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Prostate CancerPhase 3NCT06565247

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

A Phase 3 study testing [18F]PSMA-PET and MRI sequences optimized for prostate cancer examinations in people with Prostate Cancer, run by Region Västerbotten at 2 sites in Sweden.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial 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 more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer
What is being tested?
[18F]PSMA-PET and MRI sequences optimized for prostate cancer examinations
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
2 sitesSweden
Study dates
14 Oct 2024to Dec 2031
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed prostate cancer planned to be treated with radical prostatectomy
  • PSMA-PET/CT conducted as part of the clinical management for the existing prostate cancer.
  • ≥4 weeks since last biopsy of the prostate
  • One or more of the following criteria
  • cT3, or high suspicion of extra prostatic growth on mpMRI
  • Gleason score ≥8
Show all 9Show fewer
  • PSA 20-49 ng/ml
  • >18 years
  • Given a written consent to participate in the trial

Who cannot join

  • Non-MR-safe implants or another contraindication to MRI or PET
  • Claustrophobia
  • Unfit for MRI or PET/MRI examination for any other reason, e.g., back pain
  • WHO PS >1
  • Patients treated with neoadjuvant/concomitant anti-testosterone treatment (surgical or medical castration or anti-androgens)
  • TUR-P within 6 months
Show all 10Show fewer
  • Metastatic disease in skeleton, parenchymal organs, or lymph nodes outside the pelvis.
  • 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.
  • Creatinine clearance < 30ml/min (acc. to http://www.fass.se/LIF/produktfakta-/kreatinin.jsp)
  • Tinnitus or severe hearing loss

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Camilla Thellenberg Karlsson, MD, PhD contact

+46907850000

camilla.thellenberg@umu.se

Tufve Nyholm, PhD contact

+46907850000

tufve.nyholm@umu.se

Sweden2 sites, 2 recruiting
  • Region Skåne

    Malmö

    Adalsteinn Gunnlaugsson, MD, PhD, +46 46 17 10 00, adalsteinn.gunnlaugsson@skane.se

    Recruiting
  • Region Västerbotten

    Umeå

    Camilla Thellenberg Karlsson, +46 907850000, camilla.thellenberg@umu.se

    Recruiting

Other trials in Sweden

About this study

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.

Conditions
Prostate Cancer
Being tested
[18F]PSMA-PET, MRI sequences optimized for prostate cancer examinations
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • [18F]PSMA-PETDrug

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

  • MRI sequences optimized for prostate cancer examinationsDevice

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

Study groups in NCT06565247
Study groupRoleWhat they receive
Pre-surgical imaging of high-risk prostate cancer using [18F]PSMA-PET/mpMRI or mpMRIExperimentalOne-time pre-surgical imaging using [18F]PSMA-PET/mpMRI (at Umea University Hosptial) or mpMRI (at Skåne University Hospital)
Receives: Drug: [18F]PSMA-PET; Device: MRI sequences optimized for prostate cancer examinations

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: 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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2024
  2. Study start14 Oct 2024
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06565247
Sponsor's protocol ID
PAMP2
Other IDs
CIV-23-04-042756, 2022-501892-14-00
Status last verified
Mar 2025
First submitted
19 Aug 2024
Last updated
4 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing [18F]PSMA-PET and MRI sequences optimized for prostate cancer examinations in people with Prostate Cancer, run by Region Västerbotten at 2 sites in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 4 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Camilla Thellenberg Karlsson, MD, PhD (+46907850000, camilla.thellenberg@umu.se), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Accuracy of PSMA-PET and mpMRI for identification and delineation of intraprostatic lesions (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). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2025.

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