61Cu-NODAGA Prostate-specific Membrane Antigen Imaging and Therapy for Prostate Cancer: Phase 1 Trial of a New Class of 61Cu-labeled PET Radiotracers.
Gary A Ulaner, Jeffrey C Bassett, Ryan Reddy...
https://pubmed.ncbi.nlm.nih.gov/41363974/Actively Recruiting
Led by Hoag Memorial Hospital Presbyterian · Updated on 2024-12-16
8
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a new imaging agent, 61Cu-NODAGA-PSMA, in patients with prostate adenocarcinoma. This phase I trial aims to assess the safety and effectiveness of this novel radiotracer, which uses Copper 61 as a positron emitter. The study explores whether this agent can improve imaging of prostate cancer by targeting Prostate Specific Membrane Antigen PSMA with a longer half-life isotope, potentially allowing for wider distribution compared to current tracers. Participants will receive an intravenous injection of 100-300 MBq of 61Cu-NODAGA-PSMA. About 60 minutes after administration, they will undergo PETCT imaging to detect PSMA-positive malignant lesions. The trial is non-randomized and includes 6 to 10 patients. The study focuses on safety monitoring on the day of and day after the radiotracer administration, along with dosimetry calculations from imaging and blood samples. During the study, participants will be closely observed for any side effects within 24 hours after receiving the imaging agent. The number of suspected PSMA-positive lesions will be compared between this experimental tracer and the standard 18F-Piflufolastat PETCT. Safety and tolerability are primary outcomes, while dosimetry and lesion detection effectiveness are secondary outcomes. The total duration of participant involvement is short, focusing on imaging and follow-up within a day after the tracer administration.
CONDITIONS
A Phase I Trial of 61Cu-NODAGA-PSMA for Patients with Prostate Cancer
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Hoag Memorial Hospital Presbyterian
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational PSMA PET/CT | Conventional CT plus bone scintigraphy |
|---|---|---|
| What it is | A new PET imaging method using 61Cu‑NODAGA‑PSMA to detect prostate adenocarcinoma lesions | Combination of CT scan and bone scintigraphy commonly used for staging prostate cancer |
| Role in trial | Used as the experimental diagnostic imaging method administered intravenously followed by PET/CT scan | Not included as part of this trial but represents usual imaging for staging |
| Primary use | To detect and localize prostate cancer lesions in staging | To visualize disease extent for initial staging of prostate cancer |
| How it is performed | Radiotracer (100‑300 MBq of 61Cu‑NODAGA‑PSMA) injected intravenously; PET/CT scan performed about 60 minutes later | Standard CT imaging plus technetium‑99m bone scan using established protocols |
| Evidence status | Data being collected on safety, dosimetry, and lesion detection in this first‑in‑human study | Diagnostic performance well‑established in practice though less sensitive than PSMA PET/CT |
| Important risks | Radiation exposure from PET/CT and unknown safety profile of 61Cu agent | Radiation exposure inherent to CT and bone scan, with well‑known safety profile |
| Important limitations | Early‑phase study with small sample size and limited data on clinical impact | Lower sensitivity, especially for small or early metastases, compared to PSMA PET/CT |
| Patient impact | Potential to improve lesion detection and staging accuracy in future trials | Provides staging information used to guide treatment decisions, though may miss small lesions |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 1 day
Participants receive an intravenous injection of 61Cu-NODAGA-PSMA followed by PET/CT imaging approximately 60 minutes later to evaluate PSMA-positive malignant lesions.
1 visit (in-person)
Duration - Up to 2 days
Participants are monitored for side effects on the day of and the day after radiotracer administration to assess safety and tolerability.
1 to 2 visits (in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
DIAGNOSTIC
Number of Arms
1
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Gary A Ulaner, Jeffrey C Bassett, Ryan Reddy...
https://pubmed.ncbi.nlm.nih.gov/41363974/Tais Basaco Bernabeu, Rosalba Mansi, Luigi Del Pozzo...
https://pubmed.ncbi.nlm.nih.gov/39025646/Hoag Memorial Hospital Presbyterian
Lead Sponsor