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Trial Title: 177Lu-PSMA as a Systemic Adjuvant Treatment in Patients With High and Very High Risk Prostate Cancer

NCT ID: NCT06449781

Condition: Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms
1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Open-label, two-arm, randomized study.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Lutetium (177Lu) vipivotide tetraxetan
Description: The intervention will consist of a single administration of 7,4 GBq of lutetium (177Lu) vipivotide tetraxetan
Arm group label: Experimental

Other name: Pluvicto

Summary: Single-center, non-commercial phase 2 clinical trial to evaluate 177Lu-PSMA as a systemic adjuvant treatment in patients with high and very high risk prostate cancer after radical treatment using locoregional teleradiotherapy and hormone therapy

Detailed description: The intervention will consist of a single administration of 177Lu-PSMA with an activity of 7.4 GBq in the research arm. Both the study and control groups will receive standard hormone therapy. The study population includes 200 adult men with high-risk or very high-risk prostate cancer, with no signs of cancer dissemination in radiological examinations after completion of radiotherapy and continued hormone therapy Participation time in the Study: intervention phase - 1 day; observation phase - 5 years

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Giving a written informed consent - Histopathologically confirmed high or very high risk prostate cancer - Completion of radical locoregional treatment - Completion of locoregional treatment within 3 months before inclusion to the study - ECOG performance status 0 to 2 - Age over 18 years - Within 28 days before entering the study, there were no signs of cancer dissemination documented in radiological tests - Castrate testosterone level (testosteron < 50 ng/dL lub 1,7 nmol/L) - Patients with adequate function of main organs: - bone marrow: - neutrophils > 1500x10^9/L; - thrombocytes > 100,000x10^9/L; - hemoglobin > 9 g/dL - liver: - bilirubin < 2xULN (upper limit of normal) in patients with Gilbert's syndrome < 5xULN; - aminotransferase < 3xULN - kidneys: - eGFR > 50 ml/min - albumin >2.5 mg/ml - For men of reproductive age: the need to use double barrier contraception Exclusion Criteria: - The presence of distant metastases confirmed by radiological examination - Absence of approval to use effective contraception method - Absence of Patient's consent to participate in the Study - Urinary tract obstruction or/and hydronephrosis. - Concurrent anticancer treatment.

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Start date: June 2024

Completion date: November 2030

Lead sponsor:
Agency: Maria Sklodowska-Curie National Research Institute of Oncology
Agency class: Other

Source: Maria Sklodowska-Curie National Research Institute of Oncology

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06449781

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