PSMA-PET Registry for Recurrent Prostate Cancer
Recurrent Prostate CancerThis study aims to institute a province-wide registry leveraging the availability of a new Positron Emission Tomography tracer, \[18F\]-DCFPyL and PET expertise across Ontario centers to improve our ability to characterize patterns of recurrence and personalize therapies in men with recurrent prostate cancer after primary treatment.
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Conditions de participation
-
Sexe:
MALE -
Âges admissibles:
18 and up
Critères de participation
Phase 2
Inclusion Criteria:
1. Written informed consent obtained
2. Male, Age ≥ 18 years
3. Prior primary treatment for prostate cancer with curative intent such as radical prostatectomy or radiotherapy for localized prostate cancer. Unless PET/CT requested as part of Cohort 7.
4. Suspected persistent or recurrent disease defined as one of the following (unless PET/CT requested as part of Cohort 7):
1. High risk disease at the time of radical prostatectomy characterized by pathologically involved node(s) or persistently detectable PSA (\>0.1ng/ml) within 3 months post-surgery
2. Primary treatment for prostate cancer and biochemical failure (BF) with current management according to the following:
i. Following primary radical prostatectomy, BF is defined as rising PSA on at least 2 occasions measured at least 1 month apart and with the most recent PSA measured at \>0.1 ng/ml
ii. Following primary radiotherapy for localized disease, BF is defined according to the Phoenix Definition, which is rising PSA on at least 2 occasions measured at least 1 month apart and with the most recent PSA measured greater than the nadir PSA + 2.0 ng/ml
5. Patient scenario falls into one of the 7 pre-defined cohorts. When patient scenario falls outside cohorts 1-6 participation in the Registry must be approved through the established CCO adjudication process for Cohort 7.
6. Karnofsky performance status 70 or better (ECOG 0, 1).
7. If PSA \>10 mg/mL, conventional imaging consisting of bone scan and abdo-pelvic CT scan within 3 months of registration that is either equivocal, negative (no lesions) or positive for oligometastatic disease (4 or fewer unequivocal lesions identified).
Exclusion Criteria:
1. Prostate cancer with significant sarcomatoid or spindle cell or neuroendocrine small cell components.
2. Prior PSMA PET scan within 6 months of enrollment.
3. Patient cannot lie still for at least 60 minutes or comply with imaging.
4. Patients falling outside of Cohorts 1-6 where independent adjudication by CCO does not support participation in the Registry.
Lieu de l'étude
London Health Sciences Centre
London Health Sciences CentreLondon, Ontario
Canada
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Princess Margaret Cancer Centre, University Health Network
Princess Margaret Cancer Centre, University Health NetworkToronto, Ontario
Canada
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St. Joseph's Healthcare Hamilton
St. Joseph's Healthcare HamiltonHamilton, Ontario
Canada
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Toronto Sunnybrook Cancer Centre
Toronto Sunnybrook Cancer CentreToronto, Ontario
Canada
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The Ottawa Hospital, General Campus
The Ottawa Hospital, General CampusOttawa, Ontario
Canada
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Thunder Bay Regional Health Sciences Centre
Thunder Bay Regional Health Sciences CentreThunder Bay, Ontario
Canada
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- Étude parrainée par
- London Health Sciences Centre Research Institute and Lawson Research Institute of St. Joseph's
- Participants recherchés
- Plus d'informations
- ID de l'étude:
NCT03718260