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A Phase 2/3, Open-Label Study, to Evaluate the Feasibility and Safety of Intravenous [99mTc]Tc-PSMA-T4 in Subjects With Prostate Cancer

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Radiation
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The objectives of this study are to evaluate the feasibility and safety of \[99mTc\]Tc-PSMA-T4 in the diagnosis and treatment planning of prostate cancer.

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 18
Healthy Volunteers: f
View:

• 18 years of age or older.

• PS ECOG \< 2

• Prior diagnosis of any type of prostate cancer with a Gleason score (GlS) above 6.

• Confirmatory prostate biopsy within 12 weeks (time from pathological diagnosis as PCA date of pathological description to the time of signing the patient's informed consent to participate in the study), only for cohorts A and B.

• Pelvic mpMRI prostate with PIRADS 2.1 score within 12 weeks before screening, only for cohorts A and B.

• Willingness to participate in this study and to provide written informed consent.

⁃ Additional inclusion criteria for each cohort:

⁃ Cohort A:

• Intermediate risk disease as defined by the most up-to-date version of National Comprehensive Cancer Network Guidelines for Prostate Cancer

• Greater than 10% chance of lymph node involvement assessed using the Memorial Sloan Kettering nomogram for probability of lymph node involvement in prostate cancer patients.

• CT of the chest, abdomen and pelvis and bone scan within 12 weeks before screening in the unfavorable risk PC subgroup.

• No prior treatment for prostate cancer.

⁃ Cohort B:

• High or very high-risk disease as defined by the most up-to-date version of National Comprehensive Cancer Network Guidelines for Prostate Cancer

• CT of the chest, abdomen and pelvis and bone scan within 12 weeks before screening in the unfavorable risk PC subgroup.

• No prior treatment for prostate cancer.

⁃ Cohort C:

⁃ Biochemical failure after radical prostatectomy defined as failure of PSA to fall to undetectable levels (PSA persistence) or undetectable PSA after radical prostatectomy with a subsequent detectable PSA that increases on 2 or more determinations (PSA recurrence) OR biochemical failure after definitive radiotherapy based on Phoenix Consensus (a rise by 2 ng/mL or more above the nadir PSA) OR radiographic evidence of metastatic disease without PSA persistence/recurrence OR clinical symptoms suggesting distant metastases (Roach et al.., 2006).

Locations
Other Locations
Poland
Centrum Onkologii im. prof. F. Łukaszczyka
RECRUITING
Bydgoszcz
Centralny Szpital Kliniczny Uniwersytetu Medycznego
RECRUITING
Lodz
GAMMED Centrum Diagnostyczno-Lecznicze
RECRUITING
Warsaw
4. Wojskowy Szpital Kliniczny z Polikliniką SP ZOZ
COMPLETED
Wroclaw
Contact Information
Primary
Piotr Garnuszek, Sponsor
Piotr.Garnuszek@polatom.pl
+48 22 273 1700
Backup
Katarzyna Socko, CRO
k.socko@genelytica.com
Time Frame
Start Date: 2023-05-10
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 80
Treatments
Active_comparator: Cohort A - lymph node assessment in intermediate risk group
The patients will undergo \[99mTc\]Tc-PSMA-T4 multi-SPECT/CT as an additional modality to contrast-enhanced (CE) multiparametric MRI (according to PI-RADS 2.1 protocol), and chest, and abdominal CE computed tomography and technetium-99m-MDP bone scan in unfavorable risk prostate cancer patients.
Active_comparator: Cohort B - general assessment (bone and lymph nodes) in high and very high-risk group
The patients will undergo \[99mTc\]TcPSMA-T4 multi-SPECT/CT as an additional modality to CE multiparametric MRI (according to PI-RADS 2.1 protocol), chest, abdomen CE computed tomography, and skeletal scintigraphy (technetium-99m-MDP bone scan).
Active_comparator: Cohort C - recurrent disease after definitive treatment (radiotherapy or surgery)
The patients will undergo \[99mTc\]Tc-PSMA-T4 multi-SPECT/CT as an additional modality to the second confirmatory imaging modality or biopsy in the case of evidence on progressive disease (PSA persistence/recurrence or radiographic evidence of metastatic disease or clinical symptoms suggesting metastatic disease).
Related Therapeutic Areas
Sponsors
Leads: NCBJ Polatom: Narodowe Centrum Badań Jądrowych Polatom

This content was sourced from clinicaltrials.gov