Biochemical Recurrence of Malignant Neoplasm of Prostate
Conditions
Brief summary
The aim of this study is to determine the safety and efficacy of 64Cu-SAR-BBN and determine the ability of 64Cu-SAR-BBN Positron emission tomography (PET)/computed tomography (CT) to correctly detect the recurrence of prostate cancer in participants with prostate-specific membrane antigen (PSMA)-negative biochemical recurrence of prostate cancer following definitive therapy.
Detailed description
Participants with biochemical evidence of recurrence of prostate cancer (PC) were evaluated with 64Cu-SAR-BBN PET/CT (Day 0 and Day 1) and by conventional methodologies up to 180 days later (e.g., histopathology/biopsy, conventional imaging, prostate specific antigen \[PSA\] reduction post focal salvage therapy or radiotherapy with no concomitant androgen deprivation therapy). Three independent, central readers blinded to the participant number, the time of the PET/CT scan, and the results of the conventional methodologies, assessed the 64Cu-SAR-BBN PET/CT. Three separate independent readers assessed the results of the conventional methodologies.
Interventions
64Cu-SAR-BBN
Sponsors
Study design
Eligibility
Inclusion criteria
1. At least 18 years of age. 2. Signed informed consent. 3. Life expectancy ≥ 12 weeks as determined by the Investigator. 4. Histologically confirmed adenocarcinoma of prostate per original diagnosis and completed subsequent definitive therapy. 5. Suspected recurrence of PC based on rising PSA after definitive therapy on the basis of: 1. Post-radical prostatectomy: Detectable or rising PSA that is ≥ 0.2 ng/mL with a confirmatory PSA ≥ 0.2 ng/mL (per American Urological Association recommendation) or 2. Post-radiation therapy, cryotherapy, or brachytherapy: Increase in PSA level that is elevated by ≥ 2 ng/mL above the nadir (per American Society for Therapeutic Radiology and Oncology-Phoenix consensus definition). 6. Negative or equivocal findings for PC on (1) approved PSMA PET and (2) anatomical imaging (CT and/or magnetic resonance imaging) and (3) if available, any other conventional imaging performed as part of routine standard of care imaging workup within 60 days prior to Day 0. 7. The Eastern Cooperative Oncology performance status 0-2. 8. Adequate recovery from acute toxic effects of any prior therapy. 9. Estimated Glomerular Filtration Rate of 30 mL/min or higher. 10. Adequate liver function. 11. For participants who have partners of childbearing potential: Partner and/or participant must use a method of birth control with adequate barrier protection.
Exclusion criteria
1. Participants who received other investigational agents within 28 days prior to Day 0. 2. Participants administered any high energy (\>300 kiloelectronvolts (keV)) gamma-emitting radioisotope within 5 physical half-lives prior to Day 0. 3. Ongoing treatment or treatment within 90 days of Day 0 with any systemic therapy (e.g. androgen-deprivation therapy, antiandrogen, gonadotropin-releasing hormone, luteinizing hormone-releasing hormone agonist or antagonist) for PC. 4. Participants who are known to require prohibited treatment (e.g., initiation of androgen-deprivation therapy due to rapidly rising PSA) before the 64Cu-SAR-BBN PET/CT results can be verified via histopathology or follow-up imaging. 5. Known or expected hypersensitivity to 64Cu-SAR-BBN or any of its components. 6. Any serious medical condition or extenuating circumstance which the investigator feels may interfere with the procedures or evaluations of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and Tolerability | Up to 7 days post injection | Incidence and severity of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events. Adverse Events were assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. |
| Participant-level Correct Detection Rate (CDR) - Day 0 | Day 0 (1-4 hours) post injection | The percentage of true positive (TP) participants on the Day 0 scan out of all participants with a Day 0 scan. |
| Participant-level CDR - Day 1. | Day 1 (24+/-6 Hours) post injection | The percentage of TP participants on the Day 1 scan out of all participants with a Day 1 scan. |
| Region-level Positive Predictive Value (PPV) - Day 0. | Day 0 (1-4 hours) post injection | The percentage of TP regions on the Day 0 scan out of all positive regions on the Day 0 scan. |
| Region-level PPV - Day 1. | Day 1 (24 +/- 6 hours) post injection | The percentage of TP regions on the Day 1 scan out of all positive regions on the Day 1 scan. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1 | Day 1 (24 +/- 6 hours) post injection | SUVr: SUVmax of the lesion divided by the SUVmean of gluteus background. |
| Participant-level PPV | Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection | Percentage of TP participants out of all positive participants, derived separately for each timepoint and reader. |
| Participant-level Detection Rate (DR) | Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection | Percentage of participants with a positive 64Cu-SAR-BBN PET/CT scan out of all participants with a 64Cu-SAR-BBN PET/CT scan for each timepoint and reader. |
| Participant-level False Positive Rate (FPR) | Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection | Percentage of false positive (FP) participants out of all participants with a positive scan, derived separately for each timepoint and reader. |
| Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Day 0 (1-4 hours) post injection | The mean Standardized Uptake Value (SUVmean) in lesions, visceral soft tissue, bone. |
| Participant-level Discrepant PET Negativity Rate | Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection | Percentage of participants with contradicting Day 0 and Day 1 results for whom the Reference Standard was positive. |
| Participant-level True Negative Rate (TNR) | Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection | Percentage of true negative (TN) participants on the Day 0 or Day 1 scan out of all participants with a negative Day 0 or Day 1 scan. |
| Region-level TNR | Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection | Percentage of TN regions on the Day 0 or Day 1 scan out of all negative regions on the Day 0 or Day 1 scan. |
| Region-level FPR | Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection | Percentage of FP regions on the Day 0 or Day 1 scan out of all positive regions, derived separately for each timepoint and reader. |
| Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Day 1 (24 +/- 6 hours) post injection | The SUVmean in lesions, visceral soft tissue, bone. |
| Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Day 0 (1-4 hours) post injection | The max Standardized Uptake Value (SUVmax) in lesions, visceral soft tissue and bone. |
| Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Day 1 (24 +/- 6 hours) post injection | The SUVmax in lesions, visceral soft tissue and bone. |
| Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0 | Day 0 (1-4 hours) post injection | Standardized Uptake Value Lesion to Background ratio (SUVr): SUVmax of the lesion divided by the SUVmean of gluteus background. |
Countries
United States
Participant flow
Recruitment details
Dates of recruitment period: 19 Sep 2022 to 14 Nov 2023
Participants by arm
| Arm | Count |
|---|---|
| 64Cu-SAR-BBN Participants with suspected biochemical recurrence of PC following definitive therapy with negative or equivocal findings for PC on an approved PSMA PET and anatomical imaging (CT and/or MRI) and other SOC conventional imaging received a single intravenous injection of 200 MBq of 64Cu-SAR-BBN, followed by a PET/CT scan at 1 to 4 hours post injection and at 24 +/- 6 hours post injection. | 53 |
| Total | 53 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Non-compliance | 1 |
| Overall Study | Physician Decision | 1 |
| Overall Study | Protocol Violation | 3 |
| Overall Study | Withdrawal by Subject | 5 |
Baseline characteristics
| Characteristic | 64Cu-SAR-BBN |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 41 Participants |
| Age, Categorical Between 18 and 65 years | 12 Participants |
| Baseline Prostate Specific Antigen (PSA) | 3.3932 ng/mL STANDARD_DEVIATION 6.1338 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 7 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 46 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 5 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 | 0 Participants |
| Race (NIH/OMB) White | 48 Participants |
| Region of Enrollment United States | 53 participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 53 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 53 |
| other Total, other adverse events | 3 / 53 |
| serious Total, serious adverse events | 0 / 53 |
Outcome results
Participant-level CDR - Day 1.
The percentage of TP participants on the Day 1 scan out of all participants with a Day 1 scan.
Time frame: Day 1 (24+/-6 Hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at Day 1.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level CDR - Day 1. | Reader 2 | 10.6 percentage of participants |
| 64Cu-SAR-BBN | Participant-level CDR - Day 1. | Reader 1 | 4.3 percentage of participants |
| 64Cu-SAR-BBN | Participant-level CDR - Day 1. | Reader 3 | 14.9 percentage of participants |
Participant-level Correct Detection Rate (CDR) - Day 0
The percentage of true positive (TP) participants on the Day 0 scan out of all participants with a Day 0 scan.
Time frame: Day 0 (1-4 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at Day 0.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level Correct Detection Rate (CDR) - Day 0 | Reader 1 | 14.9 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Correct Detection Rate (CDR) - Day 0 | Reader 2 | 14.9 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Correct Detection Rate (CDR) - Day 0 | Reader 3 | 14.9 percentage of participants |
Region-level Positive Predictive Value (PPV) - Day 0.
The percentage of TP regions on the Day 0 scan out of all positive regions on the Day 0 scan.
Time frame: Day 0 (1-4 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at Day 0.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Region-level Positive Predictive Value (PPV) - Day 0. | Reader 1 | 47.1 percentage of regions |
| 64Cu-SAR-BBN | Region-level Positive Predictive Value (PPV) - Day 0. | Reader 2 | 22.6 percentage of regions |
| 64Cu-SAR-BBN | Region-level Positive Predictive Value (PPV) - Day 0. | Reader 3 | 33.3 percentage of regions |
Region-level PPV - Day 1.
The percentage of TP regions on the Day 1 scan out of all positive regions on the Day 1 scan.
Time frame: Day 1 (24 +/- 6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at Day 1.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Region-level PPV - Day 1. | Reader 1 | 22.2 percentage of regions |
| 64Cu-SAR-BBN | Region-level PPV - Day 1. | Reader 2 | 35.3 percentage of regions |
| 64Cu-SAR-BBN | Region-level PPV - Day 1. | Reader 3 | 37.5 percentage of regions |
Safety and Tolerability
Incidence and severity of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events. Adverse Events were assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
Time frame: Up to 7 days post injection
Population: All Participants who received any amount of 64Cu-SAR-BBN.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| 64Cu-SAR-BBN | Safety and Tolerability | Any TEAE | 8 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Grade 1 to 2 | 8 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Grade 3 | 0 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Grade 4 to 5 | 0 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Related to 64Cu-SAR-BBN | 2 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | Serious TEAE | 0 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Leading to Discontinuation of Study | 0 Participants |
| 64Cu-SAR-BBN | Safety and Tolerability | TEAE Leading to Death | 0 Participants |
Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0
The max Standardized Uptake Value (SUVmax) in lesions, visceral soft tissue and bone.
Time frame: Day 0 (1-4 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Soft Tissue Lesions | 7.705 kg/L | Standard Deviation 4.7952 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | All Lesions | 7.335 kg/L | Standard Deviation 4.0904 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Bone Lesions | 5.041 kg/L | — |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Soft Tissue Lesions | 5.910 kg/L | Standard Deviation 3.8559 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | All Lesions | 5.314 kg/L | Standard Deviation 3.1471 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Bone Lesions | 4.144 kg/L | Standard Deviation 1.8181 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | All Lesions | 14.436 kg/L | Standard Deviation 27.7988 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Bone Lesions | 5.013 kg/L | Standard Deviation 3.6903 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0 | Soft Tissue Lesions | 16.368 kg/L | Standard Deviation 29.7231 |
Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1
The SUVmax in lesions, visceral soft tissue and bone.
Time frame: Day 1 (24 +/- 6 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | All Lesions | 4.179 kg/L | Standard Deviation 3.3173 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Soft Tissue Lesions | 4.179 kg/L | Standard Deviation 3.3173 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Soft Tissue Lesions | 2.930 kg/L | Standard Deviation 4.1078 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | All Lesions | 2.762 kg/L | Standard Deviation 3.5449 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Bone Lesions | 5.017 kg/L | Standard Deviation 6.2016 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Soft Tissue Lesions | 3.965 kg/L | Standard Deviation 4.5243 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | Bone Lesions | 1.945 kg/L | Standard Deviation 0.8572 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1 | All Lesions | 2.763 kg/L | Standard Deviation 3.2511 |
Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0
The mean Standardized Uptake Value (SUVmean) in lesions, visceral soft tissue, bone.
Time frame: Day 0 (1-4 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Soft Tissue Lesions | 5.699 kg/L | Standard Deviation 3.538 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | All Lesions | 5.470 kg/L | Standard Deviation 3.2058 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Bone Lesions | 3.703 kg/L | — |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Soft Tissue Lesions | 4.362 kg/L | Standard Deviation 2.905 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | All Lesions | 3.773 kg/L | Standard Deviation 2.544 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Bone Lesions | 2.482 kg/L | Standard Deviation 1.2925 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | All Lesions | 5.671 kg/L | Standard Deviation 8.0303 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Bone Lesions | 2.353 kg/L | Standard Deviation 2.0118 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0 | Soft Tissue Lesions | 6.427 kg/L | Standard Deviation 8.5057 |
Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1
The SUVmean in lesions, visceral soft tissue, bone.
Time frame: Day 1 (24 +/- 6 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | All Lesions | 2.586 kg/L | Standard Deviation 1.9814 |
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Soft Tissue Lesions | 2.586 kg/L | Standard Deviation 1.9814 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Soft Tissue Lesions | 1.586 kg/L | Standard Deviation 1.7712 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | All Lesions | 1.450 kg/L | Standard Deviation 1.5305 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Bone Lesions | 2.116 kg/L | Standard Deviation 2.3684 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Soft Tissue Lesions | 1.652 kg/L | Standard Deviation 2.0244 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | Bone Lesions | 0.772 kg/L | Standard Deviation 0.4263 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1 | All Lesions | 1.179 kg/L | Standard Deviation 1.5309 |
Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0
Standardized Uptake Value Lesion to Background ratio (SUVr): SUVmax of the lesion divided by the SUVmean of gluteus background.
Time frame: Day 0 (1-4 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0 | 14.566 ratio | Standard Deviation 8.1016 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0 | 10.020 ratio | Standard Deviation 5.1889 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0 | 13.442 ratio | Standard Deviation 17.6749 |
Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1
SUVr: SUVmax of the lesion divided by the SUVmean of gluteus background.
Time frame: Day 1 (24 +/- 6 hours) post injection
Population: All enrolled participants who received any amount of 64Cu-SAR-BBN who had at least one biodistribution measure. The number of participants analyzed varied depending on the number of lesions identified by each reader in each participant and in each region.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 64Cu-SAR-BBN | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1 | 55.957 ratio | Standard Deviation 36.4771 |
| Reader 2 | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1 | 40.617 ratio | Standard Deviation 24.7419 |
| Reader 3 | Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1 | 36.254 ratio | Standard Deviation 45.2321 |
Participant-level Detection Rate (DR)
Percentage of participants with a positive 64Cu-SAR-BBN PET/CT scan out of all participants with a 64Cu-SAR-BBN PET/CT scan for each timepoint and reader.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had a 64Cu-SAR-BBN PET/CT scan at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level Detection Rate (DR) | Reader 1 | 24.5 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Detection Rate (DR) | Reader 2 | 43.4 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Detection Rate (DR) | Reader 3 | 37.7 percentage of participants |
| Reader 2 | Participant-level Detection Rate (DR) | Reader 1 | 17.0 percentage of participants |
| Reader 2 | Participant-level Detection Rate (DR) | Reader 2 | 28.3 percentage of participants |
| Reader 2 | Participant-level Detection Rate (DR) | Reader 3 | 37.7 percentage of participants |
Participant-level Discrepant PET Negativity Rate
Percentage of participants with contradicting Day 0 and Day 1 results for whom the Reference Standard was positive.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN with 64Cu-SAR-BBN PET/CT imaging results from at least one central reader and had a positive reference standard on the participant level.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level Discrepant PET Negativity Rate | Reader 1 | 26.3 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Discrepant PET Negativity Rate | Reader 2 | 15.8 percentage of participants |
| 64Cu-SAR-BBN | Participant-level Discrepant PET Negativity Rate | Reader 3 | 10.5 percentage of participants |
Participant-level False Positive Rate (FPR)
Percentage of false positive (FP) participants out of all participants with a positive scan, derived separately for each timepoint and reader.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level False Positive Rate (FPR) | Reader 1 | 41.7 percentage of participants |
| 64Cu-SAR-BBN | Participant-level False Positive Rate (FPR) | Reader 2 | 68.2 percentage of participants |
| 64Cu-SAR-BBN | Participant-level False Positive Rate (FPR) | Reader 3 | 63.2 percentage of participants |
| Reader 2 | Participant-level False Positive Rate (FPR) | Reader 1 | 66.7 percentage of participants |
| Reader 2 | Participant-level False Positive Rate (FPR) | Reader 2 | 61.5 percentage of participants |
| Reader 2 | Participant-level False Positive Rate (FPR) | Reader 3 | 56.3 percentage of participants |
Participant-level PPV
Percentage of TP participants out of all positive participants, derived separately for each timepoint and reader.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level PPV | Reader 1 | 58.3 percentage of participants |
| 64Cu-SAR-BBN | Participant-level PPV | Reader 2 | 31.8 percentage of participants |
| 64Cu-SAR-BBN | Participant-level PPV | Reader 3 | 36.8 percentage of participants |
| Reader 2 | Participant-level PPV | Reader 1 | 33.3 percentage of participants |
| Reader 2 | Participant-level PPV | Reader 2 | 38.5 percentage of participants |
| Reader 2 | Participant-level PPV | Reader 3 | 43.8 percentage of participants |
Participant-level True Negative Rate (TNR)
Percentage of true negative (TN) participants on the Day 0 or Day 1 scan out of all participants with a negative Day 0 or Day 1 scan.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Participant-level True Negative Rate (TNR) | Reader 1 | 82.1 percentage of participants |
| 64Cu-SAR-BBN | Participant-level True Negative Rate (TNR) | Reader 2 | 57.1 percentage of participants |
| 64Cu-SAR-BBN | Participant-level True Negative Rate (TNR) | Reader 3 | 58.6 percentage of participants |
| Reader 2 | Participant-level True Negative Rate (TNR) | Reader 1 | 85.7 percentage of participants |
| Reader 2 | Participant-level True Negative Rate (TNR) | Reader 2 | 77.1 percentage of participants |
| Reader 2 | Participant-level True Negative Rate (TNR) | Reader 3 | 69.0 percentage of participants |
Region-level FPR
Percentage of FP regions on the Day 0 or Day 1 scan out of all positive regions, derived separately for each timepoint and reader.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/-6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Region-level FPR | Reader 1 | 52.9 percentage of regions |
| 64Cu-SAR-BBN | Region-level FPR | Reader 2 | 77.4 percentage of regions |
| 64Cu-SAR-BBN | Region-level FPR | Reader 3 | 66.7 percentage of regions |
| Reader 2 | Region-level FPR | Reader 1 | 77.8 percentage of regions |
| Reader 2 | Region-level FPR | Reader 2 | 64.7 percentage of regions |
| Reader 2 | Region-level FPR | Reader 3 | 62.5 percentage of regions |
Region-level TNR
Percentage of TN regions on the Day 0 or Day 1 scan out of all negative regions on the Day 0 or Day 1 scan.
Time frame: Day 0 (1-4 hours) and Day 1 (24 +/- 6 hours) post injection
Population: All participants who received any amount of 64Cu-SAR-BBN and had 64Cu-SAR-BBN PET/CT imaging results from at least one central reader, excluding participants with non-evaluable Reference Standard results or without an evaluable 64Cu-SAR-BBN PET/CT scan central reader result, at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 64Cu-SAR-BBN | Region-level TNR | Reader 1 | 95.8 percentage of regions |
| 64Cu-SAR-BBN | Region-level TNR | Reader 2 | 88.2 percentage of regions |
| 64Cu-SAR-BBN | Region-level TNR | Reader 3 | 92.6 percentage of regions |
| Reader 2 | Region-level TNR | Reader 1 | 96.7 percentage of regions |
| Reader 2 | Region-level TNR | Reader 2 | 94.6 percentage of regions |
| Reader 2 | Region-level TNR | Reader 3 | 93.0 percentage of regions |