跳至主要内容
临床试验/NCT03525288
NCT03525288进行中(未招募)2 期

PSMA-PET Guided Radiotherapy in Patients With High-Risk, Recurrent, or Oligometastatic Prostate Cancer

Centre hospitalier de l'Université de Montréal (CHUM)4 个研究点 分布在 1 个国家目标入组 130 人开始时间: 2018年5月15日最近更新:
适应症

试验速览

阶段
2 期
状态
进行中(未招募)
发起方
入组人数
130
试验地点
4
主要终点
Failure-free survival

研究概览

简要总结

PSMA PET/CT has demonstrated higher sensitivity in detecting metastases than current imaging standard of care (CT and bone scan). [18F]DCFPyL is a promising high-sensitivity second generation PSMA-targeted urea-based PET probe. The hypothesis is that definitive radiotherapy (RT) informed by PSMA-PET findings will lead to improved cancer control outcomes compared to RT guided by conventional staging only. This study utilizes cmRCT design in companion to PERA (Partnership initiative for the Evaluation of technological innovation in Radiotherapy).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Enrolled in PERA (CHUM CER 17.0.32) and consented to contact for investigational trials.
  • Histological diagnosis of prostate cancer planned for curative-intent radiotherapy.
  • Charlson Cormobidity Index ≤ 4
  • High-risk of distant metastases as defined by any of:
  • Oligometastases (≤5) (regional or distant) identified on conventional staging, with ≤ 3 metastasis in any non-bone organ. For a spine metastasis, direct involvement of adjacent spinal segments would still be considered as "one" tumour. For nodal metastases, more than one involved lymph node in the same ipsilateral nodal region/chain would still count as "one" tumour. Defined nodal regions for this protocol include inguinal, external iliac, internal iliac, common iliac, retroperitoneal, hilar/mediastinal, anterior cervical, posterior cervical, and axillary. Metastases in all other organs that are within 1cm of each other will be considered as "one" tumour.
  • Subjects with newly diagnosed high-risk (NCCN) localized prostate cancer and CAPRA score 6-
  • Subjects with a prior history of treated prostate cancer (RP or RT), and biochemical failure (Phoenix-RT or>0.2ng/ml-RP)
  • Standard staging (bone scan, CT pelvis) within 12 weeks of consent.

排除标准

  • Prior androgen deprivation therapy terminated < 12 months prior to enrollment.
  • Prior or planned PET scan.

结局指标

主要结局

Failure-free survival

时间窗: 5 years

Time to failure event

次要结局

  • Detection yield of PSMA PET imaging(2 years)
  • Acute and delayed toxicities(5 years)
  • Rate of failure(5 years)
  • Survival(5 years)
  • Health-related quality of life(5 years)

研究者

发起方
Centre hospitalier de l'Université de Montréal (CHUM)
申办方类型
Other
责任方
Sponsor

研究点 (4)

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