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68Ga-PSMA-11 Efficacy in Detecting BCR Prostate Cancer in Chinese Patients

Primary Purpose

Biochemical Recurrence of Malignant Neoplasm of Prostate, Prostate Cancer, BCR Prostate Carcinoma

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
68Ga-PSMA-11
PET/CT or PET/MRI
Sponsored by
Telix International Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Biochemical Recurrence of Malignant Neoplasm of Prostate

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Are able to understand and provide written informed consent document. Are Chinese males aged ≥ 18 years. Have histopathologically confirmed prostate adenocarcinoma and have undergone radical prostatectomy and/or radical radiotherapy and experienced biochemical recurrence (PSA should be measured within 30 days of screening). Post radical prostatectomy (RP) PSA ≥0.2 ng/mL measured 6 weeks after RP Post radiation therapy - ASTRO-Phoenix consensus definition Nadir + ≥ 2 ng/mL rise in PSA; Have a Karnofsky performance status ≥ 60 (or ECOG/WHO equivalent). Agree to practice a highly effective method of contraception for at least 28 days after 68Ga-PSMA-11 administration. Are willing and able to comply with scheduled Exclusion Criteria: Have a prior history of any other malignancy within the last year, other than skin basal cell or cutaneous superficial squamous cell carcinoma that has not metastasized and superficial bladder cancer. Have prior use of radionuclides with an interval of less than 10 physical half-lives before the administration of 68Ga-PSMA-11. Are participating or plan to participate in any drug or device clinical study during the study period. Have a known hypersensitivity to the active ingredient or its components of 68Ga-PSMA-11. Cannot lie flat or remain still while a PET scan is being performed or cannot tolerate a PET scan. Have prior history of salivary gland disease or Paget's disease. Have a history of fracture and anemia within the last year. Have abnormalities in physical examination, ECG, and protocol-specified clinical laboratory tests during the Screening Period that, in the judgment of the investigator, could affect safety or compliance. Is deemed not suitable for participating in this trial in the opinion of the investigator.

Sites / Locations

  • Xiangya Hospital Central South University
  • Nanfang Hospital Southern Medical University
  • Fudan University Shanghai Cancer CenterRecruiting
  • West China Hospital of Sichuan University
  • Wuhan Union HospitalRecruiting
  • Zhongnan Hospital of Wuhan UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (68Ga-PSMA-11)

Arm Description

111 ~ 259 MBq 68Ga-PSMA-11 will be administered intravenously to participants over 3- 5 minutes. After 50-100 minutes post 68Ga-PSMA-11 injection, participants will be scanned (PET/CT or PET/MRI) from the mid-thigh to the apex of the skull. Participants will be placed in a supine position with the arms raised overhead.

Outcomes

Primary Outcome Measures

Positive Predictive Value (PPV) of 68Ga-PSMA-11 PET/CT or PET/MRI for detection of tumour on a patient level confirmed by histopathology/biopsy, clinical (PSA) and conventional imaging follow-up.
The PPV [PPV (%) = TP* /(TP + FP**)] will be determined by the combination of histopathology/biopsy and conventional imaging and/or PSA follow-up results as the true criteria (composite criteria) and the results observed by 68Ga-PSMA-11 PET (positive/negative).

Secondary Outcome Measures

Incidence of adverse events
Safety will be reported descriptively as rates of patient reported adverse events. Additionally, adverse events will be characterized and quantified by Common Terminology Criteria for Adverse Events
Clinical management in biochemical recurrence patients.
The impact of 68Ga-PSMA-11 PET/CT or PET/MRI on clinical management in biochemical recurrence patients will be assessed through the completion of Medical Management Questionnaires completed prior to and after 68Ga-PSMA-11 PET/CT or PET/MRI.

Full Information

First Posted
April 5, 2023
Last Updated
July 19, 2023
Sponsor
Telix International Pty Ltd
Collaborators
Grand Pharmaceutical (China) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05847348
Brief Title
68Ga-PSMA-11 Efficacy in Detecting BCR Prostate Cancer in Chinese Patients
Official Title
A Prospective, Open-Label, Single-Arm, Multi-center Study to Evaluate the Diagnostic Efficacy and Safety of 68Ga-PSMA-11 PET/CT or PET/MRI in Patients With Biochemical Recurrent Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 19, 2023 (Actual)
Primary Completion Date
December 30, 2025 (Anticipated)
Study Completion Date
July 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Telix International Pty Ltd
Collaborators
Grand Pharmaceutical (China) Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective, open-label, single-arm, multicenter bridging study in Chinese patients with prostate cancer. This multicenter study is planned to be conducted in patients with biochemical recurrence (BCR) of elevated PSA after radical prostatectomy or radical radiotherapy. This study investigates how well 68Ga-PSMA-11 PET/CT works in detecting BCR prostate cancer in Chinese patient. 68Ga-PSMA-11, developed by Telix, is a new molecular entity tracer with the trade name Illuccix®, which is approved by FDA for the examination of: 1) patients with suspected metastatic PC who are scheduled for initial treatment; 2) patients with biochemical recurrence of elevated PSA levels after initial radical radiotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Biochemical Recurrence of Malignant Neoplasm of Prostate, Prostate Cancer, BCR Prostate Carcinoma

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Model Description
This study aims to recruit 110 prostate cancer patients with elevated PSA (BCR) after radical prostatectomy or radical radiotherapy
Masking
None (Open Label)
Allocation
N/A
Enrollment
110 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Treatment (68Ga-PSMA-11)
Arm Type
Experimental
Arm Description
111 ~ 259 MBq 68Ga-PSMA-11 will be administered intravenously to participants over 3- 5 minutes. After 50-100 minutes post 68Ga-PSMA-11 injection, participants will be scanned (PET/CT or PET/MRI) from the mid-thigh to the apex of the skull. Participants will be placed in a supine position with the arms raised overhead.
Intervention Type
Drug
Intervention Name(s)
68Ga-PSMA-11
Other Intervention Name(s)
Illucix, gallium Ga 68 Gozetotide
Intervention Description
A single dose of 111 - 259 MBq administered intravenously over 3 -5 minutes
Intervention Type
Other
Intervention Name(s)
PET/CT or PET/MRI
Other Intervention Name(s)
Imaging by PET
Intervention Description
PET/CT or PET/MRI will be acquired no sooner than 50 minutes post injection and not later than 100 minutes post injection with 68Ga-PSMA-11
Primary Outcome Measure Information:
Title
Positive Predictive Value (PPV) of 68Ga-PSMA-11 PET/CT or PET/MRI for detection of tumour on a patient level confirmed by histopathology/biopsy, clinical (PSA) and conventional imaging follow-up.
Description
The PPV [PPV (%) = TP* /(TP + FP**)] will be determined by the combination of histopathology/biopsy and conventional imaging and/or PSA follow-up results as the true criteria (composite criteria) and the results observed by 68Ga-PSMA-11 PET (positive/negative).
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Incidence of adverse events
Description
Safety will be reported descriptively as rates of patient reported adverse events. Additionally, adverse events will be characterized and quantified by Common Terminology Criteria for Adverse Events
Time Frame
3 days
Title
Clinical management in biochemical recurrence patients.
Description
The impact of 68Ga-PSMA-11 PET/CT or PET/MRI on clinical management in biochemical recurrence patients will be assessed through the completion of Medical Management Questionnaires completed prior to and after 68Ga-PSMA-11 PET/CT or PET/MRI.
Time Frame
3 days

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Prostate cancer is limited to males only
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Are able to understand and provide written informed consent document. Are Chinese males aged ≥ 18 years. Have histopathologically confirmed prostate adenocarcinoma and have undergone radical prostatectomy and/or radical radiotherapy and experienced biochemical recurrence (PSA should be measured within 30 days of screening). Post radical prostatectomy (RP) PSA ≥0.2 ng/mL measured 6 weeks after RP Post radiation therapy - ASTRO-Phoenix consensus definition Nadir + ≥ 2 ng/mL rise in PSA; Have a Karnofsky performance status ≥ 60 (or ECOG/WHO equivalent). Agree to practice a highly effective method of contraception for at least 28 days after 68Ga-PSMA-11 administration. Are willing and able to comply with scheduled Exclusion Criteria: Have a prior history of any other malignancy within the last year, other than skin basal cell or cutaneous superficial squamous cell carcinoma that has not metastasized and superficial bladder cancer. Have prior use of radionuclides with an interval of less than 10 physical half-lives before the administration of 68Ga-PSMA-11. Are participating or plan to participate in any drug or device clinical study during the study period. Have a known hypersensitivity to the active ingredient or its components of 68Ga-PSMA-11. Cannot lie flat or remain still while a PET scan is being performed or cannot tolerate a PET scan. Have prior history of salivary gland disease or Paget's disease. Have a history of fracture and anemia within the last year. Have abnormalities in physical examination, ECG, and protocol-specified clinical laboratory tests during the Screening Period that, in the judgment of the investigator, could affect safety or compliance. Is deemed not suitable for participating in this trial in the opinion of the investigator.
Facility Information:
Facility Name
Xiangya Hospital Central South University
City
Changsha
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shuo Hu
Facility Name
Nanfang Hospital Southern Medical University
City
Guangzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wanlong Tan
Facility Name
Fudan University Shanghai Cancer Center
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
PI PI
Email
info@telixpharma.com
First Name & Middle Initial & Last Name & Degree
Shaolin Song
Facility Name
West China Hospital of Sichuan University
City
Sichuan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Minggang Su
First Name & Middle Initial & Last Name & Degree
Pengfei Shen
Facility Name
Wuhan Union Hospital
City
Wuhan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Principal Investigator
Email
info@telixpharma.com
First Name & Middle Initial & Last Name & Degree
Xiaoli Lan, MD
Facility Name
Zhongnan Hospital of Wuhan University
City
Wuhan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
PI PI
Email
info@telixpharma.com
First Name & Middle Initial & Last Name & Degree
Yong He

12. IPD Sharing Statement

Plan to Share IPD
No

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68Ga-PSMA-11 Efficacy in Detecting BCR Prostate Cancer in Chinese Patients

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