Magnetic Resonance (MR) Imaging With Hyperpolarized 13C-Pyruvate +/- 13C,15N-Urea in Patients With Prostate Cancer
Part of paid clinical trials in San Francisco, California.
- Sponsor
- Robert Bok, MD, PhD
- Study ID
- NCT06391034
- Phase
- PHASE2
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- MALE
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- hyperpolarized pyruvate +/-urea (13C/15N) — DRUGGiven IV
- Non-investigational External beam radiotherapy (EBRT) — RADIATIONExternal beam radiotherapy given outside of this study
- Radiotherapy (RT) — PROCEDURERadiation therapy given outside of this study
- Multi-parametric magnetic resonance imaging (mpMRI) — PROCEDUREImaging scan
- Non-interventional hormone therapy — BIOLOGICALTherapy given outside of this study as part of standard of care
- Prostate Biopsy — PROCEDUREBiopsies may be taken from Trans-rectal ultrasound (TRUS) -visible lesion at the urologist's discretion
Study Details
This is a Phase 2 clinical study of hyperpolarized (HP) 13C-pyruvate (13C), 15N-urea (13C,15N) metabolic MR imaging in prostate cancer patients who are undergoing or have received radiation therapy for prostate cancer.
Key Dates
- Start date
- Sep 24, 2024
- Status verified
- Dec 2025
- Primary completion
- Dec 31, 2028
- Completion
- Oct 31, 2032
Study Design
- Enrollment
- 161 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- DIAGNOSTIC
Arms
- Experimental: Part 1: Image Optimization GroupParticipants will undergo Hyperpolarized 13C-Pyruvate +/- 13C,15N-Urea imaging as part of a multi-parametric magnetic resonance imaging (mpMRI) exam, with the primary objective of optimizing imaging sequences and techniques to maximize signal-to-noise ratio of imaging modality.
- Experimental: Part 2A: Prospective imaging (External beam radiotherapy (EBRT) Participants)Participants with pre-planned, non-interventional stereotactic body radiotherapy (EBRT) will undergo an HP Pyruvate +/-Urea mpMRI exam at baseline, at 3 months post-EBRT treatment and at 1yr post-treatment.
- Experimental: Part 2B: Prospective imaging (High-risk localized prostate cancer)Participants with with high-risk localized prostate cancer and have pre-planned, non-interventional primary radiation therapy (RT) with concurrent, systemic, non-interventional hormone therapy will undergo HP Pyruvate+/-Urea mpMRI at baseline prior to the start of systemic hormone therapy, 4-12 weeks after the initiation of systemic hormone therapy (prior to radiation therapy), at 3 months post-radiation therapy, and at +1yr post-radiation therapy.
- Experimental: Part 3: EBRT participants at time of biochemical recurrence (BCR)Evaluable EBRT participants who undergo HP Pyruvate +/-Urea mpMRI at time of biochemical failure, followed by magnetic resonance (MR) / ultrasound (US) fusion-guided prostate biopsy within 12 weeks following baseline MR exam. Participants in this group have the option of undergoing a follow up HP Pyruvate +/-Urea MR exam 6-15 months following the baseline scan, to evaluate for any interval change.
Primary Outcome Measure
Signal-to-noise ratio (Part 1) [ Time Frame: Day of MR imaging (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 Robert Bok, MD, PhD (PRINCIPAL_INVESTIGATOR) Anthony Wong, MD, PhD (SUB_INVESTIGATOR) |
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