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NCT03429244

PSMA-PET for Biopsy and Treatment Guidance in Primary Prostate Cancer

Completed Phase 2 Results posted Last updated 8 May 2023
What this trial tests

Phase 2 trial testing 68Ga-PSMA-11 PET-MRI in Prostate Cancer in 36 participants. Completed in 1 May 2022.

Timeline
15 April 2019
Primary endpoint
1 May 2022
1 May 2022

Quick facts

Lead sponsorIndiana University
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment36
Start date15 April 2019
Primary completion1 May 2022
Estimated completion1 May 2022
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Indiana University

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.

Diagnostic Accuracy of PSMA PET Primary · 60 days

Sensitivity and specificity for EPE using whole-mount analysis or biopsy pathology. EPE is extra-prostatic extension which means the cancer extends beyond the boundary of the prostate into adjacent muscle or fatty tissue.

Sensitivity for EPE (%)
GroupValue95% CI
Prostate Cancer Being Treated With Radical Prostatectomy100
Specificity for EPE (%)
GroupValue95% CI
Prostate Cancer Being Treated With Radical Prostatectomy74
Impact of PSMA PET-CT on Treatment Plan for Surgery or Biopsy Secondary · 60 days

Does the PSMA-PET change the treatment or biopsy decision. The surgeon will look at imaging prior to a procedure (prostatectomy, HIFU, or biopsy) to see if it informs the procedure steps. Does the imaging add new information about the cancer that could alter the biopsy or treatment? PSMA-PET scans were obtained in 3 different contexts as listed below (prior to prostate removal, screening for cancer or on active surveillance, and prior to focal therapy). We calculate the percentage of cases that had the treatment or followup plan altered by the investigational imaging agent. For example, if th

GroupValue95% CI
Prostate Cancer Being Treated With Radical Prostatectomy10
Screening for Prostate Cancer or on Active Surveillance8
Prostate Cancer Being Treated With Focal Therapy5

Sponsor's own description

The overall objective of this Early Phase Clinical Trial is to begin defining the accuracy of 68Ga-PSMA-11 for detecting the location and size of clinically significant prostate cancer lesions in low and intermediate risk disease. A molecularly-targeted probe (68Ga-PSMA-11), coupled with an advanced clinical imaging system (Siemens Biograph VisionPET-CT), will improve accuracy during biopsy and staging. We propose detailed intra-lesion whole-mount pathologic analysis as the gold standard for critically assessing PSMA PET accuracy in patients undergoing surgery, and blinded PSMA PET-CT comparison with standard multi-parametric MRI (mpMRI) for patients having biopsy on active surveillance. This intensive testing of the accuracy and value of PSMA-based tracers requires our unique collaboration of surgeons, radiologists, pathologists, and imaging scientists with decades of experience and innovation.

Publications & conference data

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

  1. Impact of PSMA PET on Prostate Cancer Management.
    Weiner AB, Agrawal R, Valle LF, Sonni I, et al · · 2024 · cited 15× · PMID 38270802 · DOI 10.1007/s11864-024-01181-9
  2. MRI/PET Imaging in elevated PSA and localized prostate cancer: a narrative review.
    Regmi SK, Sathianathen N, Stout TE, Konety BR. · · 2021 · cited 7× · PMID 34430415 · DOI 10.21037/tau-21-374
  3. Incorporating PSMA-Targeting Theranostics Into Personalized Prostate Cancer Treatment: a Multidisciplinary Perspective.
    Ng TSC, Gao X, Salari K, Zlatev DV, et al · · 2021 · cited 4× · PMID 34395293 · DOI 10.3389/fonc.2021.722277

Verify or expand the search:

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

Other Indiana University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03429244.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing