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| Name | Class |
|---|---|
| Adenoid Cystic Carcinoma Research Foundation | OTHER |
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Diagnostic study which evaluates the level of PSMA expression in patients with locally advanced, recurrent and/or metastatic ACC/SDC of ≥18 years old with 68Ga-PSMA-PET/CT imaging in order to establish whether these patients are eligible for 177Lu-PSMA therapy
Rationale: PSMA is a transmembrane protein, which is expressed on prostate cancers cells, ACC and other malignancies. In prostate cancer, distant metastases can be visualized sensitively and non-invasively with 68Ga-PSMA-PET/CT scans and if the uptake of 68Ga is high enough, patients can be treated with the β-emitting radionuclide 177Lu-PSMA. In the current study, we will evaluate the uptake of 68Ga-PSMA by performing 68Ga-PSMA-PET/CT scans in advanced ACC and SDC patients. If the uptake is high enough, this will form the rationale for a therapeutic study with 177Lu-PSMA in ACC and SDC.
Objective: The primary objective is to evaluate the uptake of 68Ga-PSMA in locally advanced, recurrent and metastatic ACC/SDC by performing 68Ga-PSMA-PET/CT scans. The secondary objectives are to calculate the SUV tumor-to-background ratio and tumor-to-'healthy salivary gland tissue' ratio. To correlate the SUV to the degree of immunohistochemical PSMA expression of the primary tumor on archival tissue, and to establish whether new metastatic lesions are found by 68GA-PSMA-PET/CT imaging.
Study design: Diagnostic study which evaluates the level of PSMA expression in ACC/SDC patients with 68Ga-PSMA-PET/CT imaging in order to establish whether these patients are eligible for 177Lu-PSMA therapy.
Study population: Patients with locally advanced, recurrent or metastatic ACC/SDC of ≥18 years old.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PSMA-PET/CT scan | Experimental | PSMA-PET/CT imaging in advanced ACC/SDC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PSMA-PET/CT scan | Diagnostic Test | perform a PSMA-PET/CT scan in patients with locally advanced, recurrent and/or metastastic ACC or SDC |
|
| Measure | Description | Time Frame |
|---|---|---|
| uptake of 68Ga-PSMA in ACC and SDC | To evaluate the uptake of 68Ga-PSMA in locally advanced, recurrent and metastatic ACC/SDC by performing 68Ga-PSMA-PET/CT scans | 0 days |
| Measure | Description | Time Frame |
|---|---|---|
| SUV of 68Ga-PSMA in ACC/SDC tumors | SUV of 68Ga-PSMA in ACC/SDC tumors | 0 days |
| SUV of 68Ga-PSMA in the background | in order to calculate the SUV tumor to background ratio |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carla ML van Herpen, MD, PhD | Radboud University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboudumc | Nijmegen | Gelderland | 6500HB | Netherlands |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 17, 2017 | Oct 9, 2017 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D012468 | Salivary Gland Neoplasms |
| D003528 | Carcinoma, Adenoid Cystic |
| ID | Term |
|---|---|
| D009062 | Mouth Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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diagnostic study
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| 0 days |
| correlation of SUV and IHC PSMA-staining | Correlate the tumor uptake (SUV) to the degree of immunohistochemical PSMA expression of the primary tumor on archival tissue | 0 days |
| new metastases | To establish whether new metastatic lesions are found by 68GA-PSMA-PET/CT imaging | 0 days |
| D009059 |
| Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D012466 | Salivary Gland Diseases |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |