Evaluation of Fapi-pet in Prostate Cancer.

NCT ID: NCT05192694

Last Updated: 2022-03-11

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-10

Study Completion Date

2022-12-15

Brief Summary

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The investigators explore the biodistribution of FAPI-PET expression in primary high-risk prostate cancer in men undergoing RALP and eLND and in men with metastatic PCa about to start next generation antiandrogen.

Detailed Description

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This is an exploratory cohort study comprised of men with clinically localized or locally advanced high-risk prostate cancer (GG 3-5, cT2-cT3, Nx, M0) managed by RALP and eLND and men with metastatic (mHSPC or mCRPC) prostate cancer scheduled to start NHT along clinical care pathway (e.g., apalutamide, enzalutamide) at HUS Helsinki University Hospital and Helsinki University, Finland.

Men identified along routine clinical care as candidates for the study will be asked to consent.

Once consented, patients will undergo PSMA-PET imaging instead of conventional imaging (CT and bone scan) and experimental FAPI-PET imaging. Furthermore, biomarker samples will be obtained before and after treatment (surgery or novel antiandrogen) and surgical specimen will be processed for routine pathological evaluation and multiplex IHC studies. Serum samples will be tested for PCa biomarkers (e.g., PSA, NSE, CgA) and cfDNA. Urine will be processed and extracellular vesicles (exosomes) isolated and markers of reactive stroma will be sought for.

Radical prostatectomy and novel hormonal treatment will be done according to current recommendations and guidelines in Finland.

Postoperatively, patients will be followed with PSA every six months. Biochemical recurrence will be set at PSA of 0.2 ug/l or higher.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Exploratory prospective cohort study.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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FAPI PET

Prospective single arm cohort

Group Type OTHER

Computed tomography

Intervention Type PROCEDURE

Positron Emission Tomography

Interventions

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Computed tomography

Positron Emission Tomography

Intervention Type PROCEDURE

Other Intervention Names

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68-Ga-FAPI-4 PET/CT

Eligibility Criteria

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Inclusion Criteria

Men scheduled for radical prostatectomy

* Age over 18 years
* GG 3-5, cT2-cT3, Nx, M0 prostate cancer
* no contraindication to PSMA - or FAPI-PET
* willing to undergo study related procedures (imaging and laboratory tests) Men scheduled for novel antiandrogen
* Age over 18 years
* GG2-5, cT2-4, N0-1, M1
* hormone sensitive or castration resistant prostate cancer

Exclusion Criteria

* Not willing or capable to undergo study related procedures
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of Helsinki

OTHER

Sponsor Role collaborator

Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Antti Rannikko

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antti S Rannikko, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Helsinki University Central Hospital

Locations

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Helsinki University Hospital

Helsinki, Uusimaa, Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Antti S Rannikko, MD, PhD

Role: CONTACT

+358405470208

Facility Contacts

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Antti s Rannikko, MD, PhD

Role: primary

Related Links

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http://www.hucc.fi

study group website

Other Identifiers

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HUS/2997/2021

Identifier Type: -

Identifier Source: org_study_id

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