Multiple Myeloma
Conditions
Keywords
C11-acetate PET/CT, Multiple myeloma, Pretreatment staging, Response assessment
Brief summary
Positron emission tomography combined with computed tomography using carbon-11 acetate (ACT PET/CT) may help detect lesions before treatment and evaluate response following therapy in patients with from multiple myeloma (MM). This study aimed to prospectively assess the clinical utility of ACT PET/CT in MM as compared to the commonly used F18-fluorodeoxyglucose(FDG).
Interventions
Old tracer but new indication
Sponsors
Study design
Eligibility
Inclusion criteria
* at least 20 years of age * previously untreated * complete pre-treatment clinical staging including bone marrow examination * written informed consent to participate in the study
Exclusion criteria
* concurrent active malignant tumor(s) * pregnant or breast feeding women * non-compliant to PET/CT or to MRI * marked renal impairment (contraindicated for contrast-enhanced MRI)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pretreatment lesion detection | Within 2 weeks before initiation of therapy | Reference standards: bone marrow examination and whole-body dynamic contrast-enhanced MRI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-induction response assessment | Approximately 4 months after initiation of therapy depending on the regimen | Reference standard: clinical response based on International Uniform Criteria and bone marrow examination if any |
| Post-ASCT response assessment | Approximately 3 months after ASCT | Reference standard: clinical response based on International Uniform Criteria and bone marrow examination if any |
Other
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival | With 2 years of follow-up time | Based on clinical follow-up (M-protein or FLC assay, bone marrow examination or imaging findings) |
Countries
Taiwan