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Trial registered on ANZCTR
Registration number
ACTRN12619000720112
Ethics application status
Approved
Date submitted
25/03/2019
Date registered
13/05/2019
Date last updated
26/08/2019
Date data sharing statement initially provided
13/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Exploring the role of androgen receptor blockade in increasing the expression of prostate specific membrane antigen (PSMA) and enhancing 68Ga-PSMA-11-PET/CT imaging in patients with metastatic prostate cancer
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Scientific title
Exploring the role of androgen receptor blockade in increasing the expression of prostate specific membrane antigen (PSMA) and enhancing 68Ga-PSMA-11-PET/CT imaging in patients with metastatic prostate cancer
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Secondary ID [1]
297784
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ENHA01
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Universal Trial Number (UTN)
U1111-1230-5149
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
310687
310687
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
68Ga-PSMA-PET/CT scan will be administered in a registered nuclear medicine department by a nuclear med physician. This scan is considered standard of care for patients and this trial requires 1 additional scan under the same conditions as a standard PSMA scan. All participants are will be undergoing enzalutamide as standard of care. PSMA scans takes approx. 2-3 hours to complete. The second scan will be 7 weeks from the baseline scan. The Enzalitamide dosing is based on clinician choice (medical oncologist) Enzalutimdie will commence at Week 5 (4 weeks post the 1st PSMA Scan) will continue throughout study as prescribed by treating Med Onc.
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Intervention code [1]
314020
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Diagnosis / Prognosis
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Comparator / control treatment
This study has no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To evaluate if diagnostic sensitivity of 68Ga-PSMA-PET/CT imaging in patients with metastatic prostate cancer is enhanced by androgen blockade with enzalutamide, as measured by any increase in SUV (max) OR any increase in number of lesions detected in an individual patient
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Assessment method [1]
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Timepoint [1]
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The second 68Ga-PSMA-PET/CT scan performed 14 days following the start of enzalutamide treatment
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Secondary outcome [1]
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NIL
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Assessment method [1]
368611
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Timepoint [1]
368611
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NIL
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Eligibility
Key inclusion criteria
• Male, aged 18 years or over
• Metastatic prostate cancer with demonstrated resistance to standard ADT
• Eastern Cooperative Oncology Group (ECOG) score 0 or 1 or 2
• Willing and able to comply with all study requirements, including all imaging and pre- and post-study assessments
• estimated glomerular filtration rate (eGFR) greater than or equal to 40 mL/min/1.73 m^2
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Prostate cancer with significant neuroendocrine or sarcomatoid component
• Chemotherapy within previous two months
• External beam radiotherapy within previous two months
• Current use of abiraterone, or use within previous two months
• Known intolerance or hypersensitivity to enzalutamide, or patient in whom enzalutamide is contraindicated
• Known hypersensitivity to CT imaging intravenous contrast agent
• Known hypersensitivity to any isotope of Ga in any chemical form, or any of the PSMA-targeting ligands
• Significant urinary incontinence
• Any mental condition or cognitive impairment that may render the patient unable to adequately understand the requirements, nature and possible consequences of the study
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not applicable, as the trial in non-randomised
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable, as the trial in non-randomised
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
No statistical analysis is involved in the design of this trial
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/06/2019
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Actual
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Date of last participant enrolment
Anticipated
2/12/2019
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Actual
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Date of last data collection
Anticipated
10/08/2020
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Actual
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Sample size
Target
40
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Accrual to date
0
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Hollywood Private Hospital - Nedlands
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Recruitment postcode(s) [1]
26083
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Telix Pharmaceuticals
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Address [1]
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Suite 401
55 Flemington Road
North Melbourne VIC 3051
Australia
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Country [1]
302307
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
GenesisCare
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Address
41-43 Bourke road, Alexandria, NSW 2015, Australia
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Country
Australia
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Secondary sponsor category [1]
302191
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None
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Name [1]
302191
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Address [1]
302191
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Country [1]
302191
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Ethics Committee
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Ethics committee address [1]
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123 Glen Osmond Road Eastwood SA 5063
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/04/2019
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Approval date [1]
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30/07/2019
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Ethics approval number [1]
302982
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Summary
Brief summary
The purpose of this study is to determine the effect of androgen deprivation therapy, a treatment commonly prescribed in prostate cancer patients, on the effectiveness of medical imaging techniques. Who is it for? You may be eligible for this study if you are an adult who has been diagnosed with metastatic prostate cancer. Study details: Participants are required to undergo 2 PSMA Scans, the 1st within 28days prior to starting treatment with the medication enzalutamide and the 2nd 14 days after starting enzalutamide. Participants will be required to undergo a physical exam with the Dr which will include a blood test to assess kidney function. The outcome of this study will have important implications for the diagnostic and therapeutic management of metastatic prostate cancer.
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Trial website
There is no specific trial-related website.
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Nat Lenzo
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Address
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GenesisCare,
41-43 Bourke road,
Alexandria,
NSW 2015,
Australia
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Country
92062
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Australia
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Phone
92062
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+61 0402345665
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Fax
92062
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Email
92062
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[email protected]
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Contact person for public queries
Name
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Nicole Haberman
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Address
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GenesisCare,
Level 5, 126 Wellington Parade
East Melbourne
VIC 3002
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Country
92063
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Australia
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Phone
92063
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+61 0408 737 216
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Fax
92063
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Email
92063
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[email protected]
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Contact person for scientific queries
Name
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Danielle Meyrick
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Address
92064
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GenesisCare,
41-43 Bourke road,
Alexandria,
NSW 2015,
Australia
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Country
92064
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Australia
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Phone
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+61 0419 610 137
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Fax
92064
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No publication policy has yet been implemented for this study.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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