Molecular theranostics for metastatic prostate cancer: PSMA, FAPI, or both?

2024-511104-16-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 40
Countries 1
Sites 1

Prostate cancer

Evaluate the lesion-specific expression of prostate-specific membrane antigen (PSMA) and fibroblast activation-protein (FAP) in metastatic prostate cancer

Key facts

Sponsor
Turku University Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Male Urogenital Diseases [C12]
Decision date (initial)
2024-02-28
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-511104-16-00
EudraCT number
2022-003788-13

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

Evaluate the lesion-specific expression of prostate-specific membrane antigen (PSMA) and fibroblast activation-protein (FAP) in metastatic prostate cancer

Conditions and MedDRA coding

Prostate cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Men with histologically confirmed prostate cancer
  2. Age 50-85 years at baseline
  3. WHO performance score 0-2
  4. At least one distant metastasis detected on CT, MRI, bone scintigraphy (BS) or single-photon emission computed tomography (SPECT) imaging
  5. All previous treatment lines are allowed
  6. Patient signs informed consent form after receiving written information

Exclusion criteria 2

  1. Patient is not able to understand the purpose of the study
  2. Medical conditions prohibiting whole-body PET/CT imaging

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The proportion of subject with PSMA- and/or FAPI-positive metastases and number of metastases

Secondary endpoints 2

  1. The proportion of detected metastasis with 18F-FAPI-74 PET/CT compared to the 18F-DCFPyL PET/CT
  2. The sensitivity, specificity, accuracy, and area under the receiver-operating characteristic curve (AUC) values of 18F-DCFPyL PET/CT and 18F-FAPI-74 PET/CT in detecting metastatic subjects

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[18FFAPI-74

PRD10896779 · Product

Active substance
[AL18FFFAPI-74
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
250 MBq megabecquerel(s)
Max total dose
250 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
VARSINAIS-SUOMEN HYVINVOINTIALUE
Paediatric formulation
No
Orphan designation
No

Comparator 1

18F-DCFPyL CURIUM, 1000 MBq/mL solution for injection

PRD10312835 · Product

Active substance
Piflufolastat (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
333 MBq megabecquerel(s)
Max total dose
333 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V09IX16 — -
Marketing authorisation
NA
MA holder
CURIUM PET FRANCE
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Turku University Hospital

15 Total trials 6 Recruiting
Academic / Non-commercial
Sponsor organisation
Turku University Hospital
Address
Kiinamyllynkatu 4-8
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Turku University Hospital
Contact name
PET-keskus

Public contact point

Organisation
Turku University Hospital
Contact name
PET-keskus

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 40 1
Rest of world 0

Investigational sites

Finland

1 site · Authorised, recruitment pending
Turku University Hospital
Department of Oncology and FICAN West Cancer Centre, Kiinamyllynkatu 4-8, 20520, Turku

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-10 Finland Acceptable
2024-02-26
2024-02-28