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NCT02611882: PSMA PET

Evaluation of Gallium-68-HBED-CC-PSMA Imaging in Prostate Cancer Patients

Completed Phase 2 Results posted Last updated 22 December 2020
What this trial tests

Phase 2 trial testing Ga-68 labeled HBED-CC PSMA in Prostate Cancer in 225 participants. Completed in 24 October 2016.

Timeline
18 December 2015
Primary endpoint
24 October 2016
24 October 2016

Quick facts

Lead sponsorThomas Hope
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposediagnostic
Enrollment225
Start date18 December 2015
Primary completion24 October 2016
Estimated completion24 October 2016
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Thomas Hope — full company profile →

Who can join

18 and older, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Sensitivity of Ga-68 HBED-CC PSMA for Detection of Nodal Metastases Primary · 1 day

Patients who have a positive node on imaging and on pathology will be considered a true-positive. Patients who have no nodes on imaging and pathology will be considered true- negatives. Patients with positive nodes on imaging and negative on pathology will be considered false positives and those with positive nodes on pathology but negative on imaging will be considered false negatives. Point estimate of the true positive rate will be calculated with the corresponding 95% confidence interval.

GroupValue95% CI
High-risk Prostate Cancer Pre-prostatectomy (preRP) Population.59
Biochemical Recurrence (BCR) Population.89
Specificity of Ga-68 HBED-CC PSMA for Detection of Nodal Metastasis Primary · 1 day

Patients who have a positive node on imaging and on pathology will be considered a true-positive. Patients who have no nodes on imaging and pathology will be considered true- negatives. Patients with positive nodes on imaging and negative on pathology will be considered false positives and those with positive nodes on pathology but negative on imaging will be considered false negatives. Point estimate of the true negative rate will be calculated with the corresponding 95% confidence interval.

GroupValue95% CI
High-risk Prostate Cancer Pre-prostatectomy (preRP) Population.80
Biochemical Recurrence (BCR) Population.31
Positive Predictive Value (PPV) of Ga-68 HBED-CC PSMA for Detection of Nodal Metastasis Primary · 1 day

Patients who have a positive node on imaging and on pathology will be considered a true-positive. Patients who have no nodes on imaging and pathology will be considered true- negatives. Patients with positive nodes on imaging and negative on pathology will be considered false positives and those with positive nodes on pathology but negative on imaging will be considered false negatives. Point estimate of the true negative rate will be calculated with the corresponding 95% confidence interval.

GroupValue95% CI
High-risk Prostate Cancer Pre-prostatectomy (preRP) Population.67
Biochemical Recurrence (BCR) Population.906
Negative Predictive Value (NPV) of Ga-68 HBED-CC PSMA for Detection of Nodal Metastasis Primary · one month

Patients who have a positive node on imaging and on pathology will be considered a true-positive. Patients who have no nodes on imaging and pathology will be considered true- negatives. Patients with positive nodes on imaging and negative on pathology will be considered false positives and those with positive nodes on pathology but negative on imaging will be considered false negatives. Point estimate of the true negative rate will be calculated with the corresponding 95% confidence interval.

GroupValue95% CI
High-risk Prostate Cancer Pre-prostatectomy (preRP) Population.74
Biochemical Recurrence (BCR) Population.24
Overall Detection Rates of Ga68-PSMA-11 by PSA Levels for the BCR Group Secondary · Up to 1 year

68Ga-labeled prostate-specific membrane antigen 11 (Ga68-PSMA-11) PET positivity rate by prostate-specific antigen (PSA) level is calculated by the number of positive reads divided by the total number of patients in the BCR Group per PSA value quintile (Detection rate (d) = total number of positive reads (t)/ total number of participants (N)).

<0.5 ng/dl
GroupValue95% CI
Biochemical Recurrence (BCR) Population.55
0.5 to < 1.0 ng/dl
GroupValue95% CI
Biochemical Recurrence (BCR) Population.62
1.0 to < 2.0 ng/dl
GroupValue95% CI
Biochemical Recurrence (BCR) Population.80
2.0 to < 5.0 ng/dl
GroupValue95% CI
Biochemical Recurrence (BCR) Population.88
>=5.0 ng/dl
GroupValue95% CI
Biochemical Recurrence (BCR) Population.96
Number of Patients in Biochemical Recurrence (BCR) Group Who Had a Reported Change in Medical Management Secondary · Up to 1 year

Change in participant medical management was determined based on the results of surveys given to each participant's treating physician. Results of the survey were categorized as a major change in participant's medical management, a minor change in participant's medical management, no change to participant's medical management, or change to participant's medical management is unknown. These categories were developed based on a predetermined categorization schema.

Major Change
GroupValue95% CI
Biochemical Recurrence (BCR) Population67
Minor Change
GroupValue95% CI
Biochemical Recurrence (BCR) Population8

Sponsor's own description

The investigators are imaging patients with prostate cancer using a new PET imaging agent (Ga-68 HBED-CC PSMA) in order to evaluate it's ability to detection prostate cancer in patients with high risk disease prior to prostatectomy, patients with biochemical recurrence and patients with castrate resistant prostate cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Diagnostic Accuracy of 68Ga-PSMA-11 PET for Pelvic Nodal Metastasis Detection Prior to Radical Prostatectomy and Pelvic Lymph Node Dissection: A Multicenter Prospective Phase 3 Imaging Trial.
    Hope TA, Eiber M, Armstrong WR, Juarez R, et al · · 2021 · cited 266× · PMID 34529005 · DOI 10.1001/jamaoncol.2021.3771
  2. Diagnostic Accuracy of <sup>68</sup>Ga-PSMA-11 PET/MRI Compared with Multiparametric MRI in the Detection of Prostate Cancer.
    Hicks RM, Simko JP, Westphalen AC, Nguyen HG, et al · · 2018 · cited 113× · PMID 30226456 · DOI 10.1148/radiol.2018180788
  3. Impact of <sup>68</sup>Ga-PSMA-11 PET on Management in Patients with Biochemically Recurrent Prostate Cancer.
    Hope TA, Aggarwal R, Chee B, Tao D, et al · · 2017 · cited 108× · PMID 28522741 · DOI 10.2967/jnumed.117.192476
  4. Review of Gallium-68 PSMA PET/CT Imaging in the Management of Prostate Cancer.
    Lenzo NP, Meyrick D, Turner JH. · · 2018 · cited 71× · PMID 29439481 · DOI 10.3390/diagnostics8010016
  5. New Prostate Cancer Targets for Diagnosis, Imaging, and Therapy: Focus on Prostate-Specific Membrane Antigen.
    Cimadamore A, Cheng M, Santoni M, Lopez-Beltran A, et al · · 2018 · cited 66× · PMID 30622933 · DOI 10.3389/fonc.2018.00653
  6. Interactions Between Tumor Biology and Targeted Nanoplatforms for Imaging Applications.
    Azizi M, Dianat-Moghadam H, Salehi R, Farshbaf M, et al · · 2020 · cited 30× · PMID 34093104 · DOI 10.1002/adfm.201910402
  7. Optimal MRI sequences for <sup>68</sup>Ga-PSMA-11 PET/MRI in evaluation of biochemically recurrent prostate cancer.
    Lake ST, Greene KL, Westphalen AC, Behr SC, et al · · 2017 · cited 28× · PMID 28929350 · DOI 10.1186/s13550-017-0327-7
  8. Presurgical &lt;sup&gt;68&lt;/sup&gt;Ga-PSMA-11 Positron Emission Tomography for Biochemical Recurrence Risk Assessment: A Follow-up Analysis of a Multicenter Prospective Phase 3 Imaging Trial.
    Djaïleb L, Armstrong WR, Thompson D, Gafita A, et al · · 2023 · cited 15× · PMID 37482512 · DOI 10.1016/j.eururo.2023.06.022

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