Trial Outcomes & Findings for 68Ga-PSMA-Dual-Contrast PET/MRI or PET/CT for Early Detection of Liver Cancer (NCT NCT04762888)

NCT ID: NCT04762888

Last Updated: 2026-08-12

Results Overview

Treatment-naïve hepatocellular carcinoma (HCC) lesions were evaluated qualitatively on baseline 68Ga-PSMA-11 PET. Grade 1 indicated uptake less than normal liver. Grade 2 indicated uptake equal to normal liver. Grade 3 indicated uptake greater than normal liver. Grade 4 indicated uptake greater than spleen or kidneys. High PSMA uptake was defined as grade 3 or 4. Low PSMA uptake was defined as grade 1 or 2.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

52 participants

Primary outcome timeframe

Baseline 68Ga-PSMA-11 PET performed within 4 weeks of recruitment.

Results posted on

2026-08-12

Participant Flow

Participant milestones

Participant milestones
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. * Computed Tomography: Undergo PET/CT * Gallium Ga 68 Gozetotide: Given IV * Magnetic Resonance Imaging: Undergo PET/MRI * Positron Emission Tomography: PET/MRI or PET/CT
Overall Study
STARTED
52
Overall Study
COMPLETED
36
Overall Study
NOT COMPLETED
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. * Computed Tomography: Undergo PET/CT * Gallium Ga 68 Gozetotide: Given IV * Magnetic Resonance Imaging: Undergo PET/MRI * Positron Emission Tomography: PET/MRI or PET/CT
Overall Study
Refused further study participation
7
Overall Study
Withdrawal by Subject
3
Overall Study
Ineligible
5
Overall Study
Death
1

Baseline Characteristics

68Ga-PSMA-Dual-Contrast PET/MRI or PET/CT for Early Detection of Liver Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
n=52 Participants
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. Computed Tomography: Undergo PET/CT Gallium Ga 68 Gozetotide: Given IV Magnetic Resonance Imaging: Undergo PET/MRI Positron Emission Tomography: PET/MRI or PET/CT
Age, Categorical
<=18 years
0 Participants
n=1 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=1 Participants
Age, Categorical
>=65 years
34 Participants
n=1 Participants
Sex: Female, Male
Female
8 Participants
n=1 Participants
Sex: Female, Male
Male
44 Participants
n=1 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
52 Participants
n=1 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=1 Participants
Race (NIH/OMB)
Asian
1 Participants
n=1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=1 Participants
Race (NIH/OMB)
White
51 Participants
n=1 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1 Participants
Region of Enrollment
United States
52 participants
n=1 Participants

PRIMARY outcome

Timeframe: Baseline 68Ga-PSMA-11 PET performed within 4 weeks of recruitment.

Population: Outcome data are reported for the published evaluable baseline PET cohort, including participants with completed baseline 68Ga-PSMA-11 PET/MRI or PET/CT and evaluable lesion-level HCC uptake assessment. 39 lesions were assessed for this outcome.

Treatment-naïve hepatocellular carcinoma (HCC) lesions were evaluated qualitatively on baseline 68Ga-PSMA-11 PET. Grade 1 indicated uptake less than normal liver. Grade 2 indicated uptake equal to normal liver. Grade 3 indicated uptake greater than normal liver. Grade 4 indicated uptake greater than spleen or kidneys. High PSMA uptake was defined as grade 3 or 4. Low PSMA uptake was defined as grade 1 or 2.

Outcome measures

Outcome measures
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
n=39 HCC Lesions
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. Computed Tomography: Undergo PET/CT Gallium Ga 68 Gozetotide: Given IV Magnetic Resonance Imaging: Undergo PET/MRI Positron Emission Tomography: PET/MRI or PET/CT
Number of HCC Lesions With High PSMA Uptake on Baseline 68Ga-PSMA-11 PET
High PSMA uptake, grade 3 or 4
25 HCC Lesions
Number of HCC Lesions With High PSMA Uptake on Baseline 68Ga-PSMA-11 PET
Low PSMA uptake, grade 1 or 2
14 HCC Lesions

PRIMARY outcome

Timeframe: Baseline 68Ga-PSMA-11 PET performed within 4 weeks of recruitment.

Population: Lesion-level SUV metrics are reported for 25 high-PSMA-uptake HCC lesions identified among participants in the evaluable baseline PET cohort.

Semi-quantitative PET metrics were calculated in HCC lesions showing high qualitative PSMA uptake using gradient-based volume-of-interest segmentation. Reported metrics were maximum SUV (SUVmax) and mean SUV (SUVmean).

Outcome measures

Outcome measures
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
n=25 HCC Lesions
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. Computed Tomography: Undergo PET/CT Gallium Ga 68 Gozetotide: Given IV Magnetic Resonance Imaging: Undergo PET/MRI Positron Emission Tomography: PET/MRI or PET/CT
Semi-Quantitative 68Ga-PSMA-11 PET Standardized Uptake Value (SUV) Metrics in HCC Lesions With High PSMA Uptake
SUV Max
9.2 Standardized uptake value
Interval 4.9 to 28.4
Semi-Quantitative 68Ga-PSMA-11 PET Standardized Uptake Value (SUV) Metrics in HCC Lesions With High PSMA Uptake
SUV Mean
4.7 Standardized uptake value
Interval 2.4 to 12.7

PRIMARY outcome

Timeframe: Baseline 68Ga-PSMA-11 PET performed within 4 weeks of recruitment.

Population: Lesion-level TBR metrics are reported for 25 high-PSMA-uptake HCC lesions identified among participants in the evaluable baseline PET cohort.

Semi-quantitative PET tumor-to-liver background ratio (TBR) metrics were calculated in HCC lesions showing high qualitative PSMA uptake using gradient-based volume-of-interest segmentation. Reported metrics were TBRmax and TBRmean.

Outcome measures

Outcome measures
Measure
Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET
n=25 HCC Lesions
Patients receive 68Ga-PSMA IV over 90 minutes. Patients then undergo PET/MRI over 60 minutes or PET/CT over 30 minutes. Computed Tomography: Undergo PET/CT Gallium Ga 68 Gozetotide: Given IV Magnetic Resonance Imaging: Undergo PET/MRI Positron Emission Tomography: PET/MRI or PET/CT
Semi-Quantitative 68Ga-PSMA-11 PET Tumor-to-Liver Background Ratio (TBR) Metrics in HCC Lesions With High PSMA Uptake
TBRmax
2.0 Ratio
Interval 1.1 to 11.0
Semi-Quantitative 68Ga-PSMA-11 PET Tumor-to-Liver Background Ratio (TBR) Metrics in HCC Lesions With High PSMA Uptake
TBRmean
2.8 Ratio
Interval 1.3 to 10.1

Adverse Events

Participants With Treatment-Naïve HCC Evaluated for 68Ga-PSMA-11 PET

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ajit Goenka, MD

Mayo Clinic

Phone: 507-284-2511

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place