patients with stage III-IV breast cancer or stage II-IV prostate cancer.

Read the detailed description

Eligible participants had previously received a bone scan using the radiolabel 99mTc-methyl diphosphonate (t99-MDP) as part of their regular medical care.

18F-NaF and 18F-FDG are radioactive substances (radiolabels) that are absorbed by cancerous cells and allow for the cancer to be found using diagnostic procedures such as positron emission tomography (PET)/ whole body magnetic resonance imaging (WBMRI). PET/WBMRI is a combination procedure that combines the detailed PET images of areas inside the body from PET with the WBMRI scans, and may help find and diagnose skeletal metastases in patients with breast or prostate cancer. It is not yet known whether 18F-NaF/18F-FDG PET/WBMRI is better than standard imaging methods in detecting skeletal metastases.

Eligible participants diagnosed with breast/prostate cancers and who have had 99mTc MDP bone scanning as part of their routine care are recruited and enrolled. Participants then receive an 18F-NaF/18F-FDG positron emission tomography (PET)/ WBMRI combination scan.

The PET/MRI scans will be interpreted by 2 American Board Nuclear Medicine (ABNM)-certified physicians and 2 American Board of Radiology (ABR)-certified radiologists, all with significant clinical experience, who are blinded to the subjects' medical history and the results of other imaging modalities.

The scans will be analyzed and compared against each other, with a consensus read will be obtained for each scan. Characterization of lesions as true-positive, true-negative, false-positive or false-negative will be done through a combination of clinical follow-up, imaging follow-up and/or histopathology findings. An overall diagnosis based on each scan will be determined on a 5-point scale (1=benign, 2=likely benign, 3=uncertain, 4=likely malignant, 5=malignant) to conduct a receiver operating characteristic (ROC) analysis.

If the diagnosis is positive for metastases on any of the scans, the investigator will identify the number of lesions and locations of positivity, and record this information.

Clinical is obtained at about 12 months after the initial scans.

02

Conditions studied

  • Cancer

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03

In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 114 is above the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

All patients were enrolled after receiving a regular medical care bone scan using the radiolabel 99mTc-methyl diphosphonate (t99-MDP).

Inclusion criteria

INCLUSION CRITERIA

  • ≥ 18 years old at the time of the drug administration
  • ≥ Stage 3 breast cancer OR ≥ stage 2 prostate cancer OR prostate-specific antigen (PSA) > 10 micrograms/L OR recurrent breast or prostate cancer
  • Capable of complying with study procedures
  • Able to remain still for duration of imaging procedure (about one hour)
  • Written informed consent

Exclusion criteria

EXCLUSION CRITERIA

  • Pregnant or nursing
  • Metallic implants that contraindicate MRI
  • Renal function impairment that contraindicates MRI
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
114 participants (actual)

Study arms

  • Experimental
    Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET scans

    Preliminary pilot assessment to confirm feasibility \& improved diagnostic accuracy of the combined 18F-NaF CT \& 18F-FDG PET scan procedures, as compared to the regular medical care procedure, 99mTc MDP bone scans.

    Procedure: Bone scan · Drug: 99mTc-methyl diphosphonate · Procedure: Positron Emission Tomography (PET) scan · Drug: 18F-Fludeoxyglucose (18F-FDG) · Procedure: Computed Tomography (CT) scan · Drug: 18F-Sodium Fluoride (18F-NaF) · Drug: Gadopentetate dimeglumine

  • Experimental
    Cohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET scans

    Assessment to define the accuracy of the combined 18F-NaF CT \& 18F-FDG PET/CT scan procedures compared to 99mTc MDP bone scan.

    Procedure: Bone scan · Drug: 99mTc-methyl diphosphonate · Procedure: Positron Emission Tomography (PET) scan · Drug: 18F-Fludeoxyglucose (18F-FDG) · Procedure: Computed Tomography (CT) scan · Drug: 18F-Sodium Fluoride (18F-NaF) · Procedure: Whole Body Magnetic Resonance Imaging (WB-MRI) scan · Drug: Gadofosveset · Drug: Gadobutrol

  • Experimental
    Cohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI scan

    Assessment to define the utility of 18F-NaF \& 18F-FDG as the radiolabels in a single combined PET / WB-MRI procedure.

    Procedure: Bone scan · Drug: 99mTc-methyl diphosphonate · Procedure: Positron Emission Tomography (PET) scan · Drug: 18F-Fludeoxyglucose (18F-FDG) · Drug: 18F-Sodium Fluoride (18F-NaF) · Procedure: Whole Body Magnetic Resonance Imaging (WB-MRI) scan · Drug: Gadofosveset · Drug: Gadobutrol

Interventions

  • ProcedureBone scan

    Scan to diagnose a number of bone conditions including cancer or metastasis

    Also known as: Bone scintigraphy

  • Drug99mTc-methyl diphosphonate

    Radiolabel for bone scan procedures

    Also known as: 99mTc-methylene diphosphonate, Technetium 99mTc medronate, 99mTc-MDP, t99-MDP

  • ProcedurePositron Emission Tomography (PET) scan

    Scan to detect gamma rays emitted by a positron-emitting radioligand such as 18F

  • Drug18F-Fludeoxyglucose (18F-FDG)

    Radiolabel for positron emission tomography scan procedures

    Also known as: 2-Deoxy-2-(18F)Fluoro-D-Glucose, 2-F18-Fluoro-2-deoxy-D-glucose, 2-F18-Fluoro-2-deoxyglucose, 18F 2-Fluoro-2-deoxy-D-Glucose, Fludeoxyglucose F-18, Fluorodeoxyglucose F18

  • ProcedureComputed Tomography (CT) scan

    Scan to detect \& analyze X-rays

    Also known as: Computerized Axial Tomograph (CAT) scan, Computer-aided Tomography (CAT) scan

  • Drug18F-Sodium Fluoride (18F-NaF)

    Radiolabel for CT and PET scans, \& as a contrast agent for MRI scans.

    Also known as: 18F-Sodium Fluorine

  • ProcedureWhole Body Magnetic Resonance Imaging (WB-MRI) scan

    Whole Body Magnetic Resonance Imaging (WB-MRI) scan: Scan that uses strong magnetic fields \& radio waves to generate images of the organs in the body.

  • DrugGadopentetate dimeglumine

    A gadolinium-based contrast agent for MRI

    Also known as: Magnevist

  • DrugGadofosveset

    A gadolinium-based contrast agent for MRI

    Also known as: Ablavar

  • DrugGadobutrol

    A gadolinium-based contrast agent for MRI

    Also known as: Gadavist

06

What researchers measure

Primary outcomes

  1. Cohort 1 - NaF PET/CT vs 99mTc-MDP Bone Scintigraphy

    The medical value of 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) vs 99mTc-methylene diphosphonate (MDP) bone scintigraphy was assessed on the basis of the radiation oncologist's medical assessment of image quality and detected extent of disease, for each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom the medical value of the image was superior for 18F-NaF vs 99mTc-MDP bone scintigraphy ("18F-NaF \> 99mTc-MDP"), the same between both scans ("18F-NaF = 99mTc-MDP"), or inferior for 18F-NaF vs 99mTc-MDP bone scintigraphy ("18F-NaF \< 99mTc-MDP").

    Time frame: 30 days

Secondary outcomes

  1. Cohort 1 - 18F-NaF PET/CT vs 18F-FDG PET/CT

    The medical value of 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) vs 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of the radiation oncologist's medical assessment of image quality and detected extent of disease, for each participant diagnosed with osseous (skeletal) metastases. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom the medical value of the image was superior for 18-NaF PET/CT compared to 18F-FDG PET/CT, the same between both scans, or inferior for 18-NaF PET/CT compared to 18F-FDG PET/CT. The outcome result is represented as a number without dispersion.

    Time frame: 30 days

  2. Cohort 1 - Whole-body MRI vs 18F-NaF PET/CT

    The medical value of whole body magnetic imaging resonance (WB-MRI) vs 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of which scan detected the greater number of tumor lesions in each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom lesions detected by WB MRI was \> 18F-NaF PET/CT; equal to 18F-NaF PET/CT; or \< 18F-NaF PET/CT. The outcome result is represented as a number without dispersion. 8 analyzed 5 2 1

    Time frame: 30 days

  3. Cohort 1 - Whole-body MRI vs 18F-FDG PET/CT

    The medical value of whole body magnetic imaging resonance (WB-MRI) vs 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of which scan detected the greater number of tumor lesions in each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom lesions detected by WB MRI was \> 18F-FDG PET/CT; equal to to 18F-FDG PET/CT; or \< 18F-FDG PET/CT. The outcome result is represented as a number without dispersion.

    Time frame: 30 days

  4. Cohort 1 - Detection of Osseous (Skeletal) Metastases by 18F-NaF and 18F-FDG PET/CT

    The ability of 18F-sodium fluoride (NaF) and 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) to detect osseous (skeletal) metastases was assessed. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of Cohort 1 participants for whom osseous metastases were detected, a number without dispersion.

    Time frame: 30 days

  5. Cohort 2 - 18F-NaF/18F-FDG PET/CT vs Whole-body MRI for Detection of Extraskeletal Lesions

    Sensitivity; positive predictive value (PPV); and accuracy for the detection of extraskeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). * Sensitivity is a percentage that defines the proportion of true positive participants with the disease in a total group of participants. * PPV is the probability that participants with a positive screening test truly have the disease. * Accuracy is the proportion of true results (both true positives and true negatives) among the total number of cases examined. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity, PPV, and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

    Time frame: 30 days

  6. Cohort 2 - 18F-NaF/18F-FDG vs Whole-body MRI for Detection of Skeletal Lesions

    Sensitivity and accuracy for the detection of skeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

    Time frame: 30 days

  7. Cohort 2 - 18F-NaF/18F-FDG vs 99mTc-MDP Bone Scintigraphy for Detection of Skeletal Lesions

    Sensitivity and accuracy for the detection of skeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for 99mTc-methylene diphosphonate (MDP) bone scintigraphy. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

    Time frame: 30 days

  8. Cohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI

    Overall sensitivity and accuracy for the detection of tumor lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

    Time frame: 30 days

  9. Cohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI/99mTc-MDP Bone Scintigraphy

    Overall sensitivity and accuracy for the detection of tumor lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for 99mTc-methylene diphosphonate (MDP) bone scintigraphy. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

    Time frame: 30 days

  10. Cohort 3 - Skeletal Lesions Identified by 99mTc MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI

    Participants in Cohort 3 received 99mTc-methylene diphosphonate (MDP) whole-body bone scintigraphy (WBBS) and 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / magnetic imaging resonance (PET/MRI) scans. On the basis of the scans, participants with skeletal lesions were identified. The outcome is reported as the number of Cohort 3 participants for whom skeletal lesions were identified by each scan methodology, a number without dispersion.

    Time frame: 30 days

  11. Cohort 3 - Total Skeletal Lesions Identified, Tc-99m MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI

    Participants in Cohort 3 received 99mTc-methylene diphosphonate (MDP) whole-body bone scintigraphy (WBBS) and 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / magnetic imaging resonance (PET/MRI) scans. On the basis of the scans, the total number skeletal lesions identified in the participants was determined. The outcome is reported as the total number skeletal lesions identified by each scan methodology, a number without dispersion.

    Time frame: 30 days

07

Results

Posted Nov 8, 2019

Participant flow

Participant flow — Overall Study
MilestoneCohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI Scan
Started103074
Completed103074
Not completed000

Outcome measures

PrimaryCohort 1 - NaF PET/CT vs 99mTc-MDP Bone Scintigraphy

The medical value of 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) vs 99mTc-methylene diphosphonate (MDP) bone scintigraphy was assessed on the basis of the radiation oncologist's medical assessment of image quality and detected extent of disease, for each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom the medical value of the image was superior for 18F-NaF vs 99mTc-MDP bone scintigraphy ("18F-NaF \> 99mTc-MDP"), the same between both scans ("18F-NaF = 99mTc-MDP"), or inferior for 18F-NaF vs 99mTc-MDP bone scintigraphy ("18F-NaF \< 99mTc-MDP").

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 1 - NaF PET/CT vs 99mTc-MDP Bone Scintigraphy
ParticipantsCohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans
18F-NaF > 99mTc-MDP10
18F-NaF = 99mTc-MDP0
18F-NaF < 99mTc-MDP0
SecondaryCohort 1 - 18F-NaF PET/CT vs 18F-FDG PET/CT

The medical value of 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) vs 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of the radiation oncologist's medical assessment of image quality and detected extent of disease, for each participant diagnosed with osseous (skeletal) metastases. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom the medical value of the image was superior for 18-NaF PET/CT compared to 18F-FDG PET/CT, the same between both scans, or inferior for 18-NaF PET/CT compared to 18F-FDG PET/CT. The outcome result is represented as a number without dispersion.

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 1 - 18F-NaF PET/CT vs 18F-FDG PET/CT
ParticipantsCohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans
18F-NaF > 18F-FDG3
18F-NaF = 18F-FDG0
18F-NaF < 18F-FDG0
SecondaryCohort 1 - Whole-body MRI vs 18F-NaF PET/CT

The medical value of whole body magnetic imaging resonance (WB-MRI) vs 18F-sodium fluoride (NaF) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of which scan detected the greater number of tumor lesions in each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom lesions detected by WB MRI was \> 18F-NaF PET/CT; equal to 18F-NaF PET/CT; or \< 18F-NaF PET/CT. The outcome result is represented as a number without dispersion. 8 analyzed 5 2 1

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 1 - Whole-body MRI vs 18F-NaF PET/CT
ParticipantsCohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans
WB MRI > 18F NaF PET/CT5
WB MRI = 18F NaF PET/CT2
WB MRI < 18F NaF PET/CT1
SecondaryCohort 1 - Whole-body MRI vs 18F-FDG PET/CT

The medical value of whole body magnetic imaging resonance (WB-MRI) vs 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) was assessed on the basis of which scan detected the greater number of tumor lesions in each participant. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of participants for whom lesions detected by WB MRI was \> 18F-FDG PET/CT; equal to to 18F-FDG PET/CT; or \< 18F-FDG PET/CT. The outcome result is represented as a number without dispersion.

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 1 - Whole-body MRI vs 18F-FDG PET/CT
ParticipantsCohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans
WB MRI > 18F-FDG PET/CT0
WB MRI = 18F-FDG PET/CT6
WB MRI < 18F-FDG PET/CT3
SecondaryCohort 1 - Detection of Osseous (Skeletal) Metastases by 18F-NaF and 18F-FDG PET/CT

The ability of 18F-sodium fluoride (NaF) and 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) to detect osseous (skeletal) metastases was assessed. Per protocol, the data were collected and the outcome is reported for Cohort 1 only. The outcome is reported as the number of Cohort 1 participants for whom osseous metastases were detected, a number without dispersion.

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 1 - Detection of Osseous (Skeletal) Metastases by 18F-NaF and 18F-FDG PET/CT
ParticipantsCohort 1 Pilot - 18F-NaF-CT ScanCohort 1 Pilot - 18F-FDG-PET Scan
Participants with lesions detected by 18F-NaF96
Participants with lesions not detected by 18F-NaF03
SecondaryCohort 2 - 18F-NaF/18F-FDG PET/CT vs Whole-body MRI for Detection of Extraskeletal Lesions

Sensitivity; positive predictive value (PPV); and accuracy for the detection of extraskeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). * Sensitivity is a percentage that defines the proportion of true positive participants with the disease in a total group of participants. * PPV is the probability that participants with a positive screening test truly have the disease. * Accuracy is the proportion of true results (both true positives and true negatives) among the total number of cases examined. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity, PPV, and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

Time frame:
30 days
Reported as:
Number · percentage of particpants
Cohort 2 - 18F-NaF/18F-FDG PET/CT vs Whole-body MRI for Detection of Extraskeletal Lesions
percentage of particpantsCohort 2 - Combined 18F-NaF-CT/18F-FDG-PET ScanCohort 2 - Whole Body-MRI Scan
Sensitivity92.992.9
Positive predictive value81.386.7
Accuracy76.582.4
SecondaryCohort 2 - 18F-NaF/18F-FDG vs Whole-body MRI for Detection of Skeletal Lesions

Sensitivity and accuracy for the detection of skeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

Time frame:
30 days
Reported as:
Number · percentage of particpants
Cohort 2 - 18F-NaF/18F-FDG vs Whole-body MRI for Detection of Skeletal Lesions
percentage of particpantsCohort 2 - Combined 18F-NaF-CT/18F-FDG-PET ScanCohort 2 - WB-MRI Scan
Sensitivity96.281.4
Accuracy89.874.7
SecondaryCohort 2 - 18F-NaF/18F-FDG vs 99mTc-MDP Bone Scintigraphy for Detection of Skeletal Lesions

Sensitivity and accuracy for the detection of skeletal lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for 99mTc-methylene diphosphonate (MDP) bone scintigraphy. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

Time frame:
30 days
Reported as:
Number · percentage of participants
Cohort 2 - 18F-NaF/18F-FDG vs 99mTc-MDP Bone Scintigraphy for Detection of Skeletal Lesions
percentage of participantsCohort 2 Combined 18F-NaF-CT/18F-FDG-PET ScanCohort 2 - 99mTc-MDP Bone Scintigraphy Scan
Sensitivity96.264.6
Accuracy89.865.9
SecondaryCohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI

Overall sensitivity and accuracy for the detection of tumor lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for whole body magnetic imaging resonance (WB-MRI). Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

Time frame:
30 days
Reported as:
Number · percentage of participants
Cohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI
percentage of participantsCohort 2 - Combined 18F-NaF-CT/18F-FDG-PET ScanCohort 2 - Whole Body Magnetic Resonance Imaging (WB-MRI) Scan
Sensitivity95.783.3
Accuracy87.676.0
SecondaryCohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI/99mTc-MDP Bone Scintigraphy

Overall sensitivity and accuracy for the detection of tumor lesions was assessed for 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) and for 99mTc-methylene diphosphonate (MDP) bone scintigraphy. Per protocol, the data were collected and the outcome is reported for Cohort 2 only. Sensitivity and accuracy are reported as a percentage, a number without dispersion. Higher numbers represent better detection.

Time frame:
30 days
Reported as:
Number · percentage of participants
Cohort 2 - Overall Sensitivity and Accuracy for 18F-NaF/18F-FDG vs Whole-body MRI/99mTc-MDP Bone Scintigraphy
percentage of participantsCohort 2 Combined 18F-NaF-CT/18F-FDG-PET ScanCohort 2 WB-MRI & 99mTc-MDP Bone Scintigraphy
Sensitivity95.791.6
Accuracy87.683.0
SecondaryCohort 3 - Skeletal Lesions Identified by 99mTc MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI

Participants in Cohort 3 received 99mTc-methylene diphosphonate (MDP) whole-body bone scintigraphy (WBBS) and 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / magnetic imaging resonance (PET/MRI) scans. On the basis of the scans, participants with skeletal lesions were identified. The outcome is reported as the number of Cohort 3 participants for whom skeletal lesions were identified by each scan methodology, a number without dispersion.

Time frame:
30 days
Reported as:
Count of participants · Participants
Cohort 3 - Skeletal Lesions Identified by 99mTc MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI
ParticipantsCohort 3 - 99mTc-methyl Diphosphonate (MDP) Bone ScanCohort 3 - 18F-NaF / 18F-FDG PET/MRI
Cohort 3 - Skeletal Lesions Identified by 99mTc MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI3745
SecondaryCohort 3 - Total Skeletal Lesions Identified, Tc-99m MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI

Participants in Cohort 3 received 99mTc-methylene diphosphonate (MDP) whole-body bone scintigraphy (WBBS) and 18F-sodium fluoride (NaF) / 18F-fluorodeoxyglucose (FDG) positron emission tomography / magnetic imaging resonance (PET/MRI) scans. On the basis of the scans, the total number skeletal lesions identified in the participants was determined. The outcome is reported as the total number skeletal lesions identified by each scan methodology, a number without dispersion.

Time frame:
30 days
Reported as:
Number · lesions
Cohort 3 - Total Skeletal Lesions Identified, Tc-99m MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI
lesionsCohort 3 - 99mTc-methyl Diphosphonate (MDP) Bone ScanCohort 3 - 18F-NaF / 18F-FDG PET/MRI
Cohort 3 - Total Skeletal Lesions Identified, Tc-99m MDP WBBS vs 18F-NaF / 18F-FDG PET/MRI81140

Adverse events

Collected over 30 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans0/10 (0%)0/10 (0%)0/10 (0%)
Cohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET Scans0/30 (0%)0/30 (0%)0/30 (0%)
Cohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI Scan0/74 (0%)0/74 (0%)0/74 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
<=18 years0000
Between 18 and 65 years5164263
>=65 years5143251
Age, Continuous
Age, Continuous(years)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
Mean62.5 ± 11.861.6 ± 13.062.9 ± 11.262.8 ± 11.5
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
Female5152343
Male5155171
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
Hispanic or Latino0167
Not Hispanic or Latino72866101
Unknown or Not Reported3126
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
American Indian or Alaska Native0000
Asian251421
Native Hawaiian or Other Pacific Islander0101
Black or African American0022
White5185275
More than one race0000
Unknown or Not Reported36615
Region of Enrollment
Region of Enrollment(participants)Cohort 1 Pilot-WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 2 WB-MRI & Combined 18F-NaF-CT/18F-FDG-PET ScansCohort 3 Combined 18F-NaF / 18F-FDG PET/WB-MRI ScanTotal
United States103074114
08

Study locations

1 site
  • Stanford University School of Medicine
    Stanford, California 94305, United States
09

References and documents

Publications

  • Iagaru A, Young P, Mittra E, Dick DW, Herfkens R, Gambhir SS. Pilot prospective evaluation of 99mTc-MDP scintigraphy, 18F NaF PET/CT, 18F FDG PET/CT and whole-body MRI for detection of skeletal metastases. Clin Nucl Med. 2013 Jul;38(7):e290-6. doi: 10.1097/RLU.0b013e3182815f64. PubMed 23455520 ↗
  • Minamimoto R, Loening A, Jamali M, Barkhodari A, Mosci C, Jackson T, Obara P, Taviani V, Gambhir SS, Vasanawala S, Iagaru A. Prospective Comparison of 99mTc-MDP Scintigraphy, Combined 18F-NaF and 18F-FDG PET/CT, and Whole-Body MRI in Patients with Breast and Prostate Cancer. J Nucl Med. 2015 Dec;56(12):1862-8. doi: 10.2967/jnumed.115.162610. Epub 2015 Sep 24. PubMed 26405167 ↗
  • Iagaru A, Minamimoto R, Jamali M, Barkodhodari A, Gambhir SS, Vasanawala S. Imaging patients with breast and prostate cancers using combined 18F NaF/18F FDG and TOF simultaneous PET/ MRI. EJNMMI Phys. 2015 Dec;2(Suppl 1):A65. doi: 10.1186/2197-7364-2-S1-A65. No abstract available. PubMed 26956325 ↗
  • Sonni I, Minamimoto R, Baratto L, Gambhir SS, Loening AM, Vasanawala SS, Iagaru A. Simultaneous PET/MRI in the Evaluation of Breast and Prostate Cancer Using Combined Na[18F] F and [18F]FDG: a Focus on Skeletal Lesions. Mol Imaging Biol. 2020 Apr;22(2):397-406. doi: 10.1007/s11307-019-01392-9. PubMed 31236756 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 28, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00375830
Lead sponsor
Stanford University
Responsible party
Andrei Iagaru (Professor of Radiology (Nuclear Medicine), Stanford University) — Principal investigator
First posted
Sep 13, 2006
Start date
Jan 2006
Primary completion
Apr 17, 2017
Completion
Mar 14, 2019
Results posted
Nov 8, 2019
Last update
Dec 12, 2023

Study contacts

Andrei Iagaru, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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