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Ga 68 PSMA-11

Generic Name
Ga 68 PSMA-11
Brand Names
-
Drug Type
Small Molecule
Chemical Formula
C44H59GaN6O17
CAS Number
1906894-20-9
Unique Ingredient Identifier
ZJ0EKR6M10
Background

Gallium (Ga) 68 prostate-specific membrane antigen (PSMA)-11, or Ga-68 gozetotide, is a radiopharmaceutical agent used to identify and assess prostate-specific membrane antigen (PSMA)-positive lesions in adult men with prostate cancer during positron emission tomography (PET). Prostate cancer is one of the most commonly diagnosed cancers among men in Western countries and many patients treated with androgen-deprivation therapy relapse with castration-resistant prostate cancer. In nearly all prostate cancers, malignant cells express a transmembrane protein called prostate-specific membrane antigen (PSMA). Ga-68 PSMA-11 is an imaging agent that binds PSMA during positron emission tomography: it emits positrons to indicate the presence of PSMA-positive prostate cancer lesions in patients with suspected prostate cancer or in patients who may have recurrent prostate cancer.

On December 1, 2020, Ga-68 PSMA-11 was approved by the FDA as the first molecular-targeted drug for positron emission tomography (PET) imaging of prostate-specific membrane antigen (PSMA) positive lesions in men with prostate cancer. It is administered intravenously. In October 2022, the EMA's Committee for Medicinal Products for Human Use (CHMP) recommended Ga-68 gozetotide be granted marketing authorization for the diagnosis of prostate cancer. In December of the same year, the drug was fully authorized by the EMA. In Octer 2022, Ga-68 PSMA-11 was approved by Health Canada for diagnostic use in men with prostate cancer.

Indication

Gallium Ga-68 gozetotide, or Gallium Ga-68 PSMA-11, is a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA)-positive lesions in men with prostate cancer metastasis with:

Associated Conditions
Prostate-specific Membrane Antigen Positive Tumors
Associated Therapies
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urologytimes.com
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Head-to-head trial to compare 64Cu-SAR-bisPSMA and 68Ga-PSMA-11 PET/CT

The phase 2 Co-PSMA trial will compare 64Cu-SAR-bisPSMA with 68Ga-PSMA-11 PET/CT in detecting prostate cancer recurrence in 50 patients. Led by Dr. Louise Emmett at St. Vincent’s Hospital, Sydney, the study aims to assess the detection rate of recurrence sites. 64Cu-SAR-bisPSMA received FDA fast track designation in 2024, following favorable results from the PROPELLER trial, which led to the ongoing CLARIFY trial.

Clarity Pharmaceuticals Launches Promising Prostate Cancer Trial

Clarity Pharmaceuticals advances prostate cancer diagnostics with Phase II trial at St Vincent’s Hospital, comparing 64Cu-SAR-bisPSMA against standard 68Ga-PSMA-11, aiming for superior cancer detection and treatment outcomes.
urotoday.com
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Phase 2 trial of PSMA PET CT versus planar bone scan and CT in prostate cancer patients

In a phase II trial (NCT04928820), 68Ga-PSMA-11 PET/CT and 99mTc-MDP planar bone scan plus CT showed identical bone metastasis detection rates in prostate cancer patients with biochemical progression during ADT. Both scans detected equal numbers of bone lesions in 64% of patients, with PSMA PET/CT detecting more in 27% and bone scan plus CT detecting more in 9.1%. Inter-reader agreement was higher for PSMA PET/CT (96%) than for bone scan plus CT (82%).
biospace.com
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Health Canada Approves Label Expansion for Telix's Illuccix® to Include Patient Selection

Health Canada approves Illuccix for selecting patients with progressive metastatic castration-resistant prostate cancer (mCRPC) for PSMA-targeted radionuclide therapy, expanding its clinical utility in Canada.
cancernetwork.com
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Novel PET Imaging Agent Earns Fast Track Status for PSMA+ Prostate Cancer

64Cu-SAR-bisPSMA received FDA fast track designation for PET imaging of PSMA-positive prostate cancer lesions. Clinical trials showed 100% and 85.7% detection rates, higher uptake than 68Ga-PSMA-11, and minimal adverse effects, positioning it as a potential best-in-class diagnostic.
radiology.ucsf.edu
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PSMA PET Scan for Prostate Cancer

PSMA PET imaging, using 68Ga-PSMA-11, improves prostate cancer detection and treatment by precisely locating tumors, including metastatic ones. FDA-approved, it outperforms current techniques like fluciclovine PET, offering better treatment planning. UCSF, one of two U.S. centers offering it, emphasizes its benefits for men at risk of metastatic disease or recurrence.

Prostate-Specific Membrane Antigen (PSMA)-Targeted Imaging and Therapy Advances in Prostate Cancer

PSMA-PET imaging, particularly with 68Ga-PSMA-11, is effective for detecting prostate cancer at low PSA levels. PSMA-targeted radionuclide therapy (TRT) using 131I-MIP-1095 and 177Lu-PSMA-617 shows promise in treating metastatic castration-resistant prostate cancer (mCRPC), with significant PSA declines observed. However, challenges include toxicity and the need for personalized dosing. Ongoing trials aim to optimize dosing and compare 177Lu-PSMA-617 with standard treatments, with VISION and TheraP studies highlighting its potential benefits over chemotherapy.

Meeting Report from the Prostate Cancer Foundation

The Prostate Cancer Foundation convened a meeting to discuss PSMA theranostics for prostate cancer, focusing on PSMA-targeted PET imaging and radionuclide therapy. Key topics included PSMA biology, clinical trials, patient selection, and combination therapies. The meeting aimed to advance the use of PSMA-targeted agents for imaging and treatment, highlighting the need for further research to optimize patient outcomes.

Related Clinical Trials:

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