Phase 3
N=195
Study of Diagnostic Performance of [18F]CTT1057 for PSMA-positive Tumors Detection
Prostatic Neoplasms · Prostate Cancer
Bottom Line
View on ClinicalTrials.gov: NCT04838626 ↗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
| Outcome | Result | p-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
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.