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Phase 2 N=53 Diagnostic

64Cu-SAR-BBN for Identification of Participants With Recurrence of Prostate Cancer (SABRE)

Biochemical Recurrence of Malignant Neoplasm of Prostate

Enrolled (actual)
53
Serious AEs
0.0%
Results posted
Nov 2025
Primary outcome: Primary: Safety and Tolerability — 8; 8; 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
64Cu-SAR-BBN (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Male
Sponsor
Clarity Pharmaceuticals Ltd
Primary completion
May 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Safety and Tolerability
8; 8; 0; 0; 2; 0
PRIMARY
Participant-level Correct Detection Rate (CDR) - Day 0
14.9; 14.9; 14.9
PRIMARY
Participant-level CDR - Day 1.
4.3; 10.6; 14.9
PRIMARY
Region-level Positive Predictive Value (PPV) - Day 0.
47.1; 22.6; 33.3
PRIMARY
Region-level PPV - Day 1.
22.2; 35.3; 37.5
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 0
5.470; 3.773; 5.671; 5.699; 4.362; 6.427
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVmean - Day 1
2.586; 1.450; 1.179; 2.586; 1.586; 1.652
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 0
7.335; 5.314; 14.436; 7.705; 5.910; 16.368
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVmax - Day 1
4.179; 2.762; 2.763; 4.179; 2.930; 3.965
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVr - Day 0
14.566; 10.020; 13.442
SECONDARY
Biodistribution of 64Cu-SAR-BBN - SUVr - Day 1
55.957; 40.617; 36.254
SECONDARY
Participant-level PPV
58.3; 33.3; 31.8; 38.5; 36.8; 43.8
SECONDARY
Participant-level Detection Rate (DR)
24.5; 17.0; 43.4; 28.3; 37.7; 37.7
SECONDARY
Participant-level False Positive Rate (FPR)
41.7; 66.7; 68.2; 61.5; 63.2; 56.3
SECONDARY
Region-level FPR
52.9; 77.8; 77.4; 64.7; 66.7; 62.5
SECONDARY
Participant-level Discrepant PET Negativity Rate
26.3; 15.8; 10.5
SECONDARY
Participant-level True Negative Rate (TNR)
82.1; 85.7; 57.1; 77.1; 58.6; 69.0
SECONDARY
Region-level TNR
95.8; 96.7; 88.2; 94.6; 92.6; 93.0

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.

Eligibility Criteria

Inclusion Criteria

  • At least 18 years of age.
  • Signed informed consent.
  • Life expectancy ≥ 12 weeks as determined by the Investigator.
  • Histologically confirmed adenocarcinoma of prostate per original diagnosis and completed subsequent definitive therapy.
  • Suspected recurrence of PC based on rising PSA after definitive therapy on the basis of:
  • 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
  • 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).
  • 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.
  • The Eastern Cooperative Oncology performance status 0-2.
  • Adequate recovery from acute toxic effects of any prior therapy.
  • Estimated Glomerular Filtration Rate of 30 mL/min or higher.
  • Adequate liver function.
  • 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

  • Participants who received other investigational agents within 28 days prior to Day 0.
  • Participants administered any high energy (>300 kiloelectronvolts (keV)) gamma-emitting radioisotope within 5 physical half-lives prior to Day 0.
  • 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.
  • 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.
  • Known or expected hypersensitivity to 64Cu-SAR-BBN or any of its components.
  • Any serious medical condition or extenuating circumstance which the investigator feels may interfere with the procedures or evaluations of the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05407311). 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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