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RecruitingNCT05948657ESCAPEUpdated May 4, 2026

Evaluation of Prostate Specific Membrane Antigen Positron Emission Tomography-Computed Tomography in Active Surveillance for Prostate CancEr

An interventional study of PSMA-PET CT in Prostate Cancer, sponsored by Weill Medical College of Cornell University. Recruiting at 4 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-04.

Sponsored by Weill Medical College of Cornell University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Feb 2024; still recruiting 2 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
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Study summary

This study will be assessing the ability of PSMA-PET CT to determine the absence of clinically significant prostate cancer in patients on active surveillance (AS) with low risk and favorable intermediate-risk prostate cancer.

Read the detailed description

This is a prospective, multicenter, nonrandomized single-arm study assessing the diagnostic accuracy of PSMA-PET CT (Prostate Specific Membrane Antigen Positron Emission Tomography-Computed Tomography) in determining the absence of clinically significant prostate cancer in patients on active surveillance (AS).The trial will enroll 200 subjects for low and favorable intermediate-risk prostate cancer patients per NCCN guidelines who have elected to pursue active surveillance.

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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 planned enrollment of 200 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Weill Medical College of Cornell University is the lead sponsor of 867 studies on the registry; 160 are open to participants now.

Of its 119 completed or terminated interventional studies of FDA-regulated products, 91 (76%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Males aged ≥ 18.
  • Histologically confirmed low or favorable intermediate risk prostate cancer per NCCN guidelines. (Note: Grade Group 2 must have 20% or less involvement in every core and no presence of cribiform or intraductal carcinoma).
  • PSA \< 20 ng/ml.
  • Ability to undergo yearly PSMA-PET CT.
  • Ability to undergo yearly prostate mpMRI.
  • Ability to undergo transrectal or transperineal template and fusion prostate biopsy.
  • Willingness to undergo yearly prostate biopsies.

Exclusion criteria

Exclusion Criteria:

  • History of prior treatment for prostate cancer.
  • History of systemic therapy for prostate cancer.
  • Inability to undergo transrectal ultrasound.
  • Life expectancy less than 10 years.
  • Not interested in pursuing active surveillance.
  • Initial diagnosis of prostate cancer greater than 15 months.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Other
    PSMA-PET CT

    Patients will undergo PSMA-PET CT (Prostate Specific Membrane Antigen Positron Emission Tomography-Computed Tomography) at baseline, 12 month and 24 month time point.

    Diagnostic Test: PSMA-PET CT

Interventions

  • Diagnostic testPSMA-PET CT

    Patients will undergo PSMA-PET CT (Prostate Specific Membrane Antigen Positron Emission Tomography-Computed Tomography) at baseline, 12 month and 24 month time point.

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What researchers measure

Primary outcomes

  1. Negative predictive value (NPV)

    Negative predictive value (NPV): The NPV is defined as the number of negative image results with identified clinically insignificant prostate cancer on biopsy divided by the number of negative image results.

    Time frame: Baseline

  2. Negative predictive value (NPV)

    Negative predictive value (NPV): The NPV is defined as the number of negative image results with identified clinically insignificant prostate cancer on biopsy divided by the number of negative image results.

    Time frame: 12 months

  3. Negative predictive value (NPV)

    Negative predictive value (NPV): The NPV is defined as the number of negative image results with identified clinically insignificant prostate cancer on biopsy divided by the number of negative image results.

    Time frame: 24 months

Secondary outcomes

  1. Positive predictive value (PPV) of PSMA PET.

    PPV of PSMA PET. Positive predictive value (PPV): The PPV is defined as the number of positive image results with identified csPCa on biopsy divided by the number of positive image results.

    Time frame: Baseline

  2. Positive predictive value (PPV) of PSMA PET.

    PPV of PSMA PET. Positive predictive value (PPV): The PPV is defined as the number of positive image results with identified csPCa on biopsy divided by the number of positive image results.

    Time frame: 12 months

  3. Positive predictive value (PPV) of PSMA PET.

    PPV of PSMA PET. Positive predictive value (PPV): The PPV is defined as the number of positive image results with identified csPCa on biopsy divided by the number of positive image results.

    Time frame: 24 months

  4. Number of patients with negative PSMA pet scan.

    Time frame: Baseline

  5. Number of patients with negative PSMA pet scan.

    Time frame: 12 months

  6. Number of patients with negative PSMA pet scan.

    Time frame: 24 months

  7. Number of positive scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: Baseline

  8. Number of positive scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 12 months

  9. Number of positive scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 24 months

  10. Number of positive scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: Baseline

  11. Number of positive scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 12 months

  12. Number of positive scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 24 months

  13. Number of positive scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: Baseline

  14. Number of positive scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 12 months

  15. Number of positive scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Sensitivity: The sensitivity will be defined as the number of positive image results with a csPCa upon biopsy divided by the number of biopsied patients with csPCa following the imaging.

    Time frame: 24 months

  16. Number of negative scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: Baseline

  17. Number of negative scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 12 months

  18. Number of negative scans on mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 24 months

  19. Number of negative scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: Baseline

  20. Number of negative scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 12 months

  21. Number of negative scans on PSMA-PET

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 24 months

  22. Number of negative scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: Baseline

  23. Number of negative scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 12 months

  24. Number of negative scans on both PSMA-PET and mpMRI

    Specificity and sensitivity of PSMA-PET, mpMRI, and the combination. Specificity: The specificity is defined as the number of negative image results followed by the absence of csPCa in the corresponding biopsy divided by the number of biopsies that did not identify csPCa.

    Time frame: 24 months

  25. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by PSMA-PET.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: Baseline

  26. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by PSMA-PET.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 12 months

  27. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by PSMA-PET.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 24 months

  28. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: Baseline

  29. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 12 months

  30. Number of patients who have clinically significant Prostate Cancer (csPCa) detected by mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 24 months

  31. Number of patients who have clinically significant Prostate Cancer (csPCa) detected on PSMA-PET and mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: Baseline

  32. Number of patients who have clinically significant Prostate Cancer (csPCa) detected on PSMA-PET and mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 12 months

  33. Number of patients who have clinically significant Prostate Cancer (csPCa) detected on PSMA-PET and mpMRI.

    The proportion of csPCa detected by PSMA-PET, mpMRI, and the combination. Proportion of patients with csPCa: this will be the number of patients identified as having csPCa divided by the number of patients with a biopsy.

    Time frame: 24 months

07

Study locations

2 of 4 sites recruiting
  • UCLA
    Los Angeles, California 90005, United States
    Not yet recruiting
  • UCSF
    San Francisco, California 94143, United States
    Not yet recruiting
  • Weill Cornell Medicine - New York Presbyterian Hospital
    New York, New York 10065, United States
    Recruiting
  • UH Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 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
NCT05948657
Lead sponsor
Weill Medical College of Cornell University
Responsible party
Sponsor
First posted
Jul 17, 2023
Start date
Feb 26, 2024
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
May 4, 2026

Study contacts

Holly Kuczynski
Contact
hok4001@med.cornell.edu
646-962-7523
Sarah Yuan
Contact
say7008@med.cornell.edu
646-962-6040
Timothy McClure, M.D.
principal investigator · Weill Medical College of Cornell University

Oversight

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

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