Evaluation of PSMA-PET and mpMRI in High-risk Prostate Cancer - Using Histopathologic Validation

NCT ID: NCT06565247

Last Updated: 2025-03-04

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-14

Study Completion Date

2031-12-31

Brief Summary

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In this trial the connection between image properties (mpMRI and PSMA-PET) and tissue properties (molecular and histopathology) will be investigated in order to improve diagnostics and image-based treatment guidance of prostate cancer.

Detailed Description

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Open, non-randomized, prospective multi-center trial, with consecutive recruiting, between Skåne University hospital and Umeå University Hospital.

High-risk prostate cancer patients referred for radical prostatectomy.

Conditions

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Prostate Cancer

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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Pre-surgical imaging of high-risk prostate cancer using [18F]PSMA-PET/mpMRI or mpMRI

One-time pre-surgical imaging using \[18F\]PSMA-PET/mpMRI (at Umea University Hosptial) or mpMRI (at Skåne University Hospital)

Group Type EXPERIMENTAL

[18F]PSMA-PET

Intervention Type DRUG

Pre-surgical imaging using \[18F\]PSMA-PET at Umea University Hospital, 3.5 MBq/kg, i.v. injection.

MRI sequences optimized for prostate cancer examinations

Intervention Type DEVICE

T2-WI, T1-WI, DCE and DWI at Umea University Hospital and at Skåne University Hospital

Interventions

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[18F]PSMA-PET

Pre-surgical imaging using \[18F\]PSMA-PET at Umea University Hospital, 3.5 MBq/kg, i.v. injection.

Intervention Type DRUG

MRI sequences optimized for prostate cancer examinations

T2-WI, T1-WI, DCE and DWI at Umea University Hospital and at Skåne University Hospital

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed prostate cancer planned to be treated with radical prostatectomy
2. PSMA-PET/CT conducted as part of the clinical management for the existing prostate cancer.
3. ≥4 weeks since last biopsy of the prostate
4. One or more of the following criteria

1. cT3, or high suspicion of extra prostatic growth on mpMRI
2. Gleason score ≥8
3. PSA 20-49 ng/ml
5. \>18 years
6. Given a written consent to participate in the trial

Exclusion Criteria

1. Non-MR-safe implants or another contraindication to MRI or PET
2. Claustrophobia
3. Unfit for MRI or PET/MRI examination for any other reason, e.g., back pain
4. WHO PS \>1
5. Patients treated with neoadjuvant/concomitant anti-testosterone treatment (surgical or medical castration or anti-androgens)
6. TUR-P within 6 months
7. Metastatic disease in skeleton, parenchymal organs, or lymph nodes outside the pelvis.
8. Patients with previous diagnosis of other malignant disease. Exceptions could be made for basal cell carcinoma of the skin or progression free survival at least 10 years after any previous tumour.
9. Creatinine clearance \< 30ml/min (acc. to http://www.fass.se/LIF/produktfakta-/kreatinin.jsp)
10. Tinnitus or severe hearing loss
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Umeå University

OTHER

Sponsor Role collaborator

Region Skane

OTHER

Sponsor Role collaborator

Lund University

OTHER

Sponsor Role collaborator

Region Västerbotten

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Camilla Thellenberg Karlsson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Region Västerbotten

Locations

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Region Skåne

Malmo, , Sweden

Site Status RECRUITING

Region Västerbotten

Umeå, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Camilla Thellenberg Karlsson, MD, PhD

Role: CONTACT

+46907850000

Tufve Nyholm, PhD

Role: CONTACT

+46907850000

Facility Contacts

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Adalsteinn Gunnlaugsson, MD, PhD

Role: primary

+46 46 17 10 00

Camilla Thellenberg Karlsson

Role: primary

+46 907850000

Other Identifiers

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CIV-23-04-042756

Identifier Type: OTHER

Identifier Source: secondary_id

2022-501892-14-00

Identifier Type: CTIS

Identifier Source: secondary_id

PAMP2

Identifier Type: -

Identifier Source: org_study_id

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