Evaluation of PSMA Antagonist Produced by Two Different Methods
CompletedPhase 1, PHASE2Results postedLast updated 22 September 2022
What this trial tests
Phase 1, PHASE2 trial testing 68Ga-PSMA-generator vs. 68Ga-PSMA-cyclotron in Metastatic Prostate Adenocarcinoma in 16 participants. Completed in 30 June 2021.
Adults 21 to 100, male only, with Metastatic Prostate Adenocarcinoma. 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.
Evaluate Equivalence Between 68GA-PSMA-cyclotron and 68Ga-PSMA-generator Across Varying Pathologic LesionsPrimary· 2 study visits between 24 to 48 hours apart
Single score Intraclass Correlation Coefficient (ICC) was calculated as an index for reliability between 68GA-PSMA-cyclotron versus 68Ga-PSMA-generator across varying pathologic lesions. The ICC, based on a one-way random effects model was used to assess reliability. The ICC ratios in this data shows the top five lesions with the greatest PSMA uptake (SUV) in each patient. This is a measure of the variance of interest (for the patient's lesion) over the total variance (from all data points for that particular lesion of interest). Repeatability was evaluated by calculating the variance among gr
Lesion 1
Group
Value
95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan
0.98
0.94 – 0.99
Lesion 2
Group
Value
95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan
0.98
0.95 – 0.99
Lesion 3
Group
Value
95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan
0.99
0.96 – 1.00
Lesion 4
Group
Value
95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan
0.99
0.96 – 1.00
Lesion 5
Group
Value
95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan
0.97
0.91 – 0.99
Evaluate Equivalence Between 68GA-PSMA-cyclotron and 68Ga-PSMA-generator Across Varying Average SUV Max-pathologic RegionsPrimary· 2 study visits between 24 to 48 hours apart
Single score intraclass correlation coefficient (ICC) was calculated as an index for reliability between 68GA-PSMA-cyclotron versus 68Ga-PSMA-generator across varying average SUV Max-pathologic regions
The ICC ratios in this data provides a general performance review of uptake in both pathological lesions and reference lesions, specifically the average SUVmax of bone metastases, lymph nodes, salivary glands, and the spleen.
Average SUV Max - Bone Lesions
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan
0.96
0.88 – 0.99
Average SUV Max - Lymph Nodes
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan
0.86
0.62 – 0.95
Average SUV Max - Salivary Glands and Parotids
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan
0.70
0.34 – 0.88
Average SUV Max - Spleen
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan
0.82
0.57 – 0.93
ICC Between Generator PSMA Scan vs Cyclotron PSMA Scan: Total Lesion Average SUVMaxPrimary· 2 study visits between 24 to 48 hours apart
Repeatability was evaluated by calculating the variance among group means of the SUVmean and SUVmax of each reference and lesion over the sum of the group-level and datalevel (residual) variance. The intraclass correlation coefficient (ICC), based on a one-way random effects model (i.e., assumes subjects are randomly selected from the larger population), was used to assess reliability between generator and cyclotron scanning methods. BlandAltman analysis evaluated the agreement between the two scanning methods. Confidence levels of 95% were estimated to assess precision of the obtained estimat
Group
Value
95% CI
ICC Between Generator PSMA Scan vs Cyclotron PSMA Scan: Total Lesion Average SUVMax
0.97
Evaluate Equivalence Between 68GA-PSMA-cyclotron and 68Ga-PSMA-generator Across Varying Max SUV -Pathologic RegionsSecondary· 2 study visits between 24 to 48 hours apart
Single score intraclass correlation coefficient (ICC) was calculated as an index for reliability between 68GA-PSMA-cyclotron versus 68Ga-PSMA-generator across varying Max SUV -pathologic regions
Repeatability was evaluated by calculating the variance among group means of the SUVmean and SUVmax of each reference and lesion over the sum of the group-level and datalevel (residual) variance. The intraclass correlation coefficient (ICC), based on a one-way random effects model (i.e., assumes subjects are randomly selected from the larger population), was used to assess reliability between generato
Max SUV - Aorta
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV
0.59
0.17 – 0.84
Max SUV - Liver
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV
0.91
0.76 – 0.97
Max SUV - Parotid
Group
Value
95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV
0.78
0.48 – 0.92
Compare Bio-Distribution Between 68GA-PSMA-cyclotron vs. 68Ga-PSMA-generatorSecondary· 2 study visits between 24 to 48 hours apart
The biodistribution of 68GA-PSMA-cyclotron versus 68Ga-PSMA-generator will be evaluated by measuring the radioactivity concentration in various organs of interest. Based on the SUVmean and SUVmax, the RC unit will be used to compare these scans.
PSMA positivity was defined as having a SUV value above that of the reference blood pool, liver, and/or salivary glands when evaluating lesions as described using the PROMISE criteria15. Quantitative analysis reviewed the SUVmax and SUVmean of the parotid gland, liver, and aortic arch (blood pool), as well as the SUVmax and SUVmean of suspected metast
Total Lesion Average Coefficient Variation
Group
Value
95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA
0.97
0.92 – 0.99
Total Lesion Average Standard Deviation
Group
Value
95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA
0.94
0.85 – 0.98
Total Lesion Average SUV Max
Group
Value
95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA
0.97
0.91 – 0.99
Total Lesion Average SUV Mean
Group
Value
95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA
0.71
0.36 – 0.89
Sponsor's own description
Patients with metastatic prostate cancer will undergo two protocol 68Ga-PET scans within 24-48 hours with 68Ga-PSMA-cyclotron and 68Ga-PSMA-generator radiotracers. The goal of the study is to evaluate repeatability and equivalence across the different 68Ga-PSMA production methods. This research study is being conducted to assess whether the PET/CT imaging results, as generated from the two different 68Ga production methods, are equivalent.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Sponsor: as reported to ClinicalTrials.gov by Weill Medical College of Cornell University
Last refreshed: 22 September 2022
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