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Use of Propranolol to Reduce FDG Uptake in Brown Adipose Tissue in Pediatric Cancer Patients PET Scans

Sponsor
Lars Wagner (Other)
Overall Status
Completed
CT.gov ID
NCT02165683
Collaborator
(none)
10
Enrollment
1
Location
27.8
Duration (Months)
0.4
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This is a single-arm, open-label study to assess the safety and effectiveness of a single dose of oral propranolol in reducing18F-fluorodeoxyglucose (FDG) uptake in brown adipose tissue (BAT) in pediatric oncology patients. This study is designed to better understand if taking a single dose of an oral medication called propranolol can reduce the chance of brown fat showing up on a PET scan, and therefore make the scan more accurate and easy to interpret. All humans have some degree of normal brown fat (called brown adipose tissue), and this normal tissue can sometimes light up on a PET scan. That creates problems because it may be wrongly interpreted by the radiologist as tumor, or it may hide true areas of tumor underneath it. Participants will not be randomized and will receive a single dose of oral propranolol approximately 60 minutes prior to the injection of the FDG tracer. The dose of propranolol will be 20 mg for all participants.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    In this study, participants will be assessed in the University of Kentucky DanceBlue Pediatric Hematology/Oncology clinic to confirm they are eligible for the study. This will be done at the time intravenous (iv) access is started, either through an iv placed in the arm or through a port/central line.

    All females who are capable of becoming pregnant will then undergo urine pregnancy testing. If it is found that they are pregnant they will not be allowed to be in the study. Participant blood sugar will be checked. When possible, the research blood sample will be collected at a time when routine non-research labs will be collected.

    Study eligible participants will then be given a single 20 mg tablet of propranolol to take by mouth and will be escorted by a member of the medical team to the PET scan trailer, where they will be checked in and assessed. Blood sugar level will again be checked by finger stick according to the standard procedure for PET scans.

    Vital signs will be assessed by a clinical research nurse at least three times while the participants are at the PET scan trailer, including twice before the scan and once immediately after the scan. The nurse will also assess for any symptoms related to the propranolol. If no problems are noted, participants will be discharged from the PET scan trailer and their tudy participation will end. If any side effects arise from the medication, the pediatric oncologist will be called immediately and appropriate treatment started. The PET scan will be assessed by the radiologist to see whether there is uptake in brown fat, as well as to see if any areas of tumor are seen.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    10 participants
    Observational Model:
    Case-Only
    Time Perspective:
    Prospective
    Official Title:
    Investigation of Propranolol Premedication to Reduce FDG Uptake in Brown Adipose Tissue on PET Scans of Pediatric Cancer Patients
    Study Start Date :
    Jul 1, 2014
    Actual Primary Completion Date :
    Oct 24, 2016
    Actual Study Completion Date :
    Oct 24, 2016

    Outcome Measures

    Primary Outcome Measures

    1. Number of Adverse Events following Propranolol dosing [1 day]

      The primary objective of our study will be to document the safety of using a single dose of propranolol.

    Secondary Outcome Measures

    1. Number of Reductions in FDG Uptake in BATWhen Compared to Historic Controls [2 years]

      We will test the hypothesis that the use of propranolol given prior to the PET scan results in a statistically significant reduction in FDG uptake in BAT compared to historical controls.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years to 29 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    • Individual is between 12 years and 29 years of age

    • Individual weighs over 66 pounds

    • Individual will be undergoing a FDG-PET scan as part of staging or response assessment for malignancy. Note: the patient may be newly-diagnosed, currently receiving therapy, or have already completed therapy. The presence of identifiable tumor on the PET scan is not required.

    • Individual is able to swallow a tablet

    Exclusion Criteria:

    • Prior diagnosis of asthma, OR use of an inhaler in past three years to treat or prevent bronchospasm.

    • History of cardiac arrhythmia requiring treatment

    • History of congestive heart failure

    • Current use of medications to control blood pressure or improve cardiac output

    • Diabetes Type I or II, or currently on medications to reduce blood sugar

    • Pregnant

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Kentucky DanceBlue Pediatric Hematology/Oncology Clinic Lexington Kentucky United States 40536

    Sponsors and Collaborators

    • Lars Wagner

    Investigators

    • Principal Investigator: Lars Wagner, MD, University of Kentucky, Dept of Pediatric Hematology/Oncology

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Lars Wagner, Sponsor/PI, University of Kentucky
    ClinicalTrials.gov Identifier:
    NCT02165683
    Other Study ID Numbers:
    • 14-0468-F3r
    First Posted:
    Jun 17, 2014
    Last Update Posted:
    Jun 28, 2017
    Last Verified:
    Jun 1, 2017
    Keywords provided by Lars Wagner, Sponsor/PI, University of Kentucky
    Cancer
    Pediatric
    PET Scan

    Study Results

    No Results Posted as of Jun 28, 2017