Pilot Study of (MR) Imaging With Pyruvate (13C) to Detect High Grade Prostate Cancer
Part of paid clinical trials in San Francisco, California.
- Sponsor
- Ivan de Kouchkovsky, MD
- Study ID
- NCT02526368
- Phase
- EARLY_PHASE1
- Status
- Recruiting
Conditions
- Localized Prostate Carcinoma
- Prostate Cancer
Eligibility Criteria
- Sex
- MALE
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Hyperpolarized 13C-Pyruvate — DRUGGiven IV
- Hyperpolarized 13C,15N2-urea — DRUGGiven IV
- Magnetic Resonance Spectroscopic Imaging — PROCEDUREUndergo MRSI
Study Details
This pilot clinical trial studies how well magnetic resonance spectroscopic imaging (MRSI) with hyperpolarized carbon 13 (13C) pyruvate alone or in combination with 13C 15N2 Urea works in finding prostate cancer that exhibits poorly differentiated or undifferentiated cells (high-grade) and that is restricted to the site of origin, without evidence of spread (localized) in patients undergoing radical prostatectomy. Diagnostic procedures, such as MRSI with hyperpolarized carbon (13C) pyruvate, may aid in the diagnosis of prostate cancer and in discriminating high-grade from low-grade prostate cancer and benign adjacent prostate tissue
Key Dates
- Start date
- Mar 22, 2016
- Status verified
- Apr 2026
- Primary completion
- Dec 31, 2026
- Completion
- Dec 31, 2026
Study Design
- Enrollment
- 80 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- DIAGNOSTIC
Arms
- Experimental: Cohort A: Pre-surgical Prostate Cancer patientsParticipants will receive an infusion of hyperpolarized 13C-pyruvate alone or co-hyperpolarized 13C pyruvate with hyperpolarized 13C, 15N urea injection prior to metabolic/perfusion high spatial resolution MRI/1H MRSI staging exam (PROSE) with endorectal coil using both a phased-array abdominal coil and an endorectal coil will be performed within 12 weeks of subsequent non-investigational radical prostatectomy.
- Experimental: Cohort B: Post-HIFU ParticipantsParticipants will receive an infusion of hyperpolarized 13C-pyruvate alone or co-hyperpolarized 13C pyruvate with hyperpolarized 13C, 15N urea injection prior to metabolic/perfusion high spatial resolution MRI/1H MRSI staging exam (PROSE) with endorectal coil using both a phased-array abdominal coil and an endorectal coil will be performed for participants with planned post-HIFU surveillance systematic and MR-targeted non-investigational biopsies
Primary Outcome Measure
Mean peak intra-tumoral lactate/pyruvate (lac/pyr) ratio by pathological grade (Cohort A) [ Time Frame: Baseline, 1 day ]
Central Contacts
- Louise Magat(415) 502-1822
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of California, San Francisco | San Francisco | California | 94143 | 877-827-3222 Ivan de Kouchkovsky, MD (PRINCIPAL_INVESTIGATOR) Hao Nguyen, MD (PRINCIPAL_INVESTIGATOR) |
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