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PSMA-PET Guided Radiotherapy
Sponsor: Centre hospitalier de l'Université de Montréal (CHUM)
Summary
PSMA PET/CT has demonstrated higher sensitivity in detecting metastases than current imaging standard of care (CT and bone scan). \[18F\]DCFPyL is a promising high-sensitivity second generation PSMA-targeted urea-based PET probe. The hypothesis is that definitive radiotherapy (RT) informed by PSMA-PET findings will lead to improved cancer control outcomes compared to RT guided by conventional staging only. This study utilizes cmRCT design in companion to PERA (Partnership initiative for the Evaluation of technological innovation in Radiotherapy).
Official title: PSMA-PET Guided Radiotherapy in Patients With High-Risk, Recurrent, or Oligometastatic Prostate Cancer
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
130
Start Date
2018-05-15
Completion Date
2027-05-30
Last Updated
2025-03-13
Healthy Volunteers
No
Conditions
Interventions
PSMA -PET/CT simulation
* PET/CT simulation. * If no additional lesions detected: RT as planned per standard care. * If PSMA-PET/CT imaging consistent with oligometastases (1-5 lesions): all lesions must be treated with definitive RT. * If PSMA-PET/CT imaging consistent with widely metastatic disease (\>5 lesions): treatment of all detected disease with RT is not recommended, but treatment of the primary site as initially planned is encouraged.
Standard-care simulation
No PSMA-PET/CT as part of RT treatment planning.
Locations (3)
CSSSL - Cité de la Santé Laval
Laval, Quebec, Canada
Centre Hospitalier de l'Université de Montréal
Montreal, Quebec, Canada
CHU de Québec
Québec, Quebec, Canada