Table 3 Active clinical trials evaluating NGI in patients with BCR.

From: Application of next-generation imaging in biochemically recurrent prostate cancer

Study Phase

Anticipated Enrollment

Primary Objective

Primary Outcome Measure(s)

Estimated Completion Date

Study Identifier

1/2

60

Assessment of performance of 68Ga-P16-093 in intermediate to high-risk patients with primary PCa or BCR

Sensitivity

Proportion of patients with treatment change due to lesion detection

July 2022

NCT03444844

3

217

Diagnostic performance and safety of 18F-DCFPyL vs 18F-fluorocholine in patients with BCR post-RP

Per-patient detection rate of 18F-DCFPyL PET/CT vs. 18F-fluorocholine PET/CT across 10 weeks

February 2022

NCT04734184

3

136

Diagnostic performance and safety of 18F-PSMA-1007 PET/CT in patients

with BCR

Region-level PPV; Patient-level CDR

August 2023

NCT04742361

2

100

Assessment of 18F-DCFPyL PET/CT to identify early oligometastatic PCa in patients with BCR

Detection rate and performance metrics of 18F-DCFPyL PET/CT

September 2023

NCT03160794

3

190

Assessment of the diagnostic performance of 18F-CTT1057 for detection and localization of PSMA-positive lesions in patients with PCa diagnosed with BCR post-RP or EBRT using CTS as reference

1:1 Random sequence: PET/CT imaging with 18F-CTT1057 followed by 68Ga-PSMA-11 or vice versa

CLR, defined as the proportion of regions containing ≥1 TP lesion

PPV, defined as proportion of patients who have one true positive lesion

December 2023

NCT04838613

Pilot [93]

100

Comparison of 68Ga-PSMA-11 and 18F-PSMA-1007

Patient-level detection rate

December 2023

NCT05079828

3 [94]

193

Evaluation of the success rate for EBRT for BCR post-RP with 68Ga-PSMA-11 vs. standard of care

Success rate of salvage EBRT defined as BPFS after initiation of EBRT

July 2024

NCT03582774

2

196

Evaluation of MDT + WPRT + ADT vs. MDT + ADT in patients with BCR and PSMA PET-detected nodal recurrence

MFS

April 2025

NCT03569241

2/3

464

Evaluation of systemic therapy + PET-directed local therapy vs. systemic therapy only in patients with BCR post RP or EBRT and 1–5 suspicious lesions

CRPC-free survival

December 2025

NCT04787744

2

140

Comparison of 68Ga-PSMA-11 and 18F-fluciclovine to inform radiotherapy decision-making in patients with detectable PSA post RP

DFS

December 2025

NCT03762759

2/3

130

Evaluation of the success rate for EBRT with 18F-DCFPyL 11 vs. standard of care in patients with BCR, localized high-risk PCa or OMPC on conventional imaging

FFS

April 2026

NCT03525288

3

873

Evaluation of MDT + 6-mo ADT + enzalutamide vs MDT + 1-mo ADT vs MDT alone in patients with BCR and positive PSMA PET/CT or PET/MRI for oligorecurrent disease

PMFS

April 2032

NCT05352178

3

804

Application of 18F-fluciclovine PET/CT in delivery of treatment to patients with BCR

PFS assessed up to 10 years

December 2032

NCT04423211

  1. ADT androgen deprivation therapy, BCR biochemical recurrence, BPFS biochemical progression-free survival, CDR correct detection rate; CLR correct localization rate, CRPC castration-resistant prostate cancer, CT computed tomography, CTS composite truth standard, DCFPyL 2-(3-{1-carboxy-5-[6-18F-fluoropyridine-3-carbonyl)-amino]-pentyl}-ureido)-pentanedioic acid, DFS disease-free survival, EBRT external beam radiation therapy, FFS failure-free survival, MDT metastasis-directed therapy, MFS metastasis-free survival, MRI magnetic resonance imaging, NGI next-generation imaging, OMPC oligometastatic prostate cancer, PCa prostate cancer, PET positron emission tomography, PFS progression-free survival, PMFS polymetastases-free survival, PPV patient-level positive predictive value, PSA prostate-specific antigen, PSMA prostate-specific membrane antigen, RP radical prostatectomy, TP true positive; WPRT whole pelvis radiotherapy.