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RecruitingNCT06675357Updated Jun 10, 2026

Using FAPI PET/MRI to Evaluate Prostate Cancer

A Phase 2 interventional study of FAPI and Positron Emission Tomography (PET) in Prostate Cancer Metastatic Disease and Prostate Cancers, sponsored by University of Wisconsin, Madison. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-10.

Sponsored by University of Wisconsin, Madison · Phase 2, Interventional, and Diagnostic

From the registry’s dates

  • Started Feb 2026; still recruiting 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to gain more information about how FAPI (fibroblast activation protein inhibitor) binds to certain type of cells in the tumor tissue. The main question it aims to answer is how this information can be used to better diagnose and track prostate cancer.

Participants will undergo two PET/MRI scans during two research visits, each of which may last up to 2.5 hours.

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Conditions studied

  • Prostate Cancer Metastatic Disease
  • Prostate Cancers

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

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,161 studies on the registry; 182 are open to participants now.

Of its 151 completed or terminated interventional studies of FDA-regulated products, 114 (75%) 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
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 years or older
  • Able and willing to provide informed consent
  • Known diagnosis of prostate cancer
  • Scheduled for or recently performed (within 4 weeks) standard-of-care PSMA PET
  • Optional: Scheduled for SOC biopsy of an established or suspected non-osseous, non-nodal metastases.
  • Willing and able to undergo PET/MRI as part of this research

Exclusion criteria

Exclusion Criteria:

  • Unable or unwilling to provide informed consent
  • Contraindication(s) to or inability to undergo PET/MRI
  • Participants for whom PET/MRI will delay timely delivery of treatment
  • Participants requiring intravenous (IV) conscious sedation for imaging care; those requiring mild, oral anxiolytics for the clinical MRI will be allowed to participate as long as the following criteria are met:
  • Have their own prescription for the medication
  • The informed consent process is conducted prior to the self-administration of this medication
  • Come to the research visit with a driver
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Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Fibroblast activation protein inhibitor (FAPI)

    FAPI radiotracer will be used during PET

    Radiation: FAPI · Procedure: Positron Emission Tomography (PET) · Procedure: Magnetic Resonance Imaging

Interventions

  • RadiationFAPI

    5 +/- 2 mCi of Ga-FAPI-46

  • ProcedurePositron Emission Tomography (PET)

    Undergo PET scan

  • ProcedureMagnetic Resonance Imaging

    Undergo MRI scan

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What researchers measure

Primary outcomes

  1. Performance of FAPI for lesion detection

    Sensitivity and specificity for lesion detection on FAPI will be compared with that of PSMA PET, using a composite reference standard (all available histology, follow up clinical/standard of care imaging, serum PSA).

    Time frame: Duration of scan, up to 80 minutes

  2. Lesion FAPI uptake on PET

    FAPI uptake as measured by SUV will be correlated against tissue FAP positivity on immunohistochemistry and FAP expression on qPCR, using linear regression.

    Time frame: Duration of scan, up to 80 minutes

  3. Total FAPI-positive tumor volume change

    The total FAPI-positive tumor volume between pre- and post-treatment exams will be measured and compared to PSMA-response, other standard-of-care imaging response, and overall survival when available, using odds ratios for treatment response and Kaplan-Meier curve for survival.

    Time frame: Duration of scan, up to 80 minutes

07

Study locations

1 of 1 sites recruiting
  • University of Wisconsin
    Madison, Wisconsin 53705, United States
    • Ali Pirasteh, MD · Principal investigator
    • Joshua Lang, PhD · Sub investigator
    • Diego Hernando, PhD · Sub investigator
    • Steven Cho, MD, PhD · Sub investigator
    • Glenn Liu, MD · Sub investigator
    • Alan McMillan, PhD · Sub investigator
    Recruiting
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References and documents

Individual participant data

Plan to share: Yes — De-identified data with GE Healthcare: images, diagnosis, image quality scores, quantitative PET/MR measurements, BMI, weight, height, age and gender. The Department of Radiology Medical Imaging Research Support (MIRS) Radius team will serve as an honest broker for the sharing of de-identified data.

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06675357
Lead sponsor
University of Wisconsin, Madison
Responsible party
Sponsor
First posted
Nov 5, 2024
Start date
Feb 27, 2026
Primary completion
Jan 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Jun 10, 2026

Study contacts

Radiology Studies
Contact
Radstudy@uwhealth.org
608-282-8349
Ali Pirasteh, MD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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