search
Back to results

PYLARIFY® PET/CT or PET/MRI in Men With Favorable Intermediate Risk (FIR) Prostate Cancer (MIRROR)

Primary Purpose

Prostate Cancer

Status
Not yet recruiting
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Piflufolastat F 18 Intravenous Solution [PYLARIFY]
Sponsored by
Lantheus Medical Imaging
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Prostate Cancer focused on measuring Prostate Cancer, Favorable Intermediate Risk, PYLARIFY, PET

Eligibility Criteria

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

Inclusion Criteria: Patients must have the ability to understand and sign an approved informed consent form (ICF) Patients must have the ability to understand and comply with all protocol requirements Patients must be ≥ 18 years of age Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 Patients with life expectancy of at least 13 months as determined by the investigator Patients must have confirmed favorable intermediate risk (FIR) adenocarcinoma of the prostate per 2023 NCCN guidelines. FIR risk group confirmation includes all the following: 1 intermediate risk factor (cT2b-cT2c or ISUP Grade Group 2 or PSA 10-20 ng/mL) ISUP Grade Group 1 or 2 <50% biopsy cores positive (e.g., <6 of 12 cores) Note: Date of the prostate biopsy should be no sooner that 2 weeks and no later than 3 months prior to PYLARIFY PET imaging Exclusion Criteria: Patients administered any high energy (>300 KeV) gamma-emitting radioisotope within 5 physical half-lives prior to Day 1 (PYLARIFY imaging) Previous Prostate cancer treatment including radiation, androgen deprivation therapy, brachytherapy, surgery, prostate ablation, hormonal therapies or investigational therapy Known hypersensitivity to the components of PYLARIFY or its analogs Patients with any medical condition or other circumstances that, in the opinion of the investigator, compromise the safety or compliance of the subject to produce reliable data or complete the study Patients who have any radiographic evidence of T3, N1 or M1 disease on SOC imaging (if performed)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    PYLARIFY PET

    Arm Description

    Outcomes

    Primary Outcome Measures

    Detection rate
    The proportion of participants with prostate cancer in whom PYLARIFY PET detected previously occult intraprostatic ISUP grade ≥3 lesions as assessed by pathology, or in whom PYLARIFY PET detected the presence of either/or extraprostatic extension, seminal vesicle invasion, regional lymph node involvement, distant metastases, divided by the number of subjects who undergo a PYLARIFY PET scan

    Secondary Outcome Measures

    Change in intended patient clinical management
    Intended medical management plan before and after PYLARIFY PET imaging
    True detection rate
    The percentage of participants with at least one true positive lesion identified on PYLARIFY PET imaging and confirmed by the truth standard. This measure includes patients in whom PYLARIFY PET detected previously occult intraprostatic ISUP grade ≥3 lesions as confirmed by pathology; or patients in whom PYLARIFY PET detected the presence of either/or extraprostatic extension, seminal vesicle invasion, regional lymph node involvement, distant metastases as assessed by central readers and verified by the standard of truth.
    Correct localization rate
    The percentage of participants for whom there is a one-to-one correspondence on the same side between the location of at least one lesion outside of prostate capsule (extraprostatic extension, seminal vesicle invasion, pelvic lymph nodes, extrapelvic lymph nodes, extrapelvic bone or extrapelvic soft tissue lesion(s) identified on PYLARIFY PET/CT or PET/MR and the standard of truth.
    Positive predictive value of PYLARIFY
    The percentage of participants who undergo PYLARIFY PET imaging that identifies a lesion or lesions outside of the prostate capsule and have an established standard of truth. Positive predictive value does not require a one-to-one correspondence by lesion location but requires that the lesion and standard of truth be within the same anatomic region, including prostatic, pelvic, extra-pelvic or distant lesions.
    Sensitivity of PYLARIFY
    Sensitivity at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Specificity of PYLARIFY
    Specificity at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Negative predictive value of PYLARIFY
    Negative predictive value at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Number of participants with Adverse Events

    Full Information

    First Posted
    October 3, 2023
    Last Updated
    October 3, 2023
    Sponsor
    Lantheus Medical Imaging
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT06074510
    Brief Title
    PYLARIFY® PET/CT or PET/MRI in Men With Favorable Intermediate Risk (FIR) Prostate Cancer
    Acronym
    MIRROR
    Official Title
    A Phase 4 Open-Label Multicenter Study of PYLARIFY® PET/CT or PET/MRI in Men With Newly Diagnosed Favorable Intermediate Risk (FIR) Prostate Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 2023 (Anticipated)
    Primary Completion Date
    December 2024 (Anticipated)
    Study Completion Date
    January 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Lantheus Medical Imaging

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to learn whether PYLARIFY PET imaging (study scan) can safely and accurately detect the presence or absence of prostate cancer growing beyond the prostate gland in men with favorable intermediate risk prostate cancer. Participants will receive a single dose of PYLARIFY injection followed by a single whole-body PET/CT or PET/MRI scan acquired at 1 to 2 hours after PYLARIFY injection. Participants with positive study scan results that are suspicious for prostate cancer outside of the prostate gland may be asked to undergo additional diagnostic test(s) and/or recommend certain treatment(s) for prostate cancer within 2 to 90 days after the study scan. Participants will be monitored for up to 12 months to collecting information about treatment they receive for prostate cancer and results of regular PSA blood draws if ordered by doctors for up to 12 months after the study scan.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Prostate Cancer
    Keywords
    Prostate Cancer, Favorable Intermediate Risk, PYLARIFY, PET

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    274 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    PYLARIFY PET
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Piflufolastat F 18 Intravenous Solution [PYLARIFY]
    Other Intervention Name(s)
    PYLARIFY, 18F-DCFPyL
    Intervention Description
    Participants will receive a single dose of 333 MBq (9 mCi) [296 MBq-370 MBq (8 mCi - 10 mCi)] PYLARIFY injection followed by a single whole-body PET/CT or PET/MRI scan acquired at 1 to 2 hours post-dosing
    Primary Outcome Measure Information:
    Title
    Detection rate
    Description
    The proportion of participants with prostate cancer in whom PYLARIFY PET detected previously occult intraprostatic ISUP grade ≥3 lesions as assessed by pathology, or in whom PYLARIFY PET detected the presence of either/or extraprostatic extension, seminal vesicle invasion, regional lymph node involvement, distant metastases, divided by the number of subjects who undergo a PYLARIFY PET scan
    Time Frame
    Day 1
    Secondary Outcome Measure Information:
    Title
    Change in intended patient clinical management
    Description
    Intended medical management plan before and after PYLARIFY PET imaging
    Time Frame
    Day 30
    Title
    True detection rate
    Description
    The percentage of participants with at least one true positive lesion identified on PYLARIFY PET imaging and confirmed by the truth standard. This measure includes patients in whom PYLARIFY PET detected previously occult intraprostatic ISUP grade ≥3 lesions as confirmed by pathology; or patients in whom PYLARIFY PET detected the presence of either/or extraprostatic extension, seminal vesicle invasion, regional lymph node involvement, distant metastases as assessed by central readers and verified by the standard of truth.
    Time Frame
    Day 1
    Title
    Correct localization rate
    Description
    The percentage of participants for whom there is a one-to-one correspondence on the same side between the location of at least one lesion outside of prostate capsule (extraprostatic extension, seminal vesicle invasion, pelvic lymph nodes, extrapelvic lymph nodes, extrapelvic bone or extrapelvic soft tissue lesion(s) identified on PYLARIFY PET/CT or PET/MR and the standard of truth.
    Time Frame
    up to day 90
    Title
    Positive predictive value of PYLARIFY
    Description
    The percentage of participants who undergo PYLARIFY PET imaging that identifies a lesion or lesions outside of the prostate capsule and have an established standard of truth. Positive predictive value does not require a one-to-one correspondence by lesion location but requires that the lesion and standard of truth be within the same anatomic region, including prostatic, pelvic, extra-pelvic or distant lesions.
    Time Frame
    up to day 90
    Title
    Sensitivity of PYLARIFY
    Description
    Sensitivity at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Time Frame
    up to day 90
    Title
    Specificity of PYLARIFY
    Description
    Specificity at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Time Frame
    up to day 90
    Title
    Negative predictive value of PYLARIFY
    Description
    Negative predictive value at the patient level for patients who undergo prostate surgery for prostate and with pelvic lymph nodes removal.
    Time Frame
    up to day 90
    Title
    Number of participants with Adverse Events
    Time Frame
    Day 1

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients must have the ability to understand and sign an approved informed consent form (ICF) Patients must have the ability to understand and comply with all protocol requirements Patients must be ≥ 18 years of age Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 Patients with life expectancy of at least 13 months as determined by the investigator Patients must have confirmed favorable intermediate risk (FIR) adenocarcinoma of the prostate per 2023 NCCN guidelines. FIR risk group confirmation includes all the following: 1 intermediate risk factor (cT2b-cT2c or ISUP Grade Group 2 or PSA 10-20 ng/mL) ISUP Grade Group 1 or 2 <50% biopsy cores positive (e.g., <6 of 12 cores) Note: Date of the prostate biopsy should be no sooner that 2 weeks and no later than 3 months prior to PYLARIFY PET imaging Exclusion Criteria: Patients administered any high energy (>300 KeV) gamma-emitting radioisotope within 5 physical half-lives prior to Day 1 (PYLARIFY imaging) Previous Prostate cancer treatment including radiation, androgen deprivation therapy, brachytherapy, surgery, prostate ablation, hormonal therapies or investigational therapy Known hypersensitivity to the components of PYLARIFY or its analogs Patients with any medical condition or other circumstances that, in the opinion of the investigator, compromise the safety or compliance of the subject to produce reliable data or complete the study Patients who have any radiographic evidence of T3, N1 or M1 disease on SOC imaging (if performed)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Senior Clinical Trial Manager
    Phone
    +1(646) 975-2540
    Email
    PYL4301studyinfo@lantheus.com

    12. IPD Sharing Statement

    Learn more about this trial

    PYLARIFY® PET/CT or PET/MRI in Men With Favorable Intermediate Risk (FIR) Prostate Cancer

    We'll reach out to this number within 24 hrs