Cu-64-PSMA-I&T Positron Emission Tomography (PET) Imaging of Metastatic PSMA Positive Lesions in Men With Prostate Cancer

Study Overview
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Brief Summary
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This is a prospective, open-label Phase 2 study to evaluate copper Cu 64 PSMA I&T injection for PET/CT imaging in patients with recurrent metastatic prostate cancer after radical prostatectomy or radiation therapy.

Detailed Description
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The study will include a group of 26 patients with metastatic prostate cancer. Each patient will be administered a 7-9 mCi intravenous dose of copper Cu 64 PSMA I&T injection. PET/CT images will be acquired for all patients at 1 hour ± 15 minutes and 4 hours ± 30 minutes post copper Cu 64 PSMA I&T injection. The PET/CT images will be interpreted independently by three readers blinded to all patient information. Each patient study will be assessed and scored for the detection of prostate cancer. Specifically, each reader will categorize images as Disease or No Disease based only on tumor uptake of copper Cu 64 PSMA-I&T in each of the four regions: 1) prostate bed or prostate gland, 2) lymph nodes (pelvic and extra pelvic), 3) bone, and 4) viscera/soft tissue. Analysis of the reads will be used for determination of the CLR and CDR for 1 hour and 4-hour post-injection imaging of copper Cu 64 PSMA I&T PET/CT by comparison to the Composite Reference Standard.

Official Title
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A Multi-Center, Open-Label, Randomized Phase 2 Study of Copper Cu 64 PSMA I&T Injection in Patients With Histologically Proven Metastatic Prostate Cancer

Conditions
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Metastasis From Malignant Tumor of Prostate (Disorder)

Intervention / Treatment
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* Drug: 64Cu-PSMA I&T


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with histologically proven prostate adenocarcinoma. Prior radical prostatectomy or radiation therapy with curative intent. Recurrence of disease defined as: Prior Radical Prostatectomy: PSA > 0.2 ng/mL, or Prior Radiation Therapy: 2 ng/mL rise in PSA over post-treatment nadir Patients with at least one extraprostatic site of disease suspected based on prior imaging or diagnosed by biopsy. Age greater than or equal to 18 years. Able to understand and provide signed written informed consent. Exclusion Criteria: Androgen deprivation therapy (ADT) or other therapies targeting the androgen pathway, unless subject has a rising PSA level. Body weight greater than 350 lb (158 kg). Investigational therapy within the past 30 days. Creatinine clearance (ClCr) less than 30 mL/min. Participants who are capable of fathering a child and who are unwilling to take precautions to prevent pregnancy.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Diagnostic Imaging with 64Cu-PSMA-I&T<br>64Cu-PSMA I&T | Drug: 64Cu-PSMA I&T<br>* Radiolabeled Receptor-Targeted Diagnostic Product<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Region-Level Correct Localization Rate (CLR) | To determine the region-level correct localization rate (CLR) of copper Cu 64 PSMA I&T injection PET/CT imaging for the detection of recurrent metastatic prostate cancer at 1 hour and 4 hours post injection. The CLR is defined as the percentage of regions containing at least one true PET positive lesion, with exactly localized correspondence between PET/CT imaging and the Composite Reference Standard regardless of any co-existent false positive findings, within the same region, out of all regions containing at least one PET positive finding. | 4 Hours | 
| Patient-Level Correct Detection Rate (CDR) | To determine the patient-level correct detection rate (CDR) of copper Cu 64 PSMA I&T injection PET/CT imaging for the detection of recurrent metastatic prostate cancer at 1 hour and 4 hours post injection. The CDR is defined as the percentage of patients who have at least one true PET positive lesion, with exactly localized correspondence between PET imaging and the Composite Reference Standard, regardless of any co-existent false positive findings, out of all patients who are scanned. | 4 Hours | 
| Incidence of Adverse Events | Adverse events (AEs) will be assessed and graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 | 24 Hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Score of Image Quality | To compare the diagnostic quality of PET/CT images obtained at 1 hour and 4 hours post copper Cu 64 PSMA I&T injection. Image quality score is based on a scale of 0-2 where 0 is not of diagnostic quality and 2 is of best diagnostic quality. | 4 Hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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PSMA, Prostate Cancer, PET, SOLAR, Cu-64 PSMA