68Ga-PSMA-11 PET/MRI in Finding Tumors in Patients With Intermediate or High-Risk Prostate Cancer Undergoing Surgery

NCT ID: NCT02678351

Last Updated: 2022-03-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-18

Study Completion Date

2021-12-31

Brief Summary

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This phase 2-3 trial studies the utility of 68-gallium (68Ga)-prostate-specific membrane antigen 11 (PSMA-11) positron emission tomography/magnetic resonance imaging (PET/MRI) to find tumors in patients with prostate cancer who are undergoing resection surgery for prostate cancer that is prognostically expected to spread quickly (intermediate-risk) or is likely to come back or spread (high-risk). Diagnostic procedures, such as PET/MRI, may help find and diagnose prostate cancer, and reveal out how far the disease has spread. Radioactive drugs, such as 68Ga-PSMA-11, may bind to tumor cells that have specific receptors, and may allow doctors to see smaller tumors than the standard of care contrast-enhanced computed tomography (CT) or MRI scan.

Detailed Description

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OBJECTIVES:

1. To evaluate 68Ga-PSMA-11 PET/MRI for detection of tumor metastases in patients with intermediate and high-risk prostate cancer scheduled to undergo prostatectomy with lymph node dissection.
2. To assess sensitivity (positive predictive value) and specificity (negative predictive value) of 68Ga-PSMA-11 PET/MRI for the detection of regional nodal metastases compared to pathology at radical prostatectomy.

OUTLINE:

Participants will receive 68Ga-PSMA-11 intravenously (IV). Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection.

After completion of study, patients are followed up at 24 to 48 hours.

Conditions

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Stage II Prostate Adenocarcinoma Stage III Prostate Adenocarcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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68Ga-PSMA PET/MRI

Patients receive 68Ga-PSMA-11 IV. Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection.

Group Type EXPERIMENTAL

68Ga-PSMA-11

Intervention Type DRUG

Undergo 68Ga-PSMA-11 PET/MRI

Magnetic resonance imaging (MRI)

Intervention Type PROCEDURE

Undergo 68Ga-PSMA-11 PET/MRI

Positron Emission Tomography (PET)

Intervention Type PROCEDURE

Undergo 68Ga-PSMA-11 PET/MRI

Interventions

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68Ga-PSMA-11

Undergo 68Ga-PSMA-11 PET/MRI

Intervention Type DRUG

Magnetic resonance imaging (MRI)

Undergo 68Ga-PSMA-11 PET/MRI

Intervention Type PROCEDURE

Positron Emission Tomography (PET)

Undergo 68Ga-PSMA-11 PET/MRI

Intervention Type PROCEDURE

Other Intervention Names

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68-gallium prostate-specific membrane antigen 11 positron emission tomography/magnetic resonance imaging HBED CC PSMA DFKZ 11 Heidelberg compound Nuclear magnetic resonance imaging MRI imaging NMR Imaging NMRI PET scan Positron Emission Tomography Scan Proton magnetic resonance spectroscopic imaging

Eligibility Criteria

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Inclusion Criteria

* Biopsy-proven prostate adenocarcinoma
* Planned prostatectomy with lymph node dissection
* Intermediate- to high-risk disease (as determined by elevated prostate-specific antigen (PSA) \[PSA \> 10\], T stage \[T2b or greater\], Gleason score \[Gleason score \> 6\] or other risk factors)
* Karnofsky performance status of ≥ 50 \[or Eastern Cooperative Oncology Group (ECOG)/World Health Organization (WHO) equivalent\]
* Diagnostic CT or MRI performed within 90 days of the research PET
* Able to provide written consent

Exclusion Criteria

* Patients not capable of getting PET study due to weight, claustrophobia, or inability to lay still for the duration of the exam
* Neoadjuvant chemotherapy or radiation therapy prior to prostatectomy, including focal ablation techniques (HiFu)
* Androgen deprivation therapy or other neoadjuvant treatments prior to PET imaging and surgery
* Metallic implants (contraindicated for MRI)
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Andrei Iagaru

OTHER

Sponsor Role lead

Responsible Party

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Andrei Iagaru

Associate Professor of Radiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Andrei Iagaru

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University, School of Medicine

Palo Alto, California, United States

Site Status

Countries

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United States

References

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Duan H, Baratto L, Hatami N, Liang T, Levin CS, Khalighi MM, Iagaru A. Reduced Acquisition Time per Bed Position for PET/MRI Using 68Ga-RM2 or 68Ga-PSMA-11 in Patients With Prostate Cancer: A Retrospective Analysis. AJR Am J Roentgenol. 2022 Feb;218(2):333-340. doi: 10.2214/AJR.21.25961. Epub 2021 Aug 18.

Reference Type DERIVED
PMID: 34406051 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2016-00092

Identifier Type: REGISTRY

Identifier Source: secondary_id

PROS0075

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-35931

Identifier Type: -

Identifier Source: org_study_id

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