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TerminatedNCT04698564Updated Jul 15, 2026Results posted

Utility of Hyperpolarized 13C-pyruvate Metabolic Magnetic Resonance Imaging

A Phase 2 interventional study of Hyperpolarized 13C-Pyruvate in Prostate Cancer, sponsored by University of Maryland, Baltimore. Terminated at 1 site in United States. Open to male participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-07-15.

Sponsored by University of Maryland, Baltimore · Phase 2, Interventional, and Treatment

Why this study was terminated
"Study terminated due to institutional resource constraints, including limited availability of specialized equipment and technical support. Termination was not related to participant safety, data quality, study conduct, or the investigational product
Phase
Phase 2
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
40 Years to 80 Years
Sex
Male
01

Study summary

This is a two-tiered pilot study in which there will be no randomization and no placebo treatment. This study will be to perform metabolic magnetic resonance imaging on men suspected to have a prostate cancer to understand if metabolic MRI can be safely performed on this population

02

Conditions studied

  • Prostate Cancer

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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 4 is below the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 687 studies on the registry; 130 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 63 (70%) have results posted.

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

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Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Age greater than 40 and less than 80 years
  2. Clinical suspicion or history of prostate cancer reflected by one of the following:

    • PSA > 4ng/ml
    • Abnormal DRE exam
    • Known tissue diagnosis of prostate cancer from prior workup
  3. Patient planning to undergo either a MRI targeted biopsy or radical prostatectomy for prostate cancer workup or treatment

Exclusion criteria

Exclusion Criteria:

  1. Inability to undergo MRI scan
  2. Inability to receive IV contrast as per institutional protocol.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Single-arm study in patients who are suspected or known to have prostate cancer

    Perform metabolic magnetic resonance imaging on men suspected to have a prostate cancer to understand if metabolic MRI can be safely performed on this population

    Drug: Hyperpolarized 13C-Pyruvate

Interventions

  • DrugHyperpolarized 13C-Pyruvate

    Hyperpolarized Pyruvate (13C) Injection, containing spin-polarized ("hyperpolarized") \[ 13C\]pyruvate, is being studied as a diagnostic agent in combination with 13C spectroscopic MR imaging. The aim is to visualize \[13C\]pyruvate and its metabolites and thereby distinguish between anatomical areas with normal vs. abnormal metabolism, which should be useful in diagnosing and characterizing, for example, malignancy. Hyperpolarized Pyruvate (13C) Injection and \[13C\]pyruvate are general terms used throughout this brochure, that refer to all 13C labeling patterns, such as \[1- 13C\]pyruvate, \[2- 13C\]pyruvate and \[1,2- 13C\]pyruvate. From biological and safety standpoints, pyruvate with each of the labeling patterns behaves identically in the human body \[Koletzko et al., 1997\].

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What researchers measure

Primary outcomes

  1. CTCAE v4.0 Higher Than Grade 2

    Quantify the number of participants who get this scan and have treatment-related adverse events as assessed by CTCAE v4.0 higher than grade 2. Determine the number of participants who successfully complete a scan which meets a minimum quality standard as measured by signal to noise ratio on the scan, hyperpolarized metabolic MRI in the diagnosis of prostate cancer.

    Time frame: Within three years post treatment

Secondary outcomes

  1. Accuracy of Metabolic MRI to Diagnose Prostate Cancer

    To study the accuracy of hyperpolarized metabolic MRI to diagnose prostate cancer. Compare the prediction of cancer from the MRI scan compared to actual diagnosis of cancer by any subsequent workup or procedure the participant undergoes. Prediction of cancer from MRI scan will be performed by assigning a standardized score (PIRADS v2.0). Actual diagnosis of cancer will be based on tissue pathology (with cancer grade characterized using the prostate cancer ISUP Grade Group system) from any procedure the patient undergoes.

    Time frame: Within three years post treatment

  2. Utility of Metabolic MRI Over Standard MRI Imaging in the Diagnosis of Prostate Cancer

    To examine the added utility of metabolic MRI over standard MRI imaging. Quantify the number of participants in which the MRI provided extra information that otherwise was not available during the course of the patient's workup.

    Time frame: Within three years post treatment

  3. Correlative Metabolic Analysis of Tissue Metabolite Concentrations Versus Cancer Diagnosis

    To perform correlative metabolic analysis related to cancer diagnosis. Using the research tissue when it is available. Analyze tumor samples when available from participants and characterize the metabolite concentration (microgram/mg of tissue) within the tumor to determine how the concentration value compares to two outcomes of interest: 1: the numerical suspicion score (PIRADS v2.0 system) from the imaging from the patient and 2: The presence of cancer and grade of cancer (ISUP Grade Group system), when present, from pathology analysis performed on the tissue from the patient available. Analyze tumor samples when available from participants and characterize the metabolite concentration within the tumor to determine how this compares to the information from the imaging from the patient and pathology analysis performed on the tissue

    Time frame: Within three years post treatment

07

Results

Posted Jul 15, 2026
Limitations and caveats
The study was terminated prematurely. Protocol closure was submitted in September 2025, and the protocol expired prior to local IRB acknowledgment in December 2025; however, all enrolled participants had completed the study before closure submission. No updated consent form was available. Additionally, imaging signal-to-noise ratio (SNR) was below minimum quality standards, indicating technical limitations that may affect data quality.

Participant flow

Participant flow — Overall Study
MilestoneSingle-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
Started4
Completed3
Not completed1
Withdrew: Insurance issues. withdrawn from study1

Outcome measures

PrimaryCTCAE v4.0 Higher Than Grade 2

Quantify the number of participants who get this scan and have treatment-related adverse events as assessed by CTCAE v4.0 higher than grade 2. Determine the number of participants who successfully complete a scan which meets a minimum quality standard as measured by signal to noise ratio on the scan, hyperpolarized metabolic MRI in the diagnosis of prostate cancer.

Time frame:
Within three years post treatment
Reported as:
Count of participants · Participants
CTCAE v4.0 Higher Than Grade 2
ParticipantsSingle-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
CTCAE v4.0 Higher Than Grade 20
SecondaryAccuracy of Metabolic MRI to Diagnose Prostate Cancer

To study the accuracy of hyperpolarized metabolic MRI to diagnose prostate cancer. Compare the prediction of cancer from the MRI scan compared to actual diagnosis of cancer by any subsequent workup or procedure the participant undergoes. Prediction of cancer from MRI scan will be performed by assigning a standardized score (PIRADS v2.0). Actual diagnosis of cancer will be based on tissue pathology (with cancer grade characterized using the prostate cancer ISUP Grade Group system) from any procedure the patient undergoes.

Time frame:
Within three years post treatment

No measurements were reported for this outcome.

SecondaryUtility of Metabolic MRI Over Standard MRI Imaging in the Diagnosis of Prostate Cancer

To examine the added utility of metabolic MRI over standard MRI imaging. Quantify the number of participants in which the MRI provided extra information that otherwise was not available during the course of the patient's workup.

Time frame:
Within three years post treatment

No measurements were reported for this outcome.

SecondaryCorrelative Metabolic Analysis of Tissue Metabolite Concentrations Versus Cancer Diagnosis

To perform correlative metabolic analysis related to cancer diagnosis. Using the research tissue when it is available. Analyze tumor samples when available from participants and characterize the metabolite concentration (microgram/mg of tissue) within the tumor to determine how the concentration value compares to two outcomes of interest: 1: the numerical suspicion score (PIRADS v2.0 system) from the imaging from the patient and 2: The presence of cancer and grade of cancer (ISUP Grade Group system), when present, from pathology analysis performed on the tissue from the patient available. Analyze tumor samples when available from participants and characterize the metabolite concentration within the tumor to determine how this compares to the information from the imaging from the patient and pathology analysis performed on the tissue

Time frame:
Within three years post treatment

No measurements were reported for this outcome.

Adverse events

Collected over From the time of study entry through 3 month follow- up.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer0/3 (0%)0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
<=18 years0
Between 18 and 65 years3
>=65 years1
Age, Continuous
Age, Continuous(years)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
Mean59 ± 7.53
Sex: Female, Male
Sex: Female, Male(Participants)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
Female0
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
Hispanic or Latino0
Not Hispanic or Latino4
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American3
White0
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Single-arm Study in Patients Who Are Suspected or Known to Have Prostate Cancer
United States4
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Study locations

1 site
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jul 1, 2025
  • Informed consent form · Sep 24, 2024

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 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
NCT04698564
Lead sponsor
University of Maryland, Baltimore
Responsible party
Sponsor
First posted
Jan 7, 2021
Start date
Dec 1, 2020
Primary completion
Dec 5, 2025
Completion
Dec 5, 2025
Results posted
Jul 15, 2026
Last update
Jul 15, 2026

Oversight

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

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