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NCT03739684 · CITED IN SOURCE DOCUMENTS

Study of 18F-DCFPyL PET/CT Imaging in Patients With Suspected Recurrence of Prostate Cancer

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE3
Status at capture
COMPLETED
Registry last update
2021-06-14

This study evaluates the diagnostic performance and safety of 18F-DCFPyL (PyL) PET/CT imaging in patients with suspected recurrence of prostate cancer who have negative or equivocal findings on conventional imaging.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Male \>/= 18 years of age * Histopathologically confirmed prostate adenocarcinoma per original diagnosis, with subsequent definitive therapy * Suspected recurrence of prostate cancer based on rising PSA after definitive therapy on the basis of: 1. Post-radical prostatectomy: Detectable or rising PSA that is ≥ 0.2 ng/mL with a confirmatory PSA ≥ 0.2 ng/mL (American Urological Association \[AUA\]); or 2. Post-radiation therapy, cryotherapy, or brachytherapy: Increase in PSA level that is elevated by ≥ 2 ng/mL above the nadir (American Society for Therapeutic Radiology and Oncology \[ASTRO\]-Phoenix) * Negative or equivocal findings for prostate cancer on conventional imaging performed as part of standard of care workup within 60 days prior to Day 1 * Life expectancy ≥6 months as determined by the investigator * Able and willing to provide informed consent and comply with protocol requirements Exclusion Criteria: * Subjects administered any high energy (\>300 KeV) gamma-emitting radioisotope within five (5) physical half-lives prior to Day 1 * Ongoing treatment with any systemic therapy (e.g. ADT, antiandrogen, GnRH, LHRH agonist or antagonist) for prostate cancer * Treatment with ADT in the past 3 months of Day 1 * Receipt of investigational therapy for prostate cancer within 60 days of Day 1 * Subjects with any medical condition or other circumstances that, in the opinion of the investigator, compromise the safety or compliance of the subject to produce reliable data or completing the study
gender Based
true
gender Description
Only males subjects will be enrolled in this study.
healthy Volunteers
false
minimum Age
18 Years
sex
MALE
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    9 mCi (333 MBq) IV injection of 18F-DCFPyL
    intervention Names
    1. Drug: 18F-DCFPyL
    2. Diagnostic Test: PET/CT Imaging
    label
    18F-DCFPyL Injection
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. 18F-DCFPyL Injection
    description
    A single dose of 9 mCi (333 MBq) IV injection of 18F-DCFPyL
    name
    18F-DCFPyL
    other Names
    1. PyL
    type
    DRUG
  2. arm Group Labels
    1. 18F-DCFPyL Injection
    description
    PET/CT imaging will be acquired 1-2 hours post-PyL injection
    name
    PET/CT Imaging
    type
    DIAGNOSTIC_TEST
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
DIAGNOSTIC
Enrollment
count
208
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    The Correct Localization Rate (CLR) will be defined as percentage of participants with a one-to-one correspondence between localization of at least one lesion identified on 18F-DCFPyL PET/CT imaging and the composite truth standard. Within 60 days following PyL PET/CT imaging, either biopsy/surgery, conventional imaging, or locoregional radiation therapy of the PyL-suspected lesion(s) will be performed.
    measure
    Correct Localization Rate (CLR)
    time Frame
    Within 60 days following 18F-DCFPyL PET/CT imaging.
secondary Outcomes
  1. description
    The change in the intended prostate cancer treatment plan will be based on Medical Management Questionnaires completed prior to and after 18F-DCFPyL PET/CT imaging.
    measure
    Percentage of Participants With a Change in Intended Prostate Cancer Treatment Plans Due to 18F-DCFPyL PET/CT Imaging Results.
    time Frame
    Pre 18F-DCFPyL PET/CT imaging and within 60 days following 18F-DCFPyL PET/CT imaging.
  2. description
    The recorded values and their respective changes from the pre-dose values will be summarized using descriptive statistics.
    measure
    The Change From Pre- to Post- 18F-DCFPyl Dosing in Blood Pressure (Safety Outcome Measure)
    time Frame
    Measured at 2 intervals on the day of dosing; the first interval prior to receiving the 18F-DCFPyL dose and the second interval within 60 to 120 minutes after dosing.
  3. description
    The recorded values and their respective changes from the pre-dose values will be summarized using descriptive statistics.
    measure
    The Change From Pre- to Post- 18F-DCFPyL Dosing in Heart Rate (Safety Outcome Measure)
    time Frame
    Measured at 2 intervals on the day of dosing; the first interval prior to receiving the 18F-DCFPyL dose and the second interval within 60 to 120 minutes after dosing.
  4. description
    Medications will be coded using the WHO drug dictionary. The medications are summarized by ATC level 4 category and presented as number and percentage of participants. Results are presented where the percentage of participants within an ATC level 4 category is \>5.0.
    measure
    Collection of Concomitant Medications (Safety Outcome Measure)
    time Frame
    From the time of 18F-DCFPyL dosing to completion of the follow-up visit at 7 (±3) days after 18F-DCFPyL dosing.
  5. description
    Procedures will be coded using the same version of MedDRA as for medical history. Medical procedures will be displayed as a listing by participant.
    measure
    Collection of Medical Procedures (Safety Outcome Measure)
    time Frame
    From the time of 18F-DCFPyL dosing to completion of the follow-up visit at 7 (±3) days after 18F-DCFPyL dosing.
Full study description
brief Summary
This study evaluates the diagnostic performance and safety of 18F-DCFPyL (PyL) PET/CT imaging in patients with suspected recurrence of prostate cancer who have negative or equivocal findings on conventional imaging.
Source references
references
  1. citation
    Agarwal G, Sangwan K. FDA-Approved Radiopharmaceuticals in Oncologic PET Imaging: Current Status and Clinical Impact. Am J Clin Oncol. 2026 Mar 4. doi: 10.1097/COC.0000000000001314. Online ahead of print.
    pmid
    41806372
    type
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    Preserved source evidence · Not medical advice