Pharmacokinetics of IA and IV Ga68-PSMA-11 Infusion

Early Phase 1

Completed

• Conditions: Stage IIC Prostate Cancer AJCC v8; Prostate Carcinoma; Stage IIIA Prostate Cancer AJCC v8; Prostate Adenocarcinoma; Stage III Prostate Cancer AJCC v8; Stage IIIC Prostate Cancer AJCC v8; Stage IVA Prostate Cancer AJCC v8; Stage IIIB Prostate Cancer AJCC v8; Stage IV Prostate Cancer AJCC v8; Stage IVB Prostate Cancer AJCC v8
• Interventions: Procedure: Angiogram; Procedure: Catheterization; Drug: Gallium Ga-labeled PSMA-11; Procedure: Positron Emission Tomography

• Registration Number: NCT04976257
• Lead Sponsor: Ryan Kohlbrenner, MD

Brief Summary

Prostate-specific membrane antigen (PSMA) agents have shown promise in detecting and treating prostate cancer. Gallium-68-labeled PSMA-11 (68Ga-PSMA-11) is a radioactive agent that binds to prostate cancer cells and can be imaged using positron emission tomography (PET) scanners that detect radioactivity in the body. This early phase I study will use PET to determine if delivering 68Ga-PSMA-11 directly into the prostatic artery (intra-arterial (IA) administration) results in greater uptake in the prostate than delivering 68Ga-PSMA-11 into a vein in the arm (intravenous (IV) administration).

Detailed Description

PRIMARY OBJECTIVE:

I. To compare the maximum standardized uptake value (SUVmax) in tumoral regions-of-interest during prostatic arterial and intravenous 68Ga-PSMA-11 infusions.

SECONDARY OBJECTIVES:

I. To compare the tumoral time-activity curves for selective prostatic arterial and intravenous 68Ga-PSMA-11 infusions.

II. To study PSMA receptor saturation kinetics during selective prostatic arterial infusion of 68Ga-PSMA-11 (obtained only from arterial time activity curves \[TACs\] ipsilateral to the side of infusion).

OUTLINE:

Patients receive 68Ga-PSMA-11 IV over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after on day 1. 1-14 days later, patients undergo pelvic angiogram and prostatic arterial catheterization. Patients then receive 68Ga-PSMA-11 IA over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after.

After completion of study, patients are followed up with 24 hours after the IA infusion and PET scan.

Study Timeline

• Study First Submitted: 2021-07-14
• Study First Submitted QC: 2021-07-14
• Study First Posted: 2021-07-26
• Study Start: 2021-10-13
• Primary Completion: 2023-03-22
• Study Completion: 2023-03-22
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-05
• Last Update Posted: 2023-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 5

Inclusion Criteria

• Age greater than or equal to 18 years and less than or equal to 80 years.

  • Children are excluded from this study because the disease does not occur in children
  • Individuals from age 76 to age 80 must have a prior CT of the abdomen and pelvis within 5 years of first PSMA scan demonstrating non-occlusive pelvic atherosclerosis, regardless of smoking status
  • Individuals over the age of 80 are excluded from this study to improve the likelihood of a catheterizable prostatic artery, given the higher rates of occlusive atherosclerosis with advanced age

• Ability to provide informed consent

• Biopsy-proven unilateral or bilateral prostate adenocarcinoma, any stage (any N or any M)

• Large tumor burden, characterized by either

  • A discrete lesion with maximal tumor diameter >= 2.0cm on at least one affected side, documented on prostate magnetic resonance imaging (MRI) or Transrectal ultrasound (TRUS) within 4 months of first scan.
  • Infiltrative disease with primary pattern Gleason 4 adenocarcinoma in at least 4 of 6 sextant core biopsy locations on at least one affected side, documented in a surgical pathology report within 4 months of first scan.

• Gleason score >= 4+4

• Cancer of the Prostate Risk Assessment (CAPRA) score >= 6

Exclusion Criteria

• Body mass index (BMI) > 35 kg/m^2
• Prior treatment for prostate cancer, or any use of anti-androgen therapy within 3 months of first scan
• History of any pelvic radiotherapy
• Severe atherosclerosis from prior CT imaging study, or greater than 10 pack-year smoking history if no prior imaging available.
• Stage IV or V chronic kidney disease by estimated glomerular filtration rate (eGFR) within 45 days of first scan
• Platelet count < 50 x 10^9/L and/or international normalized ratio > 1.5
• Severe allergy to iodinated contrast
• Active urinary tract infection or recent episode of prostatitis within 1 month of first scan
• Inability to tolerate prolonged supine positioning

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Ga-PSMA-11, PET/CT, Angiogram, and Prostatic Arterial Catheterization	Catheterization	Patients receive 68Ga-PSMA-11 IV over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after on day 1. One to 14 days later, patients undergo pelvic angiogram and prostatic arterial catheterization. Patients then receive 68Ga-PSMA-11 IA over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after.
Ga-PSMA-11, PET/CT, Angiogram, and Prostatic Arterial Catheterization	Positron Emission Tomography	Patients receive 68Ga-PSMA-11 IV over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after on day 1. One to 14 days later, patients undergo pelvic angiogram and prostatic arterial catheterization. Patients then receive 68Ga-PSMA-11 IA over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after.
Ga-PSMA-11, PET/CT, Angiogram, and Prostatic Arterial Catheterization	Gallium Ga-labeled PSMA-11	Patients receive 68Ga-PSMA-11 IV over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after on day 1. One to 14 days later, patients undergo pelvic angiogram and prostatic arterial catheterization. Patients then receive 68Ga-PSMA-11 IA over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after.
Ga-PSMA-11, PET/CT, Angiogram, and Prostatic Arterial Catheterization	Angiogram	Patients receive 68Ga-PSMA-11 IV over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after on day 1. One to 14 days later, patients undergo pelvic angiogram and prostatic arterial catheterization. Patients then receive 68Ga-PSMA-11 IA over 30 minutes and undergo dynamic PET imaging over infusion period and for 15 minutes after.

Primary Outcome Measures

Name	Time	Method
Maximum standardized uptake value (SUVmax)	Day 1 and from Day 2 up to Day 15 (2 days total)	A two-sided paired t-test will determine whether the ipsilateral SUVmax values obtained during selective arterial 68Ga-PSMA-11 infusions are greater than those obtained during venous infusions. A similar paired analysis will be made during arterial infusions to compare tumoral regions of interest (ROIs) ipsilateral and contralateral to the side of the infusion. Means/medians, ranges/standard deviations will be calculated for each endpoint.

Secondary Outcome Measures

Name	Time	Method
Comparison of Rate of 68Ga-PSMA-11 uptake	Day 1 and from Day 2 up to Day 15 (2 days total)	To assess whether the rate of uptake is significantly different with selective arterial infusion, a two-sided paired t-test will compare the slopes for Selective arterial infusion, tumor ipsilateral to the side of radiotracer injection (IAIpsi) curves and Intravenous infusion, tumor ipsilateral to the side of corresponding arterial injection (IVIpsi) curves during each of the nine time intervals. Selective arterial infusion, tumor contralateral to the side of radiotracer injection (IACont) slopes will be similarly compared to those acquired from corresponding Intravenous infusion, tumor contralateral to the side of corresponding arterial injection (IVCont) data. Means/medians, ranges/standard deviations will be calculated for each endpoint.
Comparison of Mean SUV during 15-minute washout (SUVwashout)	1 day	The mean SUVwashout and its standard deviation will be calculated for the 15-minute post-injection periods.
Comparison of Mean SUV (SUVmean)	Day 1 and from Day 2 up to Day 15 (2 days total)	Paired t-tests will determine whether SUVmean is different for intra-arterial (IA) time activity curves (TACs) when compared to intravenous (IV) TACs. Means/medians, ranges/standard deviations will be calculated for each endpoint.
Comparison of Time to early saturation effects	1 day	Specific to the IAIpsi TACs, the time to early saturation effects (Tese) will represent the time at which the second derivative of the curve becomes negative (i.e. when concavity in the curve is first noted). For the purposes of Tese, the aforementioned curve partitioning method will not be used. Descriptive statistics of Tese will be established, along with statistics for the corresponding mass dose administered (MDese) at Tese. Means/medians, ranges/standard deviations will be calculated for each endpoint.
Comparison of Time to SUVmax (TSUV)	Day 1 and from Day 2 up to Day 15 (2 days total)	Paired t-tests will determine whether TSUV is different for IA TACs when compared to IV TACs. Means/medians, ranges/standard deviations will be calculated for each endpoint.
Comparison of Area under the curve (AUC)	Day 1 and from Day 2 up to Day 15 (2 days total)	Paired t-tests will determine whether AUCs are different for IA TACs when compared to IV TACs. Means/medians, ranges/standard deviations will be calculated for each endpoint.
Comparison of Mass dose at saturation	Day 1 and from Day 2 up to Day 15 (2 days total)	Descriptive statistics of Tese will be established, along with statistics for the corresponding mass dose administered (MDese) at Tese. Means/medians, ranges/standard deviations will be calculated for each endpoint.

Trial Locations

Locations (1)

University of California San Francisco; 🇺🇸 San Francisco, California, United States