Status:

UNKNOWN

177Lu-PSMA-I&T Prior to Radical Prostatectomy for Locally Advanced Disease

Lead Sponsor:

Rabin Medical Center

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

Despite surgical advances, up to 50% of patients with high-risk locally advanced prostate cancer will die from their disease. Drug therapy before surgery has the potential to improve treatment success...

Eligibility Criteria

Inclusion

  • 1\. Male aged 18 years and older. 2. Patients were diagnosed with high risk localized prostate cancer (cT3/4 and/or Gleason score ≥8 and/or prostate biopsy or PSA ≥ 20 ng/dl) or loco-regional prostate cancer (pelvic lymphadenopathy of ≥2 cm on axial imaging).
  • 3\. High PSMA expression was confirmed. PET PSMA with tracer uptake greater than normal liver (maximal standardized uptake value ≥1.5 of liver). In addition, no PET FDG positive sites without high PSMA expression.
  • 4\. Patients should have an Eastern Cooperative Oncology Group (ECOG) performance status score5 of 1 or lower and life expectancy of \> 10 years.

Exclusion

  • 1\. Clinically significant impaired bone marrow defined by platelet count lower than 150×103/µl, white blood cells count lower than 4×103/µl, hemoglobin concentration lower than 12mg/dl.
  • 2\. Impaired liver function defined by albumin concentration lower than 3.5 gr/dl.
  • 3\. Impaired kidney function defined by glomerular filtration rate (GFR) lower than 40 mL/min.
  • 4\. Recent radiotherapy (within two months) 5. Concomitant usage of nephrotoxic drugs 6. Evidence of distant metastatic disease (distal lymphadenopathy, visceral or bone metastases).

Key Trial Info

Start Date :

November 20 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 20 2022

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT04297410

Start Date

November 20 2019

End Date

April 20 2022

Last Update

March 5 2020

Active Locations (1)

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1

Rabin Medical Center, Beilinson hospital

Petah Tikva, Israel, 4941494