PSMA-PET/MRI for Radiation Treatment Planning in Patients With Locally Metastatic Prostate Cancer: A Pilot Study
Study Details
Study Description
Brief Summary
This pilot study will investigate the use of PSMA-PET/MRI (Positron Emission Tomography/ Magnetic Resonance Imaging)to guide radiation treatment planning in patients with known or suspected locally metastatic prostate cancer at the time of diagnosis. Patients will undergo a single PSMA-PET/MRI (or PET/CT (Computed Tomography) in some circumstances) prior to initiation of treatment. Following development of a PSMA-PET guided radiation treatment plan, therapeutic radiation will be delivered per standard-of-care parameters and assessments of feasibility and tolerability will be performed.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Metastatic Prostate Cancer Arm [68Ga]PSMA-11 PET/MRI or PET/CT for guiding the radiation treatment plan in patients with known or suspected locally metastatic prostate cancer |
Drug: [68Ga]PSMA-PET/MRI or PET/CT
[68Ga]PSMA-PET/MRI or PET/CT
|
Outcome Measures
Primary Outcome Measures
- The number of patients who demonstrate pelvic lymph node metastases on PSMA-PET/MRI that were not detected on MRI [24 months]
Secondary Outcome Measures
- The total number of pelvic nodal metastases detected on MRI and PSMA-PET/MRI [24 months]
- Number of patients in whom dose-escalated radiotherapy can be feasibly delivered [24 months]
- Number of patients who experience CTCAE (Common Terminology Criteria for Adverse Events) grade 3-5 GI or GU toxicities [24 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Biopsy-proven treatment-naïve prostate adenocarcinoma with pelvic metastases known to suspected on standard-of-care staging imaging
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Eligibility and plan to undergo definitive radiation therapy for prostate cancer per established standard-of-care radiation oncology clinical guidelines
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Be at least 18 years of age
Exclusion Criteria:
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Inability to tolerate or undergo PET/MRI or PET/CT
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Previous or current hematologic or lymphatic disorder (including leukemia, lymphoma, Castleman's disease, etc.)
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Recurrent prostate adenocarcinoma
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Known distant metastatic disease
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Current or prior treatment for prostate cancer
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Known allergy to glucagon
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Previous diagnosis of insulinoma or pheochromocytoma
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Alabama at Birmingham Medical Center | Birmingham | Alabama | United States | 35249 |
Sponsors and Collaborators
- University of Alabama at Birmingham
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- R18-190 IRB-300003826