Tolerability of Concurrent EBRT + Lu-PSMA for Node-positive Prostate Cancer (PROQURE-1)
Condition: Prostatic Neoplasm
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT05162573
Sponsor: The Netherlands Cancer Institute
Phase: Phase 1
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: Male
Inclusion Criteria:
- Histologically proven prostate cancer;
- cT2-4, partly determined by MRI;
- N1, determined by LND/SNP and/or PSMA PET/CT;
- iM0, determined by PSMA PET/CT;
- Accepted for curative intent treatment with EBRT of the prostate and regional nodes + 3y ADT;
- Visually PSMA-positive primary tumor and nodes, largest lesion ≥ average liver uptake;
- WHO performance score 0-1;
- Age > 18 years;
- For patients who have partners of childbearing potential: Willingness to use a method of birth control with adequate barrier protection during the study and for 6 months after the study drug administration; and
- Signed written informed consen
Exclusion Criteria:
- Inability to comply to study procedures;
- Inability to adhere to radiation safety measures in hospital or at home;
- Inability to undergo the required biodistribution scans;
- Prior or current malignant disease with potential impact on treatment outcome or survival;
- Prior treatment with EBRT;
- Prior treatment with ADT, already initiated >1 month before the start of EBRT;
- Prior treatment with radionuclide therapies, 177Lu-PSMA-617 or other;
- Reduced bone marrow reserve (Hb<6 mmol/L, Leukocytes<2.5 10E9/L, or Platelets<100 10E9/L not older than 1 month before start of EBRT);
- Reduced renal function (GFR < 60 not older than 1 month before start of EBRT);
- Reduced salivary gland function (history of prior salivary gland disease); or
- Miction problems requiring pre-treatment with ADT.
View trial on ClinicalTrials.gov