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RecruitingNCT06565247Updated Mar 4, 2025

Evaluation of PSMA-PET and mpMRI in High-risk Prostate Cancer - Using Histopathologic Validation

A Phase 3 interventional study of [18F]PSMA-PET and MRI sequences optimized for prostate cancer examinations in Prostate Cancer, sponsored by Region Västerbotten. Recruiting at 2 sites in Sweden. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-04.

Sponsored by Region Västerbotten · Phase 3, Interventional, and Diagnostic

Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

In this trial the connection between image properties (mpMRI and PSMA-PET) and tissue properties (molecular and histopathology) will be investigated in order to improve diagnostics and image-based treatment guidance of prostate cancer.

Read the detailed description

Open, non-randomized, prospective multi-center trial, with consecutive recruiting, between Skåne University hospital and Umeå University Hospital.

High-risk prostate cancer patients referred for radical prostatectomy.

02

Conditions studied

  • Prostate Cancer

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03

Who can participate

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

Inclusion criteria

  1. Histologically confirmed prostate cancer planned to be treated with radical prostatectomy
  2. PSMA-PET/CT conducted as part of the clinical management for the existing prostate cancer.
  3. ≥4 weeks since last biopsy of the prostate
  4. One or more of the following criteria

    1. cT3, or high suspicion of extra prostatic growth on mpMRI
    2. Gleason score ≥8
    3. PSA 20-49 ng/ml
  5. >18 years
  6. Given a written consent to participate in the trial

Exclusion criteria

Exclusion Criteria:

  1. Non-MR-safe implants or another contraindication to MRI or PET
  2. Claustrophobia
  3. Unfit for MRI or PET/MRI examination for any other reason, e.g., back pain
  4. WHO PS >1
  5. Patients treated with neoadjuvant/concomitant anti-testosterone treatment (surgical or medical castration or anti-androgens)
  6. TUR-P within 6 months
  7. Metastatic disease in skeleton, parenchymal organs, or lymph nodes outside the pelvis.
  8. Patients with previous diagnosis of other malignant disease. Exceptions could be made for basal cell carcinoma of the skin or progression free survival at least 10 years after any previous tumour.
  9. Creatinine clearance \< 30ml/min (acc. to http://www.fass.se/LIF/produktfakta-/kreatinin.jsp)
  10. Tinnitus or severe hearing loss
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Study design

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

Study arms

  • Experimental
    Pre-surgical imaging of high-risk prostate cancer using [18F]PSMA-PET/mpMRI or mpMRI

    One-time pre-surgical imaging using \[18F\]PSMA-PET/mpMRI (at Umea University Hosptial) or mpMRI (at Skåne University Hospital)

    Drug: [18F]PSMA-PET · Device: MRI sequences optimized for prostate cancer examinations

Interventions

  • Drug[18F]PSMA-PET

    Pre-surgical imaging using \[18F\]PSMA-PET at Umea University Hospital, 3.5 MBq/kg, i.v. injection.

  • DeviceMRI sequences optimized for prostate cancer examinations

    T2-WI, T1-WI, DCE and DWI at Umea University Hospital and at Skåne University Hospital

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What researchers measure

Primary outcomes

  1. Accuracy of PSMA-PET and mpMRI for identification and delineation of intraprostatic lesions

    Spatially defined aggressive PC lesions, or subparts of lesion, identified and defined using PSMA-PET and/or mpMRI compared to histopathology.

    Time frame: Pre-surgical imaging 1-6 weeks before surgery vs. post-surgery histopathology as performed within 1-4 weeks for normal clinical work-up. Within the 5-year time frame of the study, analyses will be complemented with detailed study specific histopathology

06

Study locations

2 of 2 sites recruiting
07

References and documents

Individual participant data

Plan to share: Yes — Trial data that are possible to de-identify (anonymize) will be made available to other research groups through an open repository such as https://zenodo.org or equivalent. Shared data will not be directly traceable to an individual participant.

Supporting information: Study protocol

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06565247
Lead sponsor
Region Västerbotten
Collaborators
Umeå University, Region Skane, Lund University
Responsible party
Sponsor
First posted
Aug 21, 2024
Start date
Oct 14, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2031 (estimated)
Last update
Mar 4, 2025

Study contacts

Camilla Thellenberg Karlsson, MD, PhD
Contact
camilla.thellenberg@umu.se
+46907850000
Tufve Nyholm, PhD
Contact
tufve.nyholm@umu.se
+46907850000
Camilla Thellenberg Karlsson, MD, PhD
principal investigator · Region Västerbotten

Oversight

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

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