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NCT04685811

Evaluation of PSMA Antagonist Produced by Two Different Methods

Completed Phase 1, PHASE2 Results posted Last 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.

Timeline
9 December 2020
Primary endpoint
30 June 2021
30 June 2021

Quick facts

Lead sponsorWeill Medical College of Cornell University
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment16
Start date9 December 2020
Primary completion30 June 2021
Estimated completion30 June 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Weill Medical College of Cornell University

Who can join

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 Lesions Primary · 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
GroupValue95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan0.980.94 – 0.99
Lesion 2
GroupValue95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan0.980.95 – 0.99
Lesion 3
GroupValue95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan0.990.96 – 1.00
Lesion 4
GroupValue95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan0.990.96 – 1.00
Lesion 5
GroupValue95% CI
Comparison of Generator PSMA Scan vs. Cyclotron PSMA Scan0.970.91 – 0.99
Evaluate Equivalence Between 68GA-PSMA-cyclotron and 68Ga-PSMA-generator Across Varying Average SUV Max-pathologic Regions Primary · 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
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan0.960.88 – 0.99
Average SUV Max - Lymph Nodes
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan0.860.62 – 0.95
Average SUV Max - Salivary Glands and Parotids
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan0.700.34 – 0.88
Average SUV Max - Spleen
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan0.820.57 – 0.93
ICC Between Generator PSMA Scan vs Cyclotron PSMA Scan: Total Lesion Average SUVMax Primary · 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

GroupValue95% CI
ICC Between Generator PSMA Scan vs Cyclotron PSMA Scan: Total Lesion Average SUVMax0.97
Evaluate Equivalence Between 68GA-PSMA-cyclotron and 68Ga-PSMA-generator Across Varying Max SUV -Pathologic Regions Secondary · 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
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV0.590.17 – 0.84
Max SUV - Liver
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV0.910.76 – 0.97
Max SUV - Parotid
GroupValue95% CI
Comparison of Generator PSMA Scan vs Cyclotron PSMA Scan: MAX SUV0.780.48 – 0.92
Compare Bio-Distribution Between 68GA-PSMA-cyclotron vs. 68Ga-PSMA-generator Secondary · 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
GroupValue95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA0.970.92 – 0.99
Total Lesion Average Standard Deviation
GroupValue95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA0.940.85 – 0.98
Total Lesion Average SUV Max
GroupValue95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA0.970.91 – 0.99
Total Lesion Average SUV Mean
GroupValue95% CI
Comparison Between Generator PSMA vs Cyclotron PSMA0.710.36 – 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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Other recruiting trials for Metastatic Prostate Adenocarcinoma

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Other Weill Medical College of Cornell University trials

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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/NCT04685811.

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