NCT03582774

Brief Summary

This phase III trial studies how well Gallium Ga 68-labeled PSMA-11 (68Ga-PSMA-11) positron emission tomography (PET)/computed tomography (CT) works in diagnosing participants with prostate cancer that has come back after surgery. 68Ga-PSMA-11 are taken up by cancer cells. Diagnostic procedures, such as PET/CT scans, may help find and diagnose prostate cancer and find out how far the disease has spread. Giving 68Ga-PSMA-11 with PET/CT may help doctors plan better for salvage radiation therapy in participants with recurrent prostate cancer.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
193

participants targeted

Target at P25-P50 for phase_3

Timeline
15mo left

Started Jul 2018

Longer than P75 for phase_3

Geographic Reach
1 country

2 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress87%
Jul 2018Jul 2027

First Submitted

Initial submission to the registry

June 19, 2018

Completed
22 days until next milestone

First Posted

Study publicly available on registry

July 11, 2018

Completed
1 day until next milestone

Study Start

First participant enrolled

July 12, 2018

Completed
8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 12, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

July 12, 2027

Last Updated

May 13, 2025

Status Verified

May 1, 2025

Enrollment Period

8 years

First QC Date

June 19, 2018

Last Update Submit

May 9, 2025

Conditions

Keywords

PSMAPET/CTsalvage radiation therapyrandomized trial

Outcome Measures

Primary Outcomes (1)

  • Success rate of salvage radiation therapy (SRT)

    Will be measured as biochemical progression-free survival after initiation of SRT. Will use a log rank test to compare progression free survival time between the two randomized treatment arms.

    From date of initiation of SRT assessed up to 5 years

Secondary Outcomes (4)

  • Biochemical progression-free survival rate

    From date of randomization assessed up to 5 years

  • Metastasis free survival

    Up to 5 years

  • Initiation of additional salvage therapy after completion of SRT

    Up to 5 years

  • Change in initial treatment intent

    Up to 5 years

Study Arms (2)

Arm I (standard of care)

ACTIVE COMPARATOR

Participants receive standard of care SRT.

Other: Best Practice

Arm II (68Ga-PSMA-11 PET/CT)

EXPERIMENTAL

Participants receive 68Ga-PSMA-11 IV and 50-100 minutes later undergo whole-body (skull base to mid-thighs) PET/CT. Participants then undergo SRT per the discretion of the treating radiation oncologist.

Procedure: Computed TomographyRadiation: Gallium Ga 68-labeled PSMA-11Procedure: Positron Emission Tomography

Interventions

Undergo standard of care

Also known as: standard of care, standard therapy
Arm I (standard of care)

Undergo PET/CT

Also known as: CAT, CAT Scan, Computerized Axial Tomography, Computerized Tomography, CT, CT Scan, tomography
Arm II (68Ga-PSMA-11 PET/CT)

Given IV

Also known as: (68)Ga labeled Glu-NH-CO-NH-Lys(Ahx)-HBED-CC, (68)Ga-labeled Glu-urea-Lys(Ahx)-HBED-CC, (68)Ga-PSMA Ligand Glu-urea-Lys(Ahx)-HBED-CC, (68)Gallium-PSMA Ligand Glu-urea-Lys(Ahx)-HBED-CC, (68Ga)Glu-urea-Lys(Ahx)-HBED-CC, 68Ga-DKFZ-PSMA-11, 68Ga-HBED-CC-PSMA, 68Ga-labeled Glu-NH-CO-NH-Lys(Ahx)-HBED-CC, 68Ga-PSMA, 68Ga-PSMA-11, 68Ga-PSMA-HBED-CC, [68Ga] Prostate-specific Membrane Antigen 11, [68Ga]GaPSMA-11, Ga PSMA, Ga-68 labeled DKFZ-PSMA-11, Ga-68 labeled PSMA-11, Gallium Ga 68 PSMA-11, Gallium-68 PSMA, Gallium-68 PSMA Ligand Glu-urea-Lys(Ahx)-HBED-CC, GaPSMA, PSMA-HBED-CC GA-68
Arm II (68Ga-PSMA-11 PET/CT)

Undergo PET/CT

Also known as: Medical Imaging, Positron Emission Tomography, PET, PET Scan, Positron Emission Tomography Scan, Positron-Emission Tomography, proton magnetic resonance spectroscopic imaging
Arm II (68Ga-PSMA-11 PET/CT)

Eligibility Criteria

Sexmale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Histopathology proven prostate cancer.
  • Planned SRT for recurrence after primary prostatectomy.
  • Prostate-specific antigen (PSA) \>= 0.1 ng/ml at time of enrollment.
  • Willingness to undergo radiotherapy.
  • Treating radiation oncologist intends to incorporate 68Ga-PSMA-11 PET/CT findings into the radiotherapy plan if patient undergoes 68Ga-PSMA-11 PET/CT.

You may not qualify if:

  • Extra-pelvic metastasis on any imaging or biopsy.
  • Androgen deprivation therapy (ADT) within 3 months before 68Ga-PSMA-11 PET/CT.
  • Contraindications to radiotherapy (including active inflammatory bowel disease).
  • Concurrent systemic therapy for prostate cancer with investigational agents.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

UCLA / Jonsson Comprehensive Cancer Center

Los Angeles, California, 90095, United States

Location

UCSF Medical Center-Mount Zion

San Francisco, California, 94115, United States

Location

Related Publications (2)

  • Calais J, Armstrong WR, Kishan AU, Booker KM, Hope TA, Fendler WP, Elashoff D, Nickols NG, Czernin J. Update from PSMA-SRT Trial NCT03582774: A Randomized Phase 3 Imaging Trial of Prostate-specific Membrane Antigen Positron Emission Tomography for Salvage Radiation Therapy for Prostate Cancer Recurrence Powered for Clinical Outcome. Eur Urol Focus. 2021 Mar;7(2):238-240. doi: 10.1016/j.euf.2020.12.009. Epub 2020 Dec 30.

  • Calais J, Czernin J, Fendler WP, Elashoff D, Nickols NG. Randomized prospective phase III trial of 68Ga-PSMA-11 PET/CT molecular imaging for prostate cancer salvage radiotherapy planning [PSMA-SRT]. BMC Cancer. 2019 Jan 7;19(1):18. doi: 10.1186/s12885-018-5200-1.

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Practice Guidelines as TopicStandard of Caregallium 68 PSMA-1168Ga-DKFZ-PSMA-11Magnetic Resonance Spectroscopy

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Guidelines as TopicQuality Assurance, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationQuality Indicators, Health CareSpectrum AnalysisChemistry Techniques, AnalyticalInvestigative Techniques

Study Officials

  • Jeremie Calais

    UCLA / Jonsson Comprehensive Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 19, 2018

First Posted

July 11, 2018

Study Start

July 12, 2018

Primary Completion (Estimated)

July 12, 2026

Study Completion (Estimated)

July 12, 2027

Last Updated

May 13, 2025

Record last verified: 2025-05

Locations