Prostate Cancer Clinical Trial
Official title:
Upregulation of PSMA Receptors After Androgen Deprivation Therapy on PSMA PET/CT Imaging in Prostate Cancer
Prostate specific membrane antigen (PSMA) is a unique membrane bound glycoprotein, which is
overexpressed on prostate cancer cells and is well-characterized as an imaging biomarker of
prostate cancer. Studies have shown that PSMA PET/CT can detect prostate cancer lesions with
excellent contrast and a high detection rate even when the level of prostate specific antigen
is low. PSMA imaging is considered the gold standard in imaging of biochemical recurrence,
with detection rate of recurrence in 79.5% of patients, in the largest series of 1007
patients. Despite these excellent results, there remains approximately 20% of patients in
whom the site of biochemical recurrence cannot be identified and further research is needed
into improving detection rates.
Androgen deprivation therapy (ADT), represents the standard of care treatment for most men
with a rising serum PSA and no evidence of disseminated disease on imaging modalities. There
has been some preliminary data that imaging patients early after initiation of ADT therapy
may increase detection rates of recurrence sites.
The objective of this study is to evaluate if prostate cancer patients with biochemical
recurrence and negative PSMA PET/CT can demonstrate in-vivo upregulation of PSMA receptors in
an attempt to improve detection rates of recurrent prostate cancer. Patients who are started
on ADT when clinically indicated, will have repeat PSMA PET/CT at 4 weeks following
initiation of ADT therapy.
n/a
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