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Phase 3 N=195 Diagnostic

Study of Diagnostic Performance of [18F]CTT1057 for PSMA-positive Tumors Detection

Prostatic Neoplasms · Prostate Cancer

Enrolled (actual)
195
Serious AEs
1.1%
Results posted
Dec 2024
Primary outcome: Primary: Patient-level Sensitivity of Vidoflufolastat (18F) - % Sensitivity — 86.8; 90.0; 86.9 % Sensitivity

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
[18F]CTT1057 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Male
Sponsor
Novartis Pharmaceuticals
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Patient-level Sensitivity of Vidoflufolastat (18F) - % Sensitivity
86.8; 90.0; 86.9
PRIMARY
Region-level Specificity of Vidoflufolastat (18F) - % Specificity
97.1; 97.1; 97.1
SECONDARY
Patient-level Specificity of Vidoflufolastat (18F) - % Specificity
20.0; 0.0; 25.0
SECONDARY
Patient-level Positive Predictive Value of Vidoflufolastat (18F)
97.3; 98.7; 98.0
SECONDARY
Patient-level Negative Predictive Value of Vidoflufolastat (18F)
4.3; 0.0; 4.3
SECONDARY
Patient-level Accuracy of Vidoflufolastat (18F)
84.9; 89.0; 85.5
SECONDARY
Region-level Sensitivity of Vidoflufolastat (18F) - % Sensitivity
20.6; 20.6; 23.5
SECONDARY
Region-level Positive Predictive Value of Vidoflufolastat (18F)
63.6; 63.6; 66.7
SECONDARY
Region-level Negative Predictive Value of Vidoflufolastat (18F)
83.2; 83.2; 83.8
SECONDARY
Region-level Accuracy of Vidoflufolastat (18F)
82.0; 82.0; 82.6
SECONDARY
Region-level Sensitivity of Vidoflufolastat (18F) Scan With Standard of Truth Excluding Pelvic Lymph Node (PLN) Metastasis < 2 mm
26.9; 26.9; 30.8
SECONDARY
Detection of Distant Metastasis of Vidoflufolastat (18F) Scan - Participants With at Least One Distant Metastatic Lesion (%)
6; 9; 10
SECONDARY
Overview of Adverse Events
24; 1; 2; 0; 0; 0
SECONDARY
Vidoflufolastat (18F) Scan Inter-reader Variability - %
63.9
SECONDARY
Vidoflufolastat (18F) Scan Inter-reader Variability - Number of Scans Agreed
163; 21
SECONDARY
Vidoflufolastat (18F) Scan Intra-reader Variability
100; 100; 89.4
SECONDARY
Observed Maximum Blood Concentration (Cmax) of Vidoflufolastat (18F)
49.0
SECONDARY
Time of Maximum Observed Blood Concentration Occurrence (Tmax) of Vidoflufolastat (18F)
0.0333
SECONDARY
Area Under the Vidoflufolastat (18F) Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
47.9
SECONDARY
Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUCinf) of Vidoflufolastat (18F)
50.0
SECONDARY
Half-Life Lambda z of Vidoflufolastat (18F)
1.34
SECONDARY
Volume of Distribution During the Terminal Phase Following Intravenous Elimination (Vz) of Vidoflufolastat (18F)
14.9
SECONDARY
Urinary Excretion of Radioactivity Expressed as a Percentage of Injected Activity (%IA) of Vidoflufolastat (18F)
0.000821; 15.8; 11.9; 10.5
SECONDARY
Total Systemic Clearance for Intravenous Administration (CL) of Vidoflufolastat (18F)
7.70

Summary

The purpose of this study was to evaluate the diagnostic performance of [18F]CTT1057 as a PET imaging agent for detection and localization of PSMA positive tumors using histopathology as Standard of Truth (SoT). Tissue specimens from both the primary tumor and pelvic lymph nodes dissected during surgery from patients with newly-diagnosed high-risk prostate cancer (PCa) were used for the histopathology assessments.

Eligibility Criteria

Inclusion Criteria

  • Untreated high risk biopsy-proven PCa patients according to D'Amico classification (Stage ≥ T2c or PSA level >20ng/ml or Gleason score ≥8) (D'Amico et al 1998)
  • Scheduled or planned radical prostatectomy and extended pelvic lymph node resection up to 6 weeks after the investigational PET/CT scan followed by histopathology assessment
  • ECOG performance status 0-2
  • Signed informed consent must be obtained prior to participation in the study
  • Participants must be adults ≥ 18 years of age

Exclusion Criteria

  • Inability to complete the needed investigational and standard-of-care imaging examinations due to any reason (severe claustrophobia, inability to lie still for the entire imaging time, etc.)
  • Any additional medical condition, serious intercurrent illness, concomitant cancer or other extenuating circumstance that, in the opinion of the Investigator, would indicate a significant risk to safety or impair study participation, including, but not limited to, current severe urinary incontinence, hydronephrosis, severe voiding dysfunction, need of indwelling/condom catheters, New York Heart Association class III or IV congestive heart failure, history of congenital prolonged QT syndrome, uncontrolled infection, active hepatitis B or C, and COVID-19.
  • Known allergy, hypersensitivity, or intolerance to [18F]CTT1057
  • Prior and current use of PSMA targeted therapies
  • Prior and current treatment with any ADT (first or second generation), including LHRH analogues (agonists or antagonists)
  • Any 5-alpha reductase inhibitors within 30 days before screening
  • Patients with small cell or neuroendocrine PCa in more than 50% of biopsy tissue
  • Patients with incidental PCa after transurethral resection
  • Use of other investigational drugs within 30 days before screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04838626). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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