Bone Metastases, Prostate Cancer Metastatic
Conditions
Brief summary
The purpose of this study is to investigate the applicability of urokinase plasminogen activator receptor (uPAR) Positron Emission Tomography (PET) / CT molecular imaging in patients with metastatic castration-resistant prostate cancer (mCRPC)
Detailed description
68Ga-NOTA-AE105 is a radioligand targeting urokinase plasminogen activator receptor (uPAR), which is a promising imaging biomarker of tumor aggressiveness. 68Ga-NOTA-AE105 PET/CT will be applied in patients with mCRPC during treatment with Radium-223. PET/CT will be performed before initiation of Radium therapy and after two treatment cycles. The initial semiquantitative uptake (standard uptake values, SUVs) of 68Ga-NOTA-AE105 in metastases as well as the change in these parameters after therapy will be correlated with overall survival and progression free survival.
Interventions
Following injection of 68Ga-NOTA-AE105 the patients will be subjected to whole body PET/CT
Whole body PET/CT
Sponsors
Study design
Eligibility
Inclusion criteria
* Metastatic castration resistant prostate cancer * Approved to receive Radium-223 therapy * Written and oral consent
Exclusion criteria
* Lack of communication skills * Other known malignant disease * Known allergy towards IMP * Severe claustrophobia * If a participant exhibits allergic reaction i the IMP, the participant will be excluded from further participation in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| uPAR PET/CT imaging | 1 hour post injection | Standard uptake values (SUVs) of 68Ga-NOTA-AE105 evaluated on uPAR-PET/CT scan performed within 1 hour following injection of 68Ga-NOTA-AE105 |
| Change in uPAR PET/CT after two cycles of Radium-223 | 8 weeks | Change in Standard uptake values (SUVs) of 68Ga-NOTA-AE105 evaluated on uPAR-PET/CT scan performed after 2 cycles of Radium-223 therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| uPAR PET/CT as prognostic factor for overall survival | 12 months | Patients will be followed for 12 months after uPAR PET/CT |
| uPAR PET/CT as prognostic factor for progression free survival | 12 months | Patients will be followed for 12 months after uPAR PET/CT |
Countries
Denmark