68Ga-PSMA-11 PET/MRI for Detection of Regional Nodal and Distant Metastases in Patients With Intermediate and High-Risk Prostate Cancer
Overview
- Phase
- Phase 2
- Intervention
- 68Ga-PSMA-11
- Conditions
- Stage II Prostate Adenocarcinoma
- Sponsor
- Andrei Iagaru
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- 68Ga-PSMA-11 PET Detection of Prostate Cancer Metastasized to Lymph Nodes
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This phase 2-3 trial studies the utility of 68-gallium (68Ga)-prostate-specific membrane antigen 11 (PSMA-11) positron emission tomography/magnetic resonance imaging (PET/MRI) to find tumors in patients with prostate cancer who are undergoing resection surgery for prostate cancer that is prognostically expected to spread quickly (intermediate-risk) or is likely to come back or spread (high-risk). Diagnostic procedures, such as PET/MRI, may help find and diagnose prostate cancer, and reveal out how far the disease has spread. Radioactive drugs, such as 68Ga-PSMA-11, may bind to tumor cells that have specific receptors, and may allow doctors to see smaller tumors than the standard of care contrast-enhanced computed tomography (CT) or MRI scan.
Detailed Description
OBJECTIVES: 1. To evaluate 68Ga-PSMA-11 PET/MRI for detection of tumor metastases in patients with intermediate and high-risk prostate cancer scheduled to undergo prostatectomy with lymph node dissection. 2. To assess sensitivity (positive predictive value) and specificity (negative predictive value) of 68Ga-PSMA-11 PET/MRI for the detection of regional nodal metastases compared to pathology at radical prostatectomy. OUTLINE: Participants will receive 68Ga-PSMA-11 intravenously (IV). Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection. After completion of study, patients are followed up at 24 to 48 hours.
Investigators
Andrei Iagaru
Associate Professor of Radiology
Stanford University
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
68Ga-PSMA PET/MRI
Patients receive 68Ga-PSMA-11 IV. Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection.
Intervention: 68Ga-PSMA-11
68Ga-PSMA PET/MRI
Patients receive 68Ga-PSMA-11 IV. Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection.
Intervention: Magnetic resonance imaging (MRI)
68Ga-PSMA PET/MRI
Patients receive 68Ga-PSMA-11 IV. Patients then undergo PET/MRI after 45 minutes of administration of radiopharmaceutical injection.
Intervention: Positron Emission Tomography (PET)
Outcomes
Primary Outcomes
68Ga-PSMA-11 PET Detection of Prostate Cancer Metastasized to Lymph Nodes
Time Frame: 1 Day
68-gallium (68Ga)-prostate-specific membrane antigen (PSMA) positron emission tomography/magnetic resonance imaging (PET/MRI) will be used to detect regional nodal and distant metastases in participants with intermediate and high-risk prostate cancer scheduled to undergo prostatectomy with lymph node dissection. The data will be analyzed by imaging interpretation. Each participant will be interpreted as either positive or negative for the presence of metastatic disease by 68Ga-PSMA PET/MRI, as assessed by imaging interpretation. The outcome will be expressed as the number of participants with metastatic disease, as identified by PET/MRI, a number without dispersion.
Secondary Outcomes
- Histopathologic Detection of Prostate Cancer Metastasized to Lymph Nodes(1 Day)
- Sensitivity of 68Ga-PSMA-11 PET/MRI(1 Day)
- Specificity of 68Ga-PSMA-11 PET/MRI(1 Day)