Metastatic Colorectal Cancer
Conditions
Brief summary
Molecular imaging with positron emission tomography (PET) using \[18F\] fluorodeoxyglucose (FDG) has been suggested as an early, sensitive marker of tumour response to anticancer drugs by monitoring the changes in glucose metabolism in tumours. Recently, FDG-PET has shown to be highly sensitive in detecting early response in other tumours. In this study, the investigators will prospectively investigate the role of early FDG-PET (at day 7 and week 6) in outcome prediction.
Interventions
PET-CT
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically proven colorectal cancer * Unresectable stage IV disease * K-Ras wild type tumour * Patients scheduled to undergo chemotherapy with irinotecan and cetuximab
Exclusion criteria
* Prior abdominal/pelvic radiotherapy, surgery or chemotherapy within 3 months prior to inclusion in the study * Poorly controlled diabetes * Concomitant serious illness, such as uncontrolled angina pectoris, myocardial infarction, heart failure, uncontrolled hypertension, infection * Symptomatic brain metastases * Pregnancy or participants of reproductive potential who are sexually active and not willing/able to use medically appropriate contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PET response on day 7 | day 7 |
Secondary
| Measure | Time frame |
|---|---|
| To determine whether the PET criteria for response on day 7 correlates with the CT criteria of minimum 10% decrease in tumour size (RECIST) at week 6 | week 6 |
| To define the optimal cutoff value of SUVmax and their predictive value | at day 7 and week 6 |
| To explore the test/retest reliability of PET/CT in this setting | 2 weeks |
| To assess the value of PET/CT at day 7 in predicting overall survival | up to 1 year |
| To asses the correlations between biomarkers and PET changes after Cetuximab | up to 6 months |
Countries
Belgium