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Diagnostic and Prognostic Accuracy of FDHT-PET and Liquid Biopsies in Prostate Cancer

Not Applicable
Withdrawn
Conditions
Prostate Cancer
Registration Number
NCT05245435
Lead Sponsor
Medical University of Vienna
Brief Summary

Depending on the cohort of the study the diagnostic and prognostic accuracy and health economics considerations of \[18F\]-fluoro-5α-dihydrotestosterone (FDHT)- positron emission tomography (PET) and/or circulating tumor cells in prostate cancer patients are studied.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
Male
Target Recruitment
Not specified
Inclusion Criteria

COHORT A:

  • Age 18-75 years
  • Histologically confirmed oligometastatic adenocarcinoma of the prostate (defined as ≤5 metastases in lymph node (LN) or bone)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status grade 0 or 1
  • Planned cytoreductive radical prostatectomy
  • ≤ 5 osseous and/or lymph node metastasis
  • Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to study participation
  • Willingness and ability to comply with scheduled visits, treatment plans, laboratory and radiographic assessments, questionnaire completion and other study procedures

COHORT B:

  • Age 18-75 years
  • Histologically confirmed oligometastatic adenocarcinoma of the prostate
  • Newly diagnosed metastatic hormone-sensitive disease
  • planned therapy with androgen deprivation therapy, and/or treatment with abiraterone acetate, and/or enzalutamide and/or docetaxel
  • Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
  • Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to study participation
  • Willingness and ability to comply with scheduled visits, treatment plans, laboratory and radiographic assessments, questionnaire completion and other study procedures

COHORT C:

  • Age 18-75 years
  • Histologically confirmed oligometastatic adenocarcinoma of the prostate
  • Metastatic castration-resistant disease
  • Not pre-treated with enzalutamide or abiraterone acetate
  • Planned therapy with abiraterone acetate, or enzalutamide
  • Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
  • Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to study participation
  • Willingness and ability to comply with scheduled visits, treatment plans, laboratory and radiographic assessments, questionnaire completion and other study procedures

COHORT D (control group for Cohort A):

  • Age 18-75 years
  • Histologically confirmed oligometastatic adenocarcinoma of the prostate (defined as ≤5 metastases in lymph node (LN) or bone)
  • Hormone-sensitive prostate cancer
  • Refused cytoreductive radical prostatectomy
  • Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to study participation
  • Willingness and ability to comply with scheduled visits, treatment plans, laboratory and radiographic assessments, questionnaire completion and other study procedures
Exclusion Criteria

COHORT A:

  • HIV positive
  • Any contraindication for surgery
  • Any other condition that, in the opinion of the Investigator, would impair the patient's ability to comply with study procedures.
  • Any contraindication for performing a PET/MRI scan
  • Patient's not eligible for the size of the PET/MRI gantry

COHORTS B and C:

  • HIV positive
  • Any contraindication for tissue biopsy (if tissue biopsy is planned)
  • Any other condition that, in the opinion of the Investigator, would impair the patient's ability to comply with study procedures.
  • Any contraindication for performing a PET/MRI scan
  • Patient's not eligible for the size of the PET/MRI gantry

COHORT D (control group for Cohort A):

  • HIV positive
  • Any other condition that, in the opinion of the Investigator, would impair the patient's ability to comply with study procedures.
  • Any contraindication for performing a PET/MRI scan
  • Patient's not eligible for the size of the PET/MRI gantry

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
ctDNA abundance before and after treatmentthrough study completion, an average of 2 years
(Quantitative) IHC analysis of androgen specific receptor expression levels (FDHT) in tissuethrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to clinical follow-upthrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to course of diseasethrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to androgen resistancethrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to liquid biopsy parametersthrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to IHC patternsthrough study completion, an average of 2 years
FDHT total receptor expression (TRE) volume parameters compared to stage of diseasethrough study completion, an average of 2 years
CTC count before and after treatmentthrough study completion, an average of 2 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medical University of Vienna

🇦🇹

Vienna, Austria

Medical University of Vienna
🇦🇹Vienna, Austria

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