Trial Outcomes & Findings for Gadoxetate Enhanced Imaging Study to Detect Prostate Cancer (NCT NCT01867424)

NCT ID: NCT01867424

Last Updated: 2020-07-08

Results Overview

Uptake and retention of Eovist in prostate cancers is measured by the change of magnetic resonance imaging (MRI) parameter values between pre and post injection.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Baseline and 20 minutes, 40 minutes, and 60 minutes after Eovist injection

Results posted on

2020-07-08

Participant Flow

Participant milestones

Participant milestones
Measure
Participants With Advanced Disease
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Overall Study
STARTED
12
12
Overall Study
COMPLETED
10
11
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants With Advanced Disease
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Overall Study
Patient noncompliance
2
1

Baseline Characteristics

Gadoxetate Enhanced Imaging Study to Detect Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants With Advanced Disease
n=12 Participants
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=12 Participants
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Age, Continuous
65.67 years
STANDARD_DEVIATION 10.59 • n=5 Participants
65.17 years
STANDARD_DEVIATION 7.30 • n=7 Participants
65.42 years
STANDARD_DEVIATION 8.90 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 20 minutes, 40 minutes, and 60 minutes after Eovist injection

Population: Three patients did not complete the study and are excluded, and two patients were not evaluable due to non-evaluable images.

Uptake and retention of Eovist in prostate cancers is measured by the change of magnetic resonance imaging (MRI) parameter values between pre and post injection.

Outcome measures

Outcome measures
Measure
Participants With Advanced Disease
n=9 Participants
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=10 Participants
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Uptake and Retention of Eovist in Prostate Cancers
60 minutes after Eovist
2.56 contrast enhancement ratio (CER)
Standard Deviation 1.45
2.06 contrast enhancement ratio (CER)
Standard Deviation 0.34
Uptake and Retention of Eovist in Prostate Cancers
Baseline
2.01 contrast enhancement ratio (CER)
Standard Deviation 1.16
1.857 contrast enhancement ratio (CER)
Standard Deviation 0.41
Uptake and Retention of Eovist in Prostate Cancers
20 minutes after Eovist
2.52 contrast enhancement ratio (CER)
Standard Deviation 1.26
2.212 contrast enhancement ratio (CER)
Standard Deviation 0.36
Uptake and Retention of Eovist in Prostate Cancers
40 minutes after Eovist
2.52 contrast enhancement ratio (CER)
Standard Deviation 1.39
2.05 contrast enhancement ratio (CER)
Standard Deviation 0.34

SECONDARY outcome

Timeframe: At baseline

Population: Three patients did not complete the study and are excluded, and two patients were not evaluable due to non-evaluable images.

Scans with or without endorectal coil were obtained through the prostate gland, bone metastasis or soft tissue metastasis (usually a lymph node) selected as the target lesion as described in primary outcome measure. Then 0.1 ml/kg Eovist was administered intravenously. Scans were correlated with baseline Gleason score obtained from the prostate biopsy. Gleason score \<7 = low grade cancer; Gleason score ≥7 = high grade cancer.

Outcome measures

Outcome measures
Measure
Participants With Advanced Disease
n=9 Participants
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=10 Participants
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Number of Participants Who Were Evaluated for Magnetic Resonance (MR) Contrast Enhancement Parameters Following Eovist Injection With Respect to Gleason Score
Gleason score <7
0 Participants
1 Participants
Number of Participants Who Were Evaluated for Magnetic Resonance (MR) Contrast Enhancement Parameters Following Eovist Injection With Respect to Gleason Score
Gleason score ≥7
9 Participants
9 Participants

SECONDARY outcome

Timeframe: Baseline

Population: Three patients did not complete the study and are excluded, and two patients were not evaluable due to non-evaluable images.

Scans with or without endorectal coil were obtained through the prostate gland, bone metastasis or soft tissue metastasis (usually a lymph node) selected as the target lesion as described in primary outcome measure. Then 0.1 ml/kg Eovist was administered intravenously. Scans were correlated to baseline PSA levels.

Outcome measures

Outcome measures
Measure
Participants With Advanced Disease
n=9 Participants
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=10 Participants
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Baseline Serum Prostate-Specific Antigen (PSA) Levels of Patients Who Were Evaluated for Magnetic Resonance (MR) Contrast Enhancement Parameters Following Eovist Injection
163.17 ng/mL
Standard Deviation 208.50
11.46 ng/mL
Standard Deviation 13.15

SECONDARY outcome

Timeframe: From date treatment consent signed to date off study, approximately 3 years and 33 days

Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Participants With Advanced Disease
n=12 Participants
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=12 Participants
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Number of Participants With Serious and Non-serious Adverse Events
1 Participants
0 Participants

Adverse Events

Participants With Advanced Disease

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Participants With Localized Disease

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Participants With Advanced Disease
n=12 participants at risk
Advanced disease: who have failed hormone therapy and who have sufficient tissue from a soft tissue or metastatic bone lesion (measuring 1.5cm in diameter at computed tomography (CT) or magnetic resonance imaging (MRI) scan) available for organic anion-transporting polypeptide 1B3 (OATP1B3) immunohistochemistry (IHC) or must have a soft tissue or metastatic bone lesion that can be biopsied and be willing to undergo percutaneous biopsy to obtain tissue for OATP1B3 expression. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Participants With Localized Disease
n=12 participants at risk
Localized disease: must have image guided biopsy confirmed prostate cancer and sufficient tissue available for OATP1B3 IHC. Eovist: 0.1 ml/kg Eovist will be administered intravenous (IV) to each patient
Gastrointestinal disorders
Nausea
8.3%
1/12 • Number of events 1 • From date treatment consent signed to date off study, approximately 3 years and 33 days
0.00%
0/12 • From date treatment consent signed to date off study, approximately 3 years and 33 days

Additional Information

Dr. Ismail Baris Turkbey

National Cancer Institute

Phone: 301-443-2315

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place