Assessing Efficacy of Neoadjuvant ADT in Localized High-Risk Prostate Cancer Patients Utilizing 18F-Flotufolastat PSMA PET/CT
NCT07455903 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-05-13
Summary
The purpose of this research study is to test the efficacy of ADT on prostate-specific membrane antigen (PSMA), a marker of prostate cancer, before and after scheduled ADT. Follow up will be 48 months your prostate removal to do a blood test and log if any new or worsening symptoms have occurred as a part of your standard-of-care (SOC).
Conditions
- Prostate Cancer
- Localized Prostate Carcinoma
Interventions
- DRUG
-
Leuprolide
22.5 mg IM every 3 months × 2 doses
- DRUG
-
Degarelix
240 mg SC loading dose, then 80 mg SC q28 days × 6 months
- DRUG
-
Relugolix
360 mg PO Day 1, then 120 mg PO daily × 6 months
- DRUG
-
Triptorelin
11.25 mg IM every 3 months × 2 doses
- DRUG
-
Bicalutamide
Given only with leuprolide or triptorelin; 50 mg PO daily for 30 days
- DIAGNOSTIC_TEST
-
18-F Flotufolastat PSMA PET
296 MBq (8mCi) administered as an intravenous bolus injection prior to PSMA PET scan. May be administered diluted in normal saline (NS) or undiluted. The maximum volume of undiluted 18F-flotufolastat is 5mL. After administration, a flush with 0.9% NS will be given to ensure full delivery of the dose.
- PROCEDURE
-
Radical prostatectomy
Surgery to occur 14 to 90 days after the pre-surgery visit. All RPs will be performed per institutional standard of care by fellowship-trained urologic oncologists, with an extended pelvic lymph-node dissection when clinically indicated.
Sponsors & Collaborators
-
Blue Earth Diagnostics
collaborator INDUSTRY -
Baptist Health South Florida
lead OTHER
Principal Investigators
-
Rohan Garje, M.D. · Miami Cancer Institute at Baptist Health, Inc.
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-23
- Primary Completion
- 2029-10-31
- Completion
- 2030-10-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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