Actively Recruiting

Phase 4
Age: 18Years +
MALE
ID06706921

Usefulness of Tumor Heterogeneity Assessment in Patients With MCRPC Undergoing Radioligand Therapy With 177LU-PSMA-617 Using Serial 18F-DCFPYL, 18F-FDG and 18F-Fluciclovine PET/CT Predicting Clinical Outcome

Led by VA Greater Los Angeles Healthcare System · Updated on 2024-11-27

15

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying men with metastatic castration-resistant prostate cancer (mCRPC) to understand how different PET/CT scans can predict outcomes during radioligand therapy with 177Lu-PSMA-617. This is an exploratory, prospective study conducted at a single center, focusing on imaging tumor heterogeneity to help assess therapy effects and patient response. The study is designed specifically for Veterans undergoing this treatment. Participants will receive several types of PET/CT scans at different times: before starting LuPSMA radioligand therapy (RLT), and then after the 2nd, 4th, and 6th treatment cycles. These scans include 18F-Fluciclovine PET/CT (Axumin), 18F-DCFPyL PET/CT, and 18F-FDG PET/CT. The 18F-Fluciclovine scans will be performed within seven days of the PSMA PET scans to compare imaging results at each time point. During the study, detailed imaging measures such as lesion uptake and tumor volume will be collected and analyzed over time. Patients will be followed at the institution to correlate these imaging results with clinical outcomes. The main outcome measured is the impact of 18F-Fluciclovine PET/CT on predicting outcomes of the 177Lu-PSMA-617 therapy from enrollment through 34 weeks of treatment.

CONDITIONS

Brief Title

18F-Fluciclovine PET/CT Impact on Predicting Clinical Outcome of 177Lu-PSMA-617 Therapy in Patients With Prostate Cancer

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with metastatic castration-resistant prostate cancer scheduled to undergo Lutetium PSMA radioligand therapy
  • Willingness to have multiple serial PET/CT scans before and after therapy
  • Ability to provide written informed consent
Not Eligible

You will not qualify if you...

  • Younger than 18 years at time of radiopharmaceutical administration
  • Medical conditions or serious illnesses that may interfere with study procedures or compliance
  • Contraindications to Lutetium PSMA radioligand therapy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 34 weeks

Participants undergo Lutetium PSMA radioligand therapy and have serial 18F-Fluciclovine PET/CT scans to assess tumor heterogeneity and predict clinical outcome.

5 PET/CT scans: 1 baseline (pre-treatment) and 4 post-treatment scans after the 2nd, 4th, and 6th therapy cycles

Trial Site Locations

Total: 1 location

1

VA Greater Los Angeles Healthcare System

Los Angeles, California, United States, 90073

Actively Recruiting

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Research Team

G

Gholam Berenji, MD

J

Janake Wijesuriya, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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