E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
patients with HRPC and bone metastases will be enrolled in the study |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Primary aim: To measure [18F]ciprofloxacin pharmacokinetics in bone metastases of HRPC patients before and after imatinib mesylate therapy with PET.
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E.2.2 | Secondary objectives of the trial |
Secondary aim: To assess the test-retest variability of the [18F]ciprofloxacin/PET procedure.
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
• Age: >18 years old • Laboratory analysis: adequate organ functions is required and defined as platelet count >100,000/mm3, absolute neutrophil count >1,500/mm3, serum bilirubin <1.5 mg/dL, AST and ALT <2x the upper limit of normal, serum creatinine clearance >40 mL/min, or serum creatinine less than 1.5x the upper limit of normal, hemoglobin >10. No presence of any clinically relevant abnormal value, which the investigator considers may affect the validity of the study • Physical examination: no co-morbidities in terms of symptomatic congestive heart failure, unstable angina or recent myocardial infarction, and oxygen-dependent lung disease, no clinically relevant abnormal findings which could interfere with the objectives of the present study • serum testosterone level (<50 ng/dL) • No history of hypersensitivity or anaphylaxis to the study medication • No medication during two weeks before the start of the study, which the investigator considers may affect the validity of the study • No participation in the evaluation of any drug during two weeks before the start of the study and no participation in studies with radiotracer injection within 1 year before the start of the study • No chemotherapy or radiation therapy within the last 30 days and systemic radioisotope therapy within the last 90 days • No history of drug or alcohol (>60g/day) abuse • Ability to comprehend the full nature and purpose of the study, including possible risks and side effects and signature of informed consent prior to inclusion in the study
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E.4 | Principal exclusion criteria |
• Age: <18 years old • Any abnormality found as part of the screening or in any of the laboratory tests performed that the investigators considers as clinically significant • Laboratory values out of the range of: absolute neutrophil count <1,500/mm3, platelet count <100,000/mm3, serum bilirubin >1.5 mg/dL, AST and ALT >2x the upper limit of normal, serum creatinine clearance <40 mL/min, or serum creatinine less than 1.5x the upper limit of normal, hemoglobin< 10. The presence of any clinically relevant abnormal value, which the investigator considers may affect the validity of the study • Co-morbidities in terms of symptomatic congestive heart failure, unstable angina or recent myocardial infarction, and oxygen-dependent lung disease • Serum testosterone level (>50 ng/dL) • Any medication during two weeks before the start of the study, which the investigator considers may affect the validity of the study • Chemotherapy or radiation therapy within the last 30 days and systemic radioisotope therapy within the last 90 days • Participation in the evaluation of any drug within two weeks before the start of the study or participation in studies with radiotracer injection within 1 year before the start of the study • History of drug or alcohol abuse • Inability to comprehend the full nature and purpose of the study or unwillingness to sign the informed consent • Life expectancy > 3 months • Prior malignancy except the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the patient has been disease-free for >5 years.
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E.5 End points |
E.5.1 | Primary end point(s) |
• Total [18F]ciprofloxacin concentrations in HRPC bone metastases measured from 0 to 2 hours after radiotracer injection and expressed as the area under the time-activity curve (AUCPET) in the region of interest defined in the PET image. • Test-retest variability for [18F]ciprofloxacin given as percent difference of AUCPET between measurement 1 and 1additional. • Difference in AUCPET before and after treatment with imatinib mesylate: Δ AUCtumor= AUCPET before treatment - AUCPET after treatment.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of the study: completition of the last telephonic follow up call of the last subject undergoing the trial prematurely termination: •If adverse events occur which are so serious that the resulting risk-benefit ratio becomes unacceptable •If the number of drop-outs is so large that proper conclusion of the study is no longer a realistic possibility •Slow recruitment •Poor quality of data •Test-retest variability exceeding a value 15%
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |