Clinical trial • Phase II • Oncology

TETRAFLUOROBORATE ION F-18 for Differentiated thyroid cancer

Phase II trial of TETRAFLUOROBORATE ION F-18 for Differentiated thyroid cancer. None/Not specified-controlled. 40 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Differentiated thyroid cancer
Trial Stage
Phase II
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
03-12-2024
First CTIS Authorization Date
02-04-2025

Trial design

None/Not specified-controlled Phase II trial across 2 sites in Netherlands.

Comparator
None/Not specified
Target Sample Size
40

Eligibility

Recruits 40 Vulnerable populations are not included (isVulnerablePopulationSelected: false). Mentally or legally incapacitated patients are explicitly excluded. Participants must provide written informed consent prior to participation; only adults (≥18 years) are eligible and adult ICF documents are provided. No assent procedures for minors are described..

Pregnancy Exclusion
Patient is pregnant or lactating
Vulnerable Population
Vulnerable populations are not included (isVulnerablePopulationSelected: false). Mentally or legally incapacitated patients are explicitly excluded. Participants must provide written informed consent prior to participation; only adults (≥18 years) are eligible and adult ICF documents are provided. No assent procedures for minors are described.

Inclusion criteria

  • {"criterion_text":"- Group 1: patients with newly diagnosed differentiated thyroid cancer and pathologically proven lymph node metastases thyroid cancer referred for surgical resection\n- Group 2: patients with differentiated thyroid cancer referred for 131I therapy\n- The patient has provided written informed consent authorization before participating in the study\n- The patient is ≥ 18 years old\n- The patient has an ECOG status grade 0-2"}

Exclusion criteria

  • {"criterion_text":"- Patient is mentally or legally incapacitated\n- Patient is pregnant or lactating\n- Patient has been subjected to an excess of substrates of the sodium iodine symporter such as iodine (e.g. in the form of iodinated contrast agent) or perchlorate within the past 2 months.\n- Patient takes lithium\n- Patient takes amiodarone"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Optimal time kinetic point and number and localization of lymph node metastases + predictive 131I therapy response","definition_or_measurement_approach":"Determine optimal PET/CT acquisition time point and assess detection (number and localization) of lymph node metastases on [18F]TFB PET/CT and predictive value for 131I therapy response as assessed by subsequent clinical management and post-therapy imaging."}
  • {"endpoint_text":"- Analysis of reference standards: ultrasonography, pathology and post-therapy 131I scan (these tests are performed under regular clinical care)","definition_or_measurement_approach":"Comparison of [18F]TFB PET/CT findings with reference standards including ultrasonography, pathological assessment and post-therapy 131I scans performed as part of routine clinical care."}

Secondary endpoints

  • {"endpoint_text":"- To study [18F]TFB kinetics in normal thyroid tissue, in primary thyroid tumor tissue, in lymph node metastases and in distant metastases (SUVmax, tumorto-background ratio). - To analyse the possible correlation between [18F]TFB uptake and NISmembrane expression levels, as determined by immunohistochemistry. - To assess whether [18F]TFB PET/CT might be advisable especially for patients with minimally elevated tumor marker levels.","definition_or_measurement_approach":"Kinetic and quantitative analysis using SUVmax and tumor-to-background ratios on [18F]TFB PET/CT; correlation analyses between PET uptake and NIS membrane expression by immunohistochemistry; assessment of diagnostic utility particularly in patients with minimally elevated tumor markers."}

Recruitment

Planned Sample Size
40
Recruitment Window Months
32
Consent Approach
Written informed consent required from each participant prior to participation. Only adults (≥18 years) eligible; subject information and informed consent form for adults provided. Mentally or legally incapacitated individuals are excluded. No procedures for assent of minors described.

Geography

Total Number Of Sites
2
Total Number Of Participants
40

Netherlands

Earliest CTIS Part Ii Submission Date
30-03-2025
Latest Decision Or Authorization Date
02-04-2025
Processing Time Days
3
Number Of Sites
2
Number Of Participants
40

Sites

Site Name
Universitair Medisch Centrum Utrecht
Department Name
Radiology and Nuclear Medicine
Principal Investigator Name
Bart de Keizer
Principal Investigator Email
b.dekeizer@umcutrecht.nl
Contact Person Name
Bart de Keizer
Contact Person Email
b.dekeizer@umcutrecht.nl
Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Radiology and Nuclear Medicine
Principal Investigator Name
Frederik Verburg
Principal Investigator Email
f.verburg@erasmusmc.nl
Contact Person Name
Frederik Verburg
Contact Person Email
f.verburg@erasmusmc.nl

Sponsor

Primary sponsor

Full Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
[18F]Tetrafluoroborate
Active Substance
TETRAFLUOROBORATE ION F-18
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Maximum Dose
2 GBq/Kg

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