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11C- and 18F-Choline PET/MR Imaging for Prostate Cancer

Phase 2 Study of 11C- and 18F-Choline PET/MR Imaging in Patients With Unfavorable Intermediate to High-Risk Prostate Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02397408
Enrollment
18
Registered
2015-03-25
Start date
2015-04-09
Completion date
2015-06-30
Last updated
2020-11-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

Brief summary

This phase II trial studies how well 11C-choline (carbon C 11 choline) and 18F-choline (fluorine F 18 choline) positron emission tomography/magnetic resonance (PET/MR) imaging works in diagnosing patients with unfavorable intermediate to high-risk prostate cancer. Diagnostic procedures, such as 11C- and 18F-choline PET/MR may help find and diagnose prostate cancer and find out how far the disease has spread.

Detailed description

PRIMARY OBJECTIVES: I. To assess the ability of 11C- and 18F-choline PET/MR to detect and localize prostate cancer within the prostate gland. SECONDARY OBJECTIVES: I. To assess the ability of 11C- and 18F-choline PET/MR to detect the specific location of metastatic prostate cancer within pelvic lymph node regions in patients undergoing radical prostatectomy and extended pelvic lymph node dissection. II. To assess the comparative performance of 11C- and 18F-choline PET/MR to already available imaging scans (bone scan, sodium fluoride positron emission tomography/computed tomography \[NaF PET/CT\], multiparametric1H magnetic resonance imaging \[MRI\], and/or pelvic CT scans) for detecting and localization of disease within the prostate, lymph nodes, and distant metastatic sites. III. To determine the temporal distribution of 11C- and 18F-choline radiotracer in patients. The tissue uptake, retention, and clearance will be determined. EXPLORATORY OBJECTIVES: I. To compare regions of uptake on the 11C- and 18F-choline PET/MR to that on the sentinel lymph node imaging scans in patients undergoing sentinel lymph node-guided extended pelvic lymph node dissection. OUTLINE: Patients undergo 11C- and 18F-choline whole-body PET/MR imaging. After completion of study treatment, patients are followed up for 3 hours

Interventions

DRUGCarbon C 11 Choline

Given intravenously (IV) prior to imaging

DRUGFluorine F 18 Choline

Given intravenously (IV) prior to imaging

PROCEDUREPositron Emission Tomography (PET) / Magnetic Resonance Imaging (MRI)

Undergo whole-body PET/MR imaging

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
University of California, San Francisco
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age: Patients must be \>=18 years of age * Diagnosis: Patients must have a diagnosis of prostate cancer by histologic verification and a hypoechoic lesion seen on ultrasound. * Disease Status: Unfavorable intermediate to high-risk prostate cancer, per the Cancer of the Prostate Risk Assessment Score (CAPRA) (CAPRA 5-10) * Karnofsky Performance Status \>=70 * Metastatic workup: Whole Body Sodium Fluoride (NaF) PET/CT or 99mTc Bone Scan * Planned to undergo radical prostatectomy and extended pelvic lymph node dissection * Adequate bone marrow and organ function defined as follows: * Adequate bone marrow function: * Leukocytes \>= 3,000/microliter (mcL) * Absolute Neutrophil Count \>= 1,500/mcL * Platelets \>= 100,000/mcL * Adequate hepatic function: * Total bilirubin - within normal institutional limits * Aspartate aminotransferase (AST)/ serum glutamic-oxaloacetic transaminase (SGOT) \<= 2.5 X institutional upper limit of normal * Alanine aminotransferase (ALT)/serum glutamic-pyruvic transaminase (SGPT) \<= 2.5 X institutional upper limit of normal * Adequate renal function: * Creatinine - within normal institutional limits OR * Creatinine clearance \>= 60 mL/min/ 1.73m2 for patients with creatinine levels above institutional normal * Ability to understand a written informed consent document, and the willingness to sign it

Exclusion criteria

* Participation would significantly delay the scheduled standard of care therapy * Karnofsky performance status of \< 60 * Inadequate venous access * Administered a radioisotope within 5 physical half lives prior to study enrollment * Have a medical condition or other circumstances which, in the opinion of the investigator would significantly decrease the chances of obtaining reliable data, achieving the study objectives, or completing the study.

Design outcomes

Primary

MeasureTime frameDescription
Correlation of SUVmax of Primary Tumors With SUVavgDay 1A spearman rank correlation test was performed to test the correlation of SUVmax with SUVavg. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Correlation of K1 of Primary Tumors With K1maxDay 1A spearman rank correlation test was performed to test the correlation of K1 with K1max. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Correlation of K1 of Primary Tumors With Average Standardized Uptake Value (SUVavg)Day 1A spearman rank correlation test was performed to test the correlation of K1 with the SUVavg of primary tumors. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Correlation of K1max of Primary Tumors With SUVmaxDay 1A spearman rank correlation test was performed to test the correlation of K1max with SUVmax. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Correlation of K1max of Primary Tumors With SUVavgDay 1A spearman rank correlation test was performed to test the correlation of K1max with SUVavg. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Mean Kinetic Parameters Reflecting Fluorocholine (FCH) Fluorine 18 FCH (F-18) Influx (K1)Day 1The average K1 values of primary tumors will be reported along with the standard deviation
Mean Maximum Kinetic Parameters Reflecting F-18 Influx (K1max)Day 1The K1max values of primary tumors will be reported along with the standard deviation
Average Standardized Uptake Value (SUVavg)Day 1The SUVavg values of primary tumors will be reported along with the standard deviation. Typically, a standardized uptake value (SUV), a quantity that incorporates the patient's size and the injected dose, that is more than 2.0 is considered to be suggestive of malignancy
Mean of the Standardized Uptake Value (SUVmax)Day 1The SUVmax values of primary tumors will be reported along with the standard deviation. Typically, a standardized uptake value (SUV), a quantity that incorporates the patient's size and the injected dose, that is more than 2.0 is considered to be suggestive of malignancy.
Sensitivity of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) ImagingDay 1Sensitivity (True Positive Rate, TPR) measures the ability of a 11C- and 18F-Choline PET/MR Imaging for Prostate Cancer to correctly identify patient status as respectively diseased or non-dis- eased and is reported as a percentage ranging from 0 -100 with higher percentages indicating a higher sensitivity to identify the prostate cancer using SUVmax . The sensitivity of the combined PET and MR imaging for prediction of pathologic extraprostatic extension will be reported.
Specificity of of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) ImagingDay 1Specificity (True Negative Rate) measures the ability of a 11C- and 18F-Choline PET/MR Imaging for Prostate Cancer to correctly identify patient status as respectively diseased or non-dis- eased and is reported as a percentage ranging from 0 -100 with higher percentages indicating a higher specificity to identify the prostate cancer using SUVmax. The specificity of the combined PET and MR imaging for prediction of pathologic extraprostatic extension will be reported.

Secondary

MeasureTime frameDescription
Correlation of SUVmax of Primary Tumors With Pathological StageDay 1The system of pathological staging is developed by the American Joint Committee on Cancer (AJCC) and is divided into 5 stages: stage 0 (zero) and stages I through IV (1 through 4). A spearman rank correlation test was performed to test the correlation of SUVmax with a patient's baseline pathological stage. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Correlation of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) ScoresAfter surgery, Up to 6 monthsThe CAPRA is a 5 item questionnaire completed by the clinicians with a total score range from 0-10 calculated using points assigned to: age at diagnosis, PSA at diagnosis, Gleason score of the biopsy, clinical stage and percent of biopsy cores involved with cancer. A CAPRA score of 0 to 2 indicates low-risk, a score of 3 to 5 indicates intermediate-risk, and a score of 6 to 10 indicates high-risk. A spearman rank correlation test was performed to test the correlation of SUVmax with a patient's CAPRA score after surgery. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.
Comparison of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Score GroupsAfter surgery, Up to 6 monthsThe CAPRA is a 5 item questionnaire completed by the clinicians with a total score range from 0-10 calculated using points assigned to: age at diagnosis, PSA at diagnosis, Gleason score of the biopsy, clinical stage and percent of biopsy cores involved with cancer. A CAPRA score of 0 to 2 indicates low-risk, a score of 3 to 5 indicates intermediate-risk, and a score of 6 to 10 indicates high-risk. A Mann-Whitney U test was performed to compare the SUVmax with patients classified as intermediate-risk and high risk based on their CAPRA Score. Means and standard deviations will be reported.
Correlation of SUVmax of Primary Tumors With Serum Prostate-specific Antigen (PSA) LevelDay 1A spearman rank correlation test was performed to test the correlation of SUVmax with a patients baseline PSA. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Countries

United States

Participant flow

Recruitment details

Patients were recruited from the Division of Radiation Oncology, Division Urological Medical Oncology, and the Division of Urologic Surgical Oncology at the Helen Diller Family Comprehensive Cancer Center at University of California, San Francisco (UCSF) who are planning to undergo radical prostatectomy of definitive radiation therapy.

Participants by arm

ArmCount
Diagnostic 11C- and 18F-choline PET/MR Imaging
Patients are given 370MBq 11C-Choline intravenously and 3MBq/kg 18F-Choline intravenously prior to a whole-body PET/MR imaging
18
Total18

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyPhysician Decision4
Overall StudySurgery not completed within protocol timeframe2

Baseline characteristics

CharacteristicDiagnostic 11C- and 18F-choline PET/MR Imaging
Age, Customized
50-59 years old
5 Participants
Age, Customized
60-69 years old
8 Participants
Age, Customized
70-79 years old
5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
Race (NIH/OMB)
White
11 Participants
Region of Enrollment
United States
18 participants
Serum Prostate-Specific Antigen (PSA) Level21.1 nanograms per millilitre (ng/mL)
STANDARD_DEVIATION 18.5
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
18 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 18
other
Total, other adverse events
0 / 18
serious
Total, serious adverse events
0 / 18

Outcome results

Primary

Average Standardized Uptake Value (SUVavg)

The SUVavg values of primary tumors will be reported along with the standard deviation. Typically, a standardized uptake value (SUV), a quantity that incorporates the patient's size and the injected dose, that is more than 2.0 is considered to be suggestive of malignancy

Time frame: Day 1

ArmMeasureValue (MEAN)Dispersion
Choline PET/MRAverage Standardized Uptake Value (SUVavg)6.10 SUVStandard Deviation 1.6
Primary

Correlation of K1max of Primary Tumors With SUVavg

A spearman rank correlation test was performed to test the correlation of K1max with SUVavg. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of K1max of Primary Tumors With SUVavg0.60 Spearman's correlation coefficient (ρ)
Primary

Correlation of K1max of Primary Tumors With SUVmax

A spearman rank correlation test was performed to test the correlation of K1max with SUVmax. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of K1max of Primary Tumors With SUVmax0.65 Spearman's correlation coefficient (ρ)
Primary

Correlation of K1 of Primary Tumors With Average Standardized Uptake Value (SUVavg)

A spearman rank correlation test was performed to test the correlation of K1 with the SUVavg of primary tumors. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of K1 of Primary Tumors With Average Standardized Uptake Value (SUVavg)0.76 Spearman's correlation coefficient (ρ)
Primary

Correlation of K1 of Primary Tumors With K1max

A spearman rank correlation test was performed to test the correlation of K1 with K1max. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of K1 of Primary Tumors With K1max0.86 Spearman's correlation coefficient (ρ)
Primary

Correlation of SUVmax of Primary Tumors With SUVavg

A spearman rank correlation test was performed to test the correlation of SUVmax with SUVavg. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of SUVmax of Primary Tumors With SUVavg0.65 Spearman's correlation coefficient (ρ)
Primary

Mean Kinetic Parameters Reflecting Fluorocholine (FCH) Fluorine 18 FCH (F-18) Influx (K1)

The average K1 values of primary tumors will be reported along with the standard deviation

Time frame: Day 1

ArmMeasureValue (MEAN)Dispersion
Choline PET/MRMean Kinetic Parameters Reflecting Fluorocholine (FCH) Fluorine 18 FCH (F-18) Influx (K1)0.562 K1 (min-1)Standard Deviation 0.201
Primary

Mean Maximum Kinetic Parameters Reflecting F-18 Influx (K1max)

The K1max values of primary tumors will be reported along with the standard deviation

Time frame: Day 1

ArmMeasureValue (MEAN)Dispersion
Choline PET/MRMean Maximum Kinetic Parameters Reflecting F-18 Influx (K1max)0.753 K1 (min-1)Standard Deviation 0.246
Primary

Mean of the Standardized Uptake Value (SUVmax)

The SUVmax values of primary tumors will be reported along with the standard deviation. Typically, a standardized uptake value (SUV), a quantity that incorporates the patient's size and the injected dose, that is more than 2.0 is considered to be suggestive of malignancy.

Time frame: Day 1

ArmMeasureValue (MEAN)Dispersion
Choline PET/MRMean of the Standardized Uptake Value (SUVmax)8.40 SUVStandard Deviation 2.04
Primary

Sensitivity of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) Imaging

Sensitivity (True Positive Rate, TPR) measures the ability of a 11C- and 18F-Choline PET/MR Imaging for Prostate Cancer to correctly identify patient status as respectively diseased or non-dis- eased and is reported as a percentage ranging from 0 -100 with higher percentages indicating a higher sensitivity to identify the prostate cancer using SUVmax . The sensitivity of the combined PET and MR imaging for prediction of pathologic extraprostatic extension will be reported.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRSensitivity of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) Imaging88 percentage of true positives
Primary

Specificity of of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) Imaging

Specificity (True Negative Rate) measures the ability of a 11C- and 18F-Choline PET/MR Imaging for Prostate Cancer to correctly identify patient status as respectively diseased or non-dis- eased and is reported as a percentage ranging from 0 -100 with higher percentages indicating a higher specificity to identify the prostate cancer using SUVmax. The specificity of the combined PET and MR imaging for prediction of pathologic extraprostatic extension will be reported.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRSpecificity of of Combined Positron Emission Tomography (PET) and Magnetic Resonance (MR) Imaging100 percentage of true negatives
Secondary

Comparison of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Score Groups

The CAPRA is a 5 item questionnaire completed by the clinicians with a total score range from 0-10 calculated using points assigned to: age at diagnosis, PSA at diagnosis, Gleason score of the biopsy, clinical stage and percent of biopsy cores involved with cancer. A CAPRA score of 0 to 2 indicates low-risk, a score of 3 to 5 indicates intermediate-risk, and a score of 6 to 10 indicates high-risk. A Mann-Whitney U test was performed to compare the SUVmax with patients classified as intermediate-risk and high risk based on their CAPRA Score. Means and standard deviations will be reported.

Time frame: After surgery, Up to 6 months

ArmMeasureGroupValue (MEAN)Dispersion
Choline PET/MRComparison of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Score GroupsIntermediate Risk Group9.53 SUVmaxStandard Deviation 1.48
Choline PET/MRComparison of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Score GroupsHigh Risk Group6.24 SUVmaxStandard Deviation 1.26
p-value: <0.008Wilcoxon (Mann-Whitney)
Secondary

Correlation of SUVmax of Primary Tumors With Pathological Stage

The system of pathological staging is developed by the American Joint Committee on Cancer (AJCC) and is divided into 5 stages: stage 0 (zero) and stages I through IV (1 through 4). A spearman rank correlation test was performed to test the correlation of SUVmax with a patient's baseline pathological stage. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of SUVmax of Primary Tumors With Pathological Stage0.59 Spearman rank correlation coefficient (p
Secondary

Correlation of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Scores

The CAPRA is a 5 item questionnaire completed by the clinicians with a total score range from 0-10 calculated using points assigned to: age at diagnosis, PSA at diagnosis, Gleason score of the biopsy, clinical stage and percent of biopsy cores involved with cancer. A CAPRA score of 0 to 2 indicates low-risk, a score of 3 to 5 indicates intermediate-risk, and a score of 6 to 10 indicates high-risk. A spearman rank correlation test was performed to test the correlation of SUVmax with a patient's CAPRA score after surgery. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: After surgery, Up to 6 months

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of SUVmax of Primary Tumors With Post-surgical Cancer of the Prostate Risk Assessment (CAPRA) Scores0.72 Spearman rank correlation coefficient (p
Secondary

Correlation of SUVmax of Primary Tumors With Serum Prostate-specific Antigen (PSA) Level

A spearman rank correlation test was performed to test the correlation of SUVmax with a patients baseline PSA. Spearman's correlation coefficient (ρ) determines the strength and direction of the monotonic relationship between two variables. The Spearman correlation coefficient is reported in values from +1 to -1. A ρ= +1 indicates a perfect association of ranks, a ρ = zero indicates no association between ranks and a ρ = -1 indicates a perfect negative association of ranks. The closer ρ is to zero, the weaker the association between the ranks.

Time frame: Day 1

ArmMeasureValue (NUMBER)
Choline PET/MRCorrelation of SUVmax of Primary Tumors With Serum Prostate-specific Antigen (PSA) Level0.71 Spearman rank correlation coefficient (p

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026