This phase II trial investigates how well 68Ga PSMA-11 PET/CT scan works in enhancing the diagnosis of prostate cancer that is primary or has spread to other places in the body (metastatic). 68Ga PSMA-11 is a radioactive drug that carries a small amount of radiation that can be detected by the PET/CT scan. Diagnostic procedures, such as 68Ga PSMA-11 PET/CT, may find and diagnose prostate cancer and any metastasis that other imaging techniques have not identified.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT04179968.
PRIMARY OBJECTIVE:
I. To assess whether gallium Ga 68-labeled PSMA-11 (68Ga PSMA-11) positron emission tomography (PET)/computed tomography (CT) can detect additional primary prostate cancer lesions through use of early dynamic PET/CT imaging in comparison to multiparametric magnetic resonance imaging (mp-MRI) in patients with Prostate Imaging-Reporting and Data System (PI-RADS) version (v)2.1 score 5 (with any prostate-specific antigen [PSA]), or score 4 and PSA >= 10 ng/mL.
SECONDARY OBJECTIVE:
I. To assess whether 68Ga PSMA-11 PET/CT can detect additional sites of metastatic disease at staging in comparison to standard of care imaging in patients with PI-RADS v2.1 score 5 (with any PSA), or score 4 and PSA >= 10 ng/mL.
OUTLINE:
Patients receive gallium Ga 68-labeled PSMA-11 intravenously (IV) and undergo a PET/CT scan over 30 minutes. At 60 minutes after the injection of gallium Ga 68-labeled PSMA-11, patients undergo a second PET/CT scan over 15-20 minutes.
After completion of study, patients are followed up for 2 years.
Lead OrganizationUT Southwestern/Simmons Cancer Center-Dallas
Principal InvestigatorNeil Rofsky