Prospective REgistry of Targeted RadionucLide TherapY in Patients With mCRPC (REALITY Study)
NCT ID: NCT04833517
Last Updated: 2022-12-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
500 participants
OBSERVATIONAL
2016-01-01
2025-12-31
Brief Summary
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Detailed Description
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The goal of the REALITY study is to gain a better understanding of the real-life clinical application of radionuclide therapies, with a focus on PSMA-targeted radioligand therapy in a high-volume treatment centre, and the impact of each treatment for patient outcome.
Based on primary and secondary outcome measures the potential prediction of treatment benefit by baseline patient and tumor characteristics, and early changes of biomarkers will be of interest.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Lu177 PSMA RLT
Lutetium-177 prostate-specific membrane antigen (Lu177 PSMA) radioligand therapy (RLT) according to standard local protocol
No interventions assigned to this group
Ac225 PSMA RLT
Actinium-225 prostate-specific membrane antigen (Ac225 PSMA) radioligand therapy (RLT) according to standard local protocol
No interventions assigned to this group
Tandem Lu177 / Ac225 PSMA RLT
Combined Lu177 / Ac225 PSMA radioligand therapy according to standard local protocol
No interventions assigned to this group
Ra223 chloride
Bone-targeted Radium-223 (Ra223) radionuclide therapy in standard application
No interventions assigned to this group
Sm153 EDTMP
Bone-targeted Samarium-153 (Sm153) EDTMP radionuclide therapy in standard application
No interventions assigned to this group
Y90 microspheres
Radioembolization with yttrium-90 (Y90) microspheres, standard methodology
No interventions assigned to this group
Tb161 PSMA RLT
Terbium-161 prostate-specific membrane antigen (Tb161 PSMA) radioligand therapy (RLT) according to standard local protocol
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* sufficient tumoral PSMA expression defined as tracer uptake markedly higher than (physiologic) uptake in healthy liver tissue.
* sufficient bone marrow reserve: leukocytes ≥ 2 G/L, platelets \> 75 × 109/L
* sufficient overall patient condition: Eastern Oncology Cooperative Group (ECOG) performance status ≤ 3
Exclusion Criteria
18 Years
MALE
No
Sponsors
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Universität des Saarlandes
OTHER
Responsible Party
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Samer Ezziddin, MD
Director, Dept. of Nuclear Medicine
Principal Investigators
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Samer Ezziddin, MSc, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Universität des Saarlandes
Locations
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Dept. of Nuclear Medicine, Saarland University
Homburg, Saarland, Germany
Countries
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Central Contacts
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References
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Bastian MB, Speicher T, Blickle A, Burgard C, Bastian JLD, Bartholoma M, Schaefer-Schuler A, Maus S, Ezziddin S, Rosar F. Tolerability of PSMA radioligand therapy in metastatic prostate cancer patients with baseline mild to moderate leukopenia. EJNMMI Res. 2025 Jul 6;15(1):82. doi: 10.1186/s13550-025-01280-0.
Rosar F, Schuler J, Burgard C, Blickle A, Bartholoma M, Maus S, Petto S, Khreish F, Schaefer A, Ezziddin S. Efficacy and safety of rechallenge [177Lu]Lu-PSMA-617 RLT after initial partial remission in patients with mCRPC: evaluation of a prospective registry (REALITY study). Eur J Nucl Med Mol Imaging. 2024 Nov;51(13):4151-4162. doi: 10.1007/s00259-024-06825-4. Epub 2024 Jul 15.
Rosar F, Burgard C, Rohloff LV, Blickle A, Bartholoma M, Maus S, Petto S, Schaefer-Schuler A, Ezziddin S. 225 Ac-PSMA-617 Augmentation in High-Risk mCRPC Undergoing 177 Lu-PSMA-617 Radioligand Therapy : Pilot Experience From a Prospective Registry. Clin Nucl Med. 2024 Jul 1;49(7):621-629. doi: 10.1097/RLU.0000000000005253. Epub 2024 May 21.
Burgard C, Hein C, Blickle A, Bartholoma M, Maus S, Petto S, Schaefer-Schuler A, Ezziddin S, Rosar F. Change in total lesion PSMA (TLP) during [177Lu]Lu-PSMA-617 radioligand therapy predicts overall survival in patients with mCRPC: monocentric evaluation of a prospective registry. Eur J Nucl Med Mol Imaging. 2024 Feb;51(3):885-895. doi: 10.1007/s00259-023-06476-x. Epub 2023 Oct 27.
Other Identifiers
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RNT-Prostate
Identifier Type: -
Identifier Source: org_study_id
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