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TerminatedNCT04261777Updated Apr 28, 2026

Ferumoxtran-10-enhanced MRI in Prostate Cancer Patients

A Phase 3 interventional study of Ferrotran® (Ferumoxtran-10) in Prostate Cancer, Metastasis and Prostatectomy, sponsored by Saving Patients' Lives Medical B.V.. Terminated at 15 sites in 4 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-28.

Sponsored by Saving Patients' Lives Medical B.V. · Phase 3, Interventional, and Diagnostic

Why this study was terminated
The study was closed prematurely in order to finalise it under EU directive 2001/20/EC, without transitioning to EU-CTR, and avoiding unnecessary delay of the marketing authorisation application.
Phase
Phase 3
Study type
Interventional
Enrollment
172
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

This will be a confirmatory, prospective, open-label, single-arm, reader-blinded, multi-centre phase 3 study to assess the diagnostic accuracy and safety of Ferrotran®-enhanced MRI in comparison to unenhanced MRI in the detection of pelvic lymph node metastases in newly-diagnosed adult patients with prostate cancer and an intermediate to high risk for lymph node metastases, based on the D'Amico criteria.

Read the detailed description

Potential patients for this study will be recruited by up to 15 centres specialised in prostate cancer. Study sites will be interdisciplinary, consisting of a uro-oncology sub-site, and a radiology sub-site with high-quality MRI, surgery and pathology. Study visits will be typically conducted at the recruiting sub-site, or as institutionally appropriate. Treatment visits for patients will be performed in the collaborating sub-site. Patients will be invited for study participation by the investigators in the context of specialised clinics. Interested patients will be provided with an information sheet and will undergo a detailed informed consent procedure prior to any study procedures. Recruitment will be continued until a sufficient number of patients have undergone Ferrotran® imaging and histopathological evaluation.

To compensate for an expected drop-out rate of 15% to 20%, recruitment will only be stopped as soon as at least 69 evaluable positive (patients positive) and at least 104 evaluable negative (patients negative) patients are available for analysis.

02

Conditions studied

  • Prostate Cancer
  • Metastasis
  • Prostatectomy

Keywords

  • SPL-01-001
  • ePLND
  • MRI
  • USPIO
  • MR lymphography
  • Ferrotran
  • Ultra-small superparamagnetic iron oxide
  • Nanoparticles
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 172 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

This is the only study on the registry with Saving Patients' Lives Medical B.V. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Voluntarily given and written informed consent.
  2. Male ≥18 years of age.
  3. Histologically newly-confirmed adenocarcinoma of the prostate.
  4. Medium to high risk for lymph node metastasis, defined by either:

    1. PSA ≥10 ng/mL or
    2. Gleason-Score ≥7 or
    3. Stage cT2b or cT2c or T3 or T4
  5. Patients scheduled for radical prostatectomy (RP) with extended lymph node dissection (ePLND) between Day 7 and Day 42 after Ferrotran®-enhanced MRI.
  6. Consent to practice contraception until end of study, including female partners of childbearing potential. Effective contraceptive measures include hormonal oral, injected or implanted female contraceptives, male condom, vaginal diaphragm, cervical cap, intrauterine device.

Exclusion criteria

Exclusion Criteria:

  1. Any contraindication to MRI, as per standard criteria.
  2. Any radiation therapy or systemic antiproliferative (chemo-, immuno, or hormonal) therapy for prostate cancer (Lupron, Taxotere, Casodex, Eulexin, Zoladex, etc.) prior to screening and until after post-surgery FUP MRI.
  3. Known hypersensitivity to Ferrotran® or its components such as dextran.
  4. Known hypersensitivity to other parenteral iron products.
  5. Acute allergy, including drug allergies and allergic asthma.
  6. Evidence of iron overload or disturbances in the utilisation of iron (e.g., haemochromatosis, haemosiderosis, chronic haemolytic anaemia with frequent blood transfusions).
  7. Presence of liver dysfunction.
  8. Any other investigational medicinal product within 30 days prior to receiving study medication until end of study visit.
  9. Simultaneous participation in any other clinical trial.
  10. Abnormal safety laboratory values at screening or baseline that are assessed by the principal investigator as clinically relevant.
  11. Patients not able to declare meaningful informed consent on their own (e.g. with legal guardian for mental disorders), or other vulnerable patients (e.g. under arrest).
  12. Patients with acute SARS-CoV-2 infection
05

Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
172 participants (actual)

Study arms

  • Experimental
    SPL-01-001

    Drug: Ferrotran® (Ferumoxtran-10)

Interventions

  • DrugFerrotran® (Ferumoxtran-10)

    Ferrotran® in a dose of 0.13 mL/kg body weight of the reconstituted freeze-dried preparation (i.e. 2.6 mgFe/kg body weight). The recommended dose should be diluted in 100 mL of NaCl 9 mg/mL (0.9%) solution for injection/infusion prior to administration via the infusion filter as a slow intravenous infusion over 30 minutes (at a maximum rate of 4 mL/min). Ferrotran® will be administered once to each patient. Histologically confirmed diagnosis and pre-operative staging are performed prior to the study as part of standard care. Surgery (RP with ePLND) and sampling of tissue specimens is performed after the Ferrotran®-enhanced MRI as part of standard care.

    Also known as: Ferrotran Lyophilisate

06

What researchers measure

Primary outcomes

  1. Lymph node metastases will be detected by MRI scan (Ferumoxtran-10-enhanced and unenhanced).

    True positive fraction and false positive fraction of identified tumour tissue in pelvic lymph nodes will be analysed by histopathology as established reference method.

    Time frame: up to day 42

Secondary outcomes

  1. Number and regions of lymph node metastases present in the follow-up MRI in comparison to pre-surgery MRI (unenhanced and Ferrotran®-enhanced).

    Time frame: up to day 105

  2. Frequency of occurrence and severity of abnormal findings in safety investigations (physical examination, vital signs, 12-lead ECG, clinical laboratory, concomitant medication, adverse events)

    Time frame: day 0 - day 105

  3. Percentage of subjects for whom the patient management plan would be changed based on the Ferrotran®-enhanced MRI.

    Time frame: up to day 105

07

Study locations

15 sites
  • Universitair Ziekenhuis Ghent
    Ghent, 9000, Belgium
  • Charité - Universitätsklinikum Berlin
    Berlin, State of Berlin 10117, Germany
  • Vivantes Klinikum Am Urban
    Berlin, 10967, Germany
  • Universitätsklinikum Bonn
    Bonn, 53127, Germany
  • Universitätsklinikum Köln
    Cologne, 50937, Germany
  • Universitätsklinikum Carl Gustav Carus
    Dresden, 01307, Germany
  • Universitätsklinikum Düsseldorf
    Düsseldorf, 40225, Germany
  • Universitätsklinikum Essen
    Essen, 45147, Germany
  • Universitätsklinikum Leipzig
    Leipzig, 04103, Germany
  • Universitätsklinikum Schleswig-Holstein Lübeck
    Lübeck, 23538, Germany
  • Universitätsmedizin Mannheim Medizinische Fakultät Mannheim der Universität Heidelberg
    Mannheim, 68167, Germany
  • Nederlands Kanker Instituut Antoni van Leeuwenhoek
    Amsterdam, 1006, Netherlands
  • Radboud University Medical Center
    Nijmegen, 6525, Netherlands
  • Canisius-Wilhelmina Ziekenhuis Nijmegen
    Nijmegen, 6532, Netherlands
  • Inselspital-Universitätsspital Bern
    Bern, 3010, Switzerland
08

References and documents

Publications

  • Harisinghani MG, Barentsz J, Hahn PF, Deserno WM, Tabatabaei S, van de Kaa CH, de la Rosette J, Weissleder R. Noninvasive detection of clinically occult lymph-node metastases in prostate cancer. N Engl J Med. 2003 Jun 19;348(25):2491-9. doi: 10.1056/NEJMoa022749. PubMed 12815134 ↗
  • Heesakkers RA, Hovels AM, Jager GJ, van den Bosch HC, Witjes JA, Raat HP, Severens JL, Adang EM, van der Kaa CH, Futterer JJ, Barentsz J. MRI with a lymph-node-specific contrast agent as an alternative to CT scan and lymph-node dissection in patients with prostate cancer: a prospective multicohort study. Lancet Oncol. 2008 Sep;9(9):850-6. doi: 10.1016/S1470-2045(08)70203-1. Epub 2008 Aug 15. PubMed 18708295 ↗
  • Heesakkers RA, Jager GJ, Hovels AM, de Hoop B, van den Bosch HC, Raat F, Witjes JA, Mulders PF, van der Kaa CH, Barentsz JO. Prostate cancer: detection of lymph node metastases outside the routine surgical area with ferumoxtran-10-enhanced MR imaging. Radiology. 2009 May;251(2):408-14. doi: 10.1148/radiol.2512071018. PubMed 19401573 ↗
  • D'Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, Tomaszewski JE, Renshaw AA, Kaplan I, Beard CJ, Wein A. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998 Sep 16;280(11):969-74. doi: 10.1001/jama.280.11.969. PubMed 9749478 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04261777
Lead sponsor
Saving Patients' Lives Medical B.V.
Collaborators
ABX-CRO advanced pharmaceutical services Forschungsgesellschaft m.b.H., b.e.imaging GmbH, Radboud University Medical Center
Responsible party
Sponsor
First posted
Feb 10, 2020
Start date
May 27, 2020
Primary completion
Jan 15, 2025
Completion
Jan 15, 2025
Last update
Apr 28, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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