E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10060862 |
E.1.2 | Term | Prostate cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To investigate 68Ga-NOTA-AE105 PET/MRI in patients with newly diagnosed prostate cancer and the correlation between tracer uptake and Gleason Score |
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E.2.2 | Secondary objectives of the trial |
To investigate the prognostic value of 68Ga-NOTA-AE105 PET/MRI and the diagnostic accuracy of the method for identifying regional lymph node metastases in patients with newly diagnosed prostate cancer |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Histologically verified prostate cancer or clinical suspicion of prostate cancer based on biochemical parameters and/or digital rectal examination - Written and oral consent - Age ≥ 18 years - Planned or ongoing Active Surveillance regimen or planned therapy with curative intent (radical prostatectomy or radiotherapy)
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E.4 | Principal exclusion criteria |
- Obesity (body weight > 140 kg) - Known allergy towards 68Ga-NOTA-AE105 - Severe claustrophobia - Implanted metal components or devices incompatible with MRI |
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E.5 End points |
E.5.1 | Primary end point(s) |
Correlation between uptake of 68Ga-NOTA-AE105 in primary prostate cancer and Gleason Score evaluated in biopsy material from the tumor |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Primary endpoint is evaluated within 3 months from 68Ga-NOTA-AE105 PET/MRI. |
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E.5.2 | Secondary end point(s) |
1) Secondary endpoint for patients in active surveillance is progression during the follow-up period (3 years after inclusion). Progression is defined as an increase in risk stratification according to the guidelines of the Danish Urological Cancer Group (DUCG), which is evaluated from PSA level, clinical tumor stage (T stage) and Gleason Score in repeated biopsy. An increase in lymph node stage (N-stage) or detection of distant metastases will also be considered as progression. Time to progression (TTP) is defined as the time from uPAR-PET/MRI to the date where the criteria for progression are met.
2) Secondary endpoint for patients undergoing treatment with curative intent is time to biochemical relapse, defined as an increase in PSA (≥0,2 ng/ml) for prostatectomized patients or confirmed PSA increase from nadir + 2 after radiotherapy and endocrine treatment.
3) Secondary end point for all patients is correlation between quantitative MRI parameters (Apparent diffusion coefficient (ADC), Transfer rate constants, choline/citrate ratio, choline+creatinine/citrate ratio) and Gleason Score
4) Secondary endpoint for patients undergoing radical prostatectomy and dissection of pelvic lymph nodes is the diagnostic performance of uPAR-PET/MRI for detection of lymph node metastases |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) Evaluated 3 years after inclusion 2) Evaluated 3 years after inclusion 3) Evaluated from PET/MRI scan performed within one hour post injection of 68Ga-NOTA-AE105 4) Evaluated within 3 months from PET/MRI |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Prognostication and staging |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 15 |
E.8.9.1 | In the Member State concerned days | |