About this trial
Up to 30 men with metastatic prostate cancer will undergo up to 2 FTT PET/CT scans to look at PARP activity in sites of known cancer. Subjects will undergo a baseline scan prior to starting new therapy and a second, optional, post-therapy scan 1-21 days after the start of treatment. Tissue from a clinical or research biopsy will be compared to imaging measures, if available.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants will be ≥ 18 years of age
Histologically proven prostate carcinoma
Clinical evidence of metastatic disease with at least one lesion identified on standard of care imaging (CT, MRI, Bone Scan, FDG or other PET/CT, Ultrasound)
Considered a candidate for new therapy or change in therapy with PARP inhibitor therapy and/or androgen deprivation therapy (ADT) and/or chemotherapy with or without additional agents, either on a clinical trial or as part of clinical care.
Disqualifiers
Inability to tolerate imaging procedures in the opinion of an investigator or treating physician
Any current medical condition, illness, or disorder as assessed by medical record review and/or self-reported that is considered by a physician investigator to be a condition that could compromise participant safety or successful participation in the study
Trial population
Patients with a histological diagnosis of prostate cancer with clinical evidence of metastatic disease who are being considered for new therapy or for a change in therapy with a PARP inhibitor, androgen deprivation therapy, and/or chemotherapy as part of their clinical care.
Trial design
Case-only
Prospective
Treatments tested in this trial
[18F]FluorThanatrace
DrugInvestigational radiopharmaceutical used with Positron Emission Tomography (PET/CT) imaging that may provide a non-invasive measurement of PARP-1 expression
Treatment groups
Trial outcomes
Primary outcomes
Measurement of effect size
To establish effect size of change in FTT uptake before and after systemic therapy in men with prostate cancer metastasis using \[18F\]FluorThanatrace (\[18F\]FTT)
Secondary outcomes
Evaluation of PARP expression
Evaluation of PARP-1 expression in prostate cancer using measures of uptake of \[18F\]FTT before and after PARPi and/or androgen deprivation therapy and/or chemotherapy
Correlation with PARP-1 IHC
Correlation of \[18F\]FTT uptake measures with PARP-1 IHC expression in the tissue specimen, when available
Correlation with PARP-1 autoradiography
Correlation of \[18F\]FTT uptake measures with PARP-1 \[125I\]KX1 autoradiography expression in the tissue specimen, when available
Predication of clinical response
Determination of whether baseline and/or pre-/post-treatment changes in \[18F\]FTT uptake predict clinical response as measured by progression-free survival (PFS) and anatomic criteria on standard of care imaging
Sponsors and contacts
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