Trial Outcomes & Findings for Gallium-68 Prostate Specific Membrane Antigen PET in Diagnosing Patients With Thyroid Cancer (NCT NCT03463889)

NCT ID: NCT03463889

Last Updated: 2021-06-29

Results Overview

The number of 68Ga PSMA-11 PET-positive lesions detected by staging scans will be descriptively reported.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

Up to 24 months

Results posted on

2021-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Overall Study
STARTED
12
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gallium-68 Prostate Specific Membrane Antigen PET in Diagnosing Patients With Thyroid Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=12 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Age, Customized
40-49 years old
2 Participants
n=5 Participants
Age, Customized
50-59 years old
2 Participants
n=5 Participants
Age, Customized
60-69 years old
4 Participants
n=5 Participants
Age, Customized
70-79 years old
3 Participants
n=5 Participants
Age, Customized
80-89 years old
1 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
Years from initial diagnosis to study imaging
3 years
n=5 Participants

PRIMARY outcome

Timeframe: Up to 24 months

Population: One patient with qualifying FDG PET/CT underwent surgical procedures prior to undergoing \[68Ga\]Ga-PSMA-11 PET/MRI and was therefore excluded from the analysis due to lack of comparability

The number of 68Ga PSMA-11 PET-positive lesions detected by staging scans will be descriptively reported.

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=11 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Number of 68Ga PSMA-11 PET-positive Lesions
28 lesions

PRIMARY outcome

Timeframe: Up to 24 months

Population: One patient with qualifying FDG PET/CT underwent surgical procedures prior to undergoing \[68Ga\]Ga-PSMA-11 PET/MRI and was therefore excluded from the analysis due to lack of comparability

The number of overall thyroid cancer lesions detected by standard staging scans will be descriptively reported

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=11 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Number of Overall Detected Thyroid Cancer Lesions
43 lesions

PRIMARY outcome

Timeframe: Up to 6 months

Population: One patient with qualifying FDG PET/CT underwent surgical procedures prior to undergoing \[68Ga\]Ga-PSMA-11 PET/MRI and was therefore excluded from the analysis due to lack of comparability

The mean and standard deviation for SUVmax across all lesions across all patients will be reported.

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=11 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Mean Standardized Uptake Value Maximum of Gallium-68 PSMA (SUVmax)
8.5 Ratio
Standard Deviation 5.7

SECONDARY outcome

Timeframe: Up to 24 months

Population: One patient with qualifying FDG PET/CT underwent surgical procedures prior to undergoing \[68Ga\]Ga-PSMA-11 PET/MRI and was therefore excluded from the analysis due to lack of comparability

For each lesion detected on 18F-FDG PET or radioiodine scintigraphy (131I), the presence or absence of 68Ga-PSMA-11 uptake will be reviewed and tabulated. Presence on either 131I and 18F-FDG will be considered true positive disease. If additional lesions are detected on 68Ga-PSMA-11 as compared to 18F-FDG or 131I, the lesions will be characterized as either true or false positives in comparison to the appearance of the lesion on conventional imaging (thyroid ultrasound, CT and MRI). The gold standard for an individual lesion will be FDG or 131I, if the individual lesion is positive on either imaging study. If the lesions are not seen on either FDG or 131I, then consensus reading of conventional imaging will be performed to determine true and false positives lesions. Point estimate of the true positive rate will be calculated.

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=11 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Sensitivity of Gallium-68 PSMA for the Detection of Thyroid Cancers
.65 proportion of participants

SECONDARY outcome

Timeframe: Up to 24 months

Population: One patient with qualifying FDG PET/CT underwent surgical procedures prior to undergoing \[68Ga\]Ga-PSMA-11 PET/MRI and was therefore excluded from the analysis due to lack of comparability

Specificity is the agents ability to exclude the disease when the disease is absent. For each lesion detected on 18F-FDG PET or radioiodine scintigraphy (131I), the presence or absence of 68Ga-PSMA-11 uptake will be reviewed and tabulated. Presence on either 131I and 18F-FDG will be considered true positive disease. If additional lesions are detected on 68Ga-PSMA-11 as compared to 18F-FDG or 131I, the lesions will be characterized as either true or false positives in comparison to the appearance of the lesion on conventional imaging (thyroid ultrasound, CT and MRI). The gold standard for an individual lesion will be FDG or 131I, if the individual lesion is positive on either imaging study. If the lesions are not seen on either FDG or 131I, then consensus reading of conventional imaging will be performed to determine true and false positives lesions. Point estimate of the true negative rate will be reported.

Outcome measures

Outcome measures
Measure
Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)
n=11 Participants
Participants receive 68Ga-PSMA IV over 1-2 minutes and then undergo PET/MRI 60 minutes after injection. Patients may undergo a second PET/MRI 2-6 months after completion of first scan. Gallium Ga 68-labeled PSMA-11: Given IV Magnetic Resonance Imaging: Undergo MRI in combination with PET Positron Emission Tomography (PET): Undergo PET in combination with MRI
Specificity of Gallium-68 PSMA for the Detection of Thyroid Cancers
1.00 proportion of participants

Adverse Events

Diagnostic (Gallium Ga 68-labeled PSMA-11, PET/MRI)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Flavell, MD PhD

University of California, San Francisco

Phone: 877-827-3222

Results disclosure agreements

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