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.
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 Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
1. strontium-89 chloride treatment 2. periodical evaluation and follow-up
Peking Union Medical College Hospital
Beijing, China
Change of serum thyroglobulin (Tg) level
Change of serum Tg level
Time frame: Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months
Change of serum thyroglobulin antibody (TgAb) level
Change of serum TgAb level
Time frame: 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 calcium level
Time frame: Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months
Change of serum alkaline phosphatase (ALP) level
Change of ALP level
Time frame: Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months
Change of tumor-background ratio on bone scan
Change from baseline tumor-background ratio on bone scan at 3 months and 6 months
Time frame: Baseline, 3 months and 6 months
Change of standardized uptake value (SUV) on positron emission tomography/ computed tomography (PET/CT)
Change from baseline SUV on PET/CT at 3 months and 6 months
Time frame: Baseline, 3 months and 6 months
Structural change on image
Structural change on image at 3 months and 6 months
Time frame: Baseline, 3 months and 6 months
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Numerical rating scale (NRS) for pain
Scale of 0 to 10, 0=no pain, 10=worst imaginable pain
Time frame: Through study completion, an average of 1 week in the first months and 1 month thereafter, up to 6 months
Skeletal related event (SRE)
Any SRE such as pathological fractures, surgery/radiotherapy for pain/prevention of fractures, hypercalcemia, and spinal cord compression.
Time frame: Up to 6 months
Analgesics
Quantification of the use of analgesics and changes over time
Time frame: Up to 6 months