C43.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patient with diagnosed unresectable malignant melanoma stage IV, -Age: =18 years, -Planned systemic therapy with new therapies: BRAF/MEK inhibitors, Anti-CTLA-4/Anti-PD-1 antibodies, -Clinically indicated routine PET/CT (baseline t0) demonstrating at least one measurable lesion, -PET/CT for baseline-staging and therapy monitoring (clinical indication required), -Informed consent.
Exclusion criteria
Exclusion criteria: -Contraindications for MR-imaging (metal implants, claustrophobia, etc.), -Contraindications for gadolinium-based contrast agent, -Acute infections or other acute diseases, -Pregnant or breast-feeding women, -Disability for informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of patient's treatment response rate as assessed by PET/MRI acquired two weeks and three months after therapy initiation using standard response criteria (RECIST, PERCIST). | — |
Secondary
| Measure | Time frame |
|---|---|
| -Testing the prognostic capacity of morphological and functional MR measures (diffusion, perfusion) for predicting the concordance of therapy response results two weeks and three months after treatment initiation. -Definition of PET/MRI-specific criteria for therapy response evaluation with respect to the personalized treatment approach, e.g. mode of action of “biologicals” (kinase inhibitor and therapeutical antibodies). -Validation of the significance and prognostic value of the defined PET/MRI-specific response evaluation criteria by correlation with TTP and OS. | — |
Countries
Germany
Contacts
Universitätsklinikum Tübingen, Hautklinik, Sektion für Dermatologische Onkologie