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Trial Title: PET/CT Imaging to Evaluate Cardiac Radiation Damage in Patients With Lung or Esophageal Cancer, EUCLID Trial

NCT ID: NCT05775939

Condition: Lung Carcinoma
Esophageal Carcinoma

Conditions: Official terms:
Carcinoma
Esophageal Neoplasms
Deoxyglucose
Fluorodeoxyglucose F18

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Fludeoxyglucose F-18
Description: Given FDG
Arm group label: Diagnostic (sarcoidosis FDG PET-CT)

Other name: 105851-17-0

Other name: 18FDG

Other name: 2-Deoxy-2-(18F)Fluoro-D-Glucose

Other name: 2-F18-Fluoro-2-deoxy-D-glucose

Other name: FDG

Other name: Fludeoxyglucose (18F)

Other name: fludeoxyglucose F 18

Other name: Fludeoxyglucose F18

Other name: Fluorine-18 2-Fluoro-2-deoxy-D-Glucose

Other name: Fluorodeoxyglucose F18

Intervention type: Procedure
Intervention name: Positron Emission Tomography
Description: Undergo PET-CT
Arm group label: Diagnostic (sarcoidosis FDG PET-CT)

Other name: Medical Imaging

Other name: PET

Other name: PET SCAN

Other name: Positron Emission Tomography Scan

Other name: proton magnetic resonance spectroscopic imaging

Other name: Positron-Emission Tomography

Other name: PT

Intervention type: Procedure
Intervention name: Computed Tomography
Description: Undergo PET-CT
Arm group label: Diagnostic (sarcoidosis FDG PET-CT)

Other name: CAT

Other name: CAT Scan

Other name: Computed Axial Tomography

Other name: computerized axial tomography

Other name: Computerized Tomography

Other name: CT

Other name: CT SCAN

Other name: tomography

Intervention type: Other
Intervention name: Questionnaire Administration
Description: Ancillary studies
Arm group label: Diagnostic (sarcoidosis FDG PET-CT)

Summary: This clinical trial examines positron emission tomography (PET)/computed tomography (CT) in evaluating cardiac radiation damage in patients with lung or esophageal cancer. As part of the treatment for lung or esophageal cancer, patients will undergo radiation therapy. Sometimes, during this treatment, the heart is also subjected to some radiation which could affect its function, either increasing or decreasing the function. It is not known the consequences of this change nor is it known if doctors can detect the changes associated with the radiation. Sarcoidosis FDG positron emission tomography (PET)-computed tomography (CT) scans are a common way to image cardiac inflammation and myocardial viability. This study may help doctors image the heart before, during and after radiotherapy to monitor any changes.

Detailed description: PRIMARY OBJECTIVE: I. To characterize radiation-related functional imaging changes in the heart using sarcoidosis fludeoxyglucose F-18 (FDG) PET-CT imaging. SECONDARY OBJECTIVES: I. 1. To evaluate the ability of imaging changes in the heart to predict for overall survival (OS). II. To evaluate the ability of imaging changes in the heart to predict for cardiac toxicity. III. To evaluate the ability of imaging changes in the heart to predict for cardiac related death. EXPLORATORY OBJECTIVES: I. To evaluate radiation treatment planning strategies to reduce risk of cardiotoxicity. II. To determine the correlation between sarcoidosis FDG PET-CT scans and oncologic FDG PET-CT scans. OUTLINE: Patients undergo sarcoidosis FDG PET-CT of the heart before, during and, after radiotherapy. After completion of study treatment, patients are followed up at 12 and 24 months.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Provide signed and dated informed consent form - Willing to comply with all study procedures and be available for the duration of the study - Male or female, aged >= 18 - Life expectancy >= 3 months as assessed by Radiation Oncologist - Mean heart dose estimated by Radiation Oncologist to be >= 5 Gy (physics dose or biologically equivalent dose) - Pathologically proven (either histologic or cytologic) proven lung cancer or esophageal cancer - Planned radiation treatment course for management of lung or esophageal cancer * Both standard and hypofractionation schedules are permitted Exclusion Criteria: - Contraindication for FDG PET-CT scans as assessed by the radiation oncologist or nuclear medicine radiologist - Palliative radiation doses defined as 20 Gy in 5 fractions

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Thomas Jefferson University Hospital

Address:
City: Philadelphia
Zip: 19107
Country: United States

Status: Recruiting

Contact:
Last name: Yevgeniy Vinogradskiy, MD

Phone: 215-955-3605
Email: yevgeniy.vinogradskiy@jefferson.edu

Start date: January 20, 2023

Completion date: January 1, 2026

Lead sponsor:
Agency: Thomas Jefferson University
Agency class: Other

Source: Thomas Jefferson University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05775939

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