Efficacy of Sr-89 for Differentiated Thyroid Cancer With Bone Metastases
Study Details
Study Description
Brief Summary
Using sensitive markers (such as thyroglobulin, etc) to evaluate the efficacy of strontium-89 chloride (Sr-89) in differentiated thyroid cancer with bone metastases with an aim to breaking out of its palliation effect for bone pain.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
Using biochemical markers (such as thyroglobulin), functional markers (such as change of tumor-background ratio on bone scan), etc to evaluate the efficacy of strontium-89 chloride (Sr-89) in differentiated thyroid cancer with bone metastases with an aim to breaking out of its palliation effect for bone pain.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Sr-89 treated group Sr-89 treatment |
Drug: Sr-89
strontium-89 chloride treatment
periodical evaluation and follow-up
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Change of serum thyroglobulin (Tg) level [Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months]
Change of serum Tg level
- Change of serum thyroglobulin antibody (TgAb) level [Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months]
Change of serum TgAb level
- Change of serum calcium level [Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months]
Change of serum calcium level
- Change of serum alkaline phosphatase (ALP) level [Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months]
Change of ALP level
- Change of tumor-background ratio on bone scan [Baseline, 3 months and 6 months]
Change from baseline tumor-background ratio on bone scan at 3 months and 6 months
- Change of standardized uptake value (SUV) on positron emission tomography/ computed tomography (PET/CT) [Baseline, 3 months and 6 months]
Change from baseline SUV on PET/CT at 3 months and 6 months
Secondary Outcome Measures
- Structural change on image [Baseline, 3 months and 6 months]
Structural change on image at 3 months and 6 months
- Numerical rating scale (NRS) for pain [Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months]
Scale of 0 to 10, 0=no pain, 10=worst imaginable pain
- Skeletal related event (SRE) [Up to 6 months]
Any SRE such as pathological fractures, surgery/radiotherapy for pain/prevention of fractures, hypercalcemia, and spinal cord compression.
- Analgesics [Up to 6 months]
Quantification of the use of analgesics and changes over time
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients of differentiated thyroid cancer
-
Positive uptake by bone metastases on bone scan
-
Planing to have Sr-89 treatment
Exclusion Criteria:
-
Having received treatment for bone metastases within one month of the study (such as radiotherapy, surgery, targeted therapy, chemotherapy, etc., among which denosumab and bisphosphate were allowed as basic treatment)
-
Having received radioactive iodine therapy within half a year before the study
-
There are bone related events, such as fracture, spinal cord compression, etc.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Peking Union Medical College Hospital | Beijing | China |
Sponsors and Collaborators
- Peking Union Medical College Hospital
Investigators
- Principal Investigator: Yan-Song Lin, Peking Union Medical College Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ZS-3477