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Defining the Utility of PET/CT in the Follow-up of Patients With Solid Tumors

Not Applicable
Terminated
Conditions
Cancer Recurrence
Solid Tumors
Interventions
Procedure: PET/CT
Procedure: NCCN recommendations for solid tumor post treatment
Registration Number
NCT00954148
Lead Sponsor
Dallas VA Medical Center
Brief Summary

This is a comparison, at this VA Hospital,of routine multi-visit and multi-testing for solid tumor recurrence in four tumor groups to a limited scheduled 5 visit history/physical with PET/CT only, over a five year period. The purpose is to show through utilization of the single most sensitive and specific test currently available-PET/CT-that survival for patients in follow-up can be improved.(Plus lowering medical costs and increasing patient confidence and compliance with follow-up appointments).

Detailed Description

Routine visits would include COLON:14 visits with cea and 6 CTs over a 5 year period plus PET/CT at last visit RECTAL: 14 visits with cea and 6 CTs and 4 procto exams over 5 year period plus PET/CT at last visit HEAD/NECK: 14 visits with 4 CTs and PET/CT at last visit LUNG:12 visits plus 4 CTs and PET/CT at last visit

Limited follow-up ALL GROUPS: a history and physical plus PET/CT at 3 month, 9 month, 18 month, 36 month and 60 month only

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
53
Inclusion Criteria
  • Completed primary therapy such that no disease is evident at the time of enrollment in the study
Exclusion Criteria
  • Patients unable to consent
  • Without diagnosis of colorectal cancer
  • Non-small cell lung cancer or squamous cell cancer of the head and neck
  • Unwilling or unable to participate in the assigned follow-up program
  • Having a serum glucose at time of PET/CT greater than 180mg/dl
  • Stage IV disease or with evidence of disease recurrence post treatment
  • Who are not a candidate for further treatment should a recurrence of disease be identified

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PET/CT follow-upPET/CTPET/CT with history and physical exams at 3,9,18,36,60 months only
conventional follow-upNCCN recommendations for solid tumor post treatmentNCCN recommendations
Primary Outcome Measures
NameTimeMethod
ThatPET/CT will be superior (15% improvement) to conventional methods of follow-up in terms of 5 year survival, cost and time to identification of new disease5 years
Secondary Outcome Measures
NameTimeMethod
Improvement in patient/caregiver compliance in keeping their appointments and completing their tests5 years

Trial Locations

Locations (1)

VA North Texas Health Care System

🇺🇸

Dallas, Texas, United States

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