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Brief Title: 18F-FET PET in Childhood Brain Tumours
Official Title: A Prospective, Multicentre Trial on the Value of 18F-FET PET in the Post-therapeutic Evaluation of Childhood Brain Tumours
Study ID: NCT03216148
Brief Summary: FET PET 2010 is a prospective, multicentre trial aiming to evaluate the additional benefit of FET PET in the assessment of remission after first line therapy and during follow-up
Detailed Description: 2.1 Primary objective The main objective is to evaluate the relative benefit of FET PET in comparison to the MRI in differentiating biologically active tumour tissue from therapy-related changes in paediatric brain tumours after first line therapy (Δ specificityFET PET to specificityMRT) 2.2 Secondary Objectives To assess sensitivity of FET PET in comparison with the sensitivity of MRI (Δ sensitivityFET PET to sensitivityMRT) To assess the positive and negative predictive values (PPV, NPV) of FET PET in comparison with the PPV and NPV of MRI (Δ PPVFET PET to PPVMRT, Δ NPVFET PET to NPVMRT) To evaluate specificity, sensitivity, PPV, and NPV by SUVratio analyses of FET PET data To evaluate the potential of FET PET for non-invasive tumour grading (WHO I/II vs. III/IV) by kinetic studies when histology is available To assess adverse events and toxicity profile 2.3 Endpoints (Standard of truth1) 2.3.1 Primary Endpoint The primary endpoint is an event free survival of the follow-up period of 24 (12) months after first line therapy (confirmed by clinical and neuroradiological assessment) or the confirmed diagnosis of progression or recurrence of brain tumour tissue (confirmed by histology or clinical and neuroradiological assessment). The follow-up period for patients with a low risk of tumour recurrence after first line therapy, i.e. astrocytoma WHO grade I-II, oligodendroglioma WHO grade I-II, germ cell tumour, choroid plexus tumour, craniopharyngioma will be 24 months. The follow-up period for patients with a high risk of tumour recurrence after first line therapy, i.e. astrocytoma WHO grade III-IV, oligodendroglioma WHO grade III-IV, medulloblastoma, supratentorial PNET, AT/RT and other high-grade tumour lesions will be 12 months. 2.3.2 Secondary Endpoints To assess the secondary objectives of the FET PET 2010 study, the investigators will determine event free survival of the follow-up period of 24 (12) months after first line therapy (confirmed by clinical and neuroradiological assessment) or the confirmed diagnosis of progression or recurrence of brain tumour tissue (confirmed by histology or clinical and neuroradiological assessment). Histopathological characteristics of recurrent tumours (WHO grade I-IV) Safety and Toxicity (evolution according to CTCEA v3.0 criteria): the NCI Common Terminology Criteria for Adverse Events v3.0 is a descriptive terminology, that is used for Adverse Event (AE) reporting. A grading scale is provided for each AE term. Attached is a selection of categories, which are required to assess safety and toxicity of FET PET examinations.
Minimum Age: 1 Year
Eligible Ages: CHILD
Sex: ALL
Healthy Volunteers: No
Klinikum Augsburg, Onkologie, Augsburg, , Germany
Charité Universitätsmedizin Berlin, CVK, Onkologie, Berlin, , Germany
Evangelisches Krankenhaus Bielefeld gGmbH, Onkologie, Bielefeld, , Germany
Universitätsklinikum Bonn, Onkologie, Bonn, , Germany
Klinikum Bremen-Mitte gGmbH, Onkologie, Bremen, , Germany
Universitätsklinikum Düsseldorf, Onkologie, Düsseldorf, , Germany
Universitätsklinikum Essen, Onkologie, Essen, , Germany
Klinik für Nuklearmedizin, Freiburg, , Germany
Klinik für Pädiatrische Hämatologie und Onkologie, Freiburg, , Germany
Zentrum für Kinder- und Jugendmedizin, Angelika-Lautenschläger-Klinik, Onkologie, Heidelberg, , Germany
Institut für Neurowissenschaften und Medizin, Physik der medizinischen Bildgebung, Forschungszentrum Jülich, Nuklearmedizin, Jülich, , Germany
Uniklinik Köln, Pädiatrische Onkologie, Köln, , Germany
Kliniken der Stadt Köln gGmbH, Köln, , Germany
Universitätsklinikum Mainz, Onkologie, Mainz, , Germany
Kinderklinik München Schwabing, Onkologie, München, , Germany
Nuklearmedizinische Klinik und Poliklinik, München, , Germany
Klinik für Kinder- und Jugendmedizin - Pädiatrische Hämatologie und Onkologie, Münster, , Germany
Klinik für Nuklearmedizin, Münster, , Germany
Klinikum Stuttgart - Olgahospital, Onkologie, Stuttgart, , Germany
Klinikum Stuttgart, Nuklearmedizin, Stuttgart, , Germany
Universitätsklinikum Tübingen, Onkologie, Tübingen, , Germany
Universitäts-Kinderklinik Würzburg, Würzburg, , Germany
Name: Pablo Hernáiz Driever, MD
Affiliation: Charite University, Berlin, Germany
Role: PRINCIPAL_INVESTIGATOR
Name: Michail Plotkin, MD
Affiliation: Vivantes Klinikum
Role: STUDY_CHAIR