prostate cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male, aged >= 18 years. • Hormone-sensitive recurrent protstate cancer after radical prostatectomy , external beam radiotherapy or brachytherapy • Less than a number of 4 soft tissue lesions (lymph node; connective tissue) within the pelvis or retroperitoneum with sufficient PSMA expression (>=3 times regional vascular activity level) as determined by PSMA-based PET • PSA-value
Exclusion criteria
Exclusion criteria: • Suspicion of local recurrent prostate cancer within the prostatic fossa not treatable by surgery • Nonregional lymphadenopathy (cM1a) or distant metastases (cM1b/c) as assessed by preoperative PSMA PET/CT. • Ongoing androgen deprivation therapy (ADT) or within 6 months prior to surgery. • Severe claustrophobia interfering with PET/CT or SPECT/CT scanning
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Investigation of the feasibility of 99mTc-PSMA RGS in salvage lymph node dissection in men with recurrent PC after intravenously injection of 99mTc-PSMA-I&S. | — |
Secondary
| Measure | Time frame |
|---|---|
| • To evaluate if 99mTc-PSMA-RGS aids intra-operative localization of nodes that had previously been detected as positive on pre-operative PSMA PET/CT to ensure PC lymph nodes are not missed at operative salvage lymph node dissection. • To establish optimal imaging protocol for pre-operative 99mTC-PSMA-I&S SPECT/CT and interval between imaging and surgery. • Determine the diagnostic accuracy of 99mTc-PSMA-I&S RGS compared to histologic evaluation after either 15-19 hours compared to 20-24 hours after intravenously injection of 99mTc-PSMA-I&S. • Complete biochemical response (PSA | — |
Countries
Netherlands