Clinical trial · Interventional
Study of 18F-DCFPyL PET/CT Imaging in Patients With Prostate Cancer
A PrOspective Phase 2/3 Multi-Center Study of 18F-DCFPyL PET/CT Imaging in Patients With PRostate Cancer: Examination of Diagnostic AccuracY (OSPREY)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This study evaluates the safety and diagnostic performance of 18F-DCFPyL Injection in patients with at least high risk prostate cancer who are planned for radical prostatectomy with lymphadenectomy (Cohort A) or in patients with locally recurrent or metastatic disease willing to undergo biopsy (Cohort B). Cohort B is complete and no longer recruiting subjects.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Prostate Cancer | Malignant Prostate Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 18F-DCFPyL Injection | Drug | — | UNRESOLVED |
| PET/CT imaging | Diagnostic Test | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- 18F-DCFPyL Injection
- description
- 9±1 mCi (333±37 MBq) IV injection of 18F-DCFPyL
- interventionNames
- Drug: 18F-DCFPyL Injection
- Diagnostic Test: PET/CT imaging
Primary outcomes (2)
- measure
- Specificity of 18F-DCFPyL PET/CT Imaging to Detect Metastatic Prostate Cancer Within the Pelvic Lymph Nodes Relative to Histopathology in High Risk Prostate Cancer Participants (Cohort A)
- timeFrame
- Within 28 days of imaging, radical prostatectomy with pelvic lymph node dissection will occur.
- description
- The primary analysis in Cohort A will test the co-primary endpoints of sensitivity and specificity of 18F-DCFPyL PET/CT imaging relative to histopathology for metastatic disease in pre-prostatectomy patients. For each co-primary endpoint there will be three independent imaging readers. At least two of the three readers must reject the null hypothesis for specificity to be deemed a success. If specificity is a success, then the same two readers need to reject the null hypothesis for sensitivity to reach overall success of the primary endpoint.
Eligibility
Eligibility (as posted)
- Sex
- Male
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: 1. Histologically confirmed adenocarcinoma of the prostate. 2. Subjects provide signed informed consent and confirm that they are able and willing to comply with all protocol requirements. Cohort A Only: * At least high risk prostate cancer defined by NCCN Guidelines Version 3.2016 (clinical stage ≥T3a or PSA \>20 ng/mL or Gleason score ≥8). * Scheduled or planned radical prostatectomy with PLND. Cohort B Only: \[Enrollment is complete; No longer recruiting subjects\] * Radiologic evidence of local recurrence or new or progressive metastatic disease demonstrated on anatomical imaging (CT, MRI, or ultrasound), whole-body bone scan (99m-Tc-MDP or Na-18F) within 4 weeks of enrollment. * If prior treatment with radiation or ablative therapy, evidence of recurrence outside the confines of prior treated site(s) is needed. * Scheduled or planned percutaneous biopsy of at least one amenable lesion. Exclusion Criteria: 1. Subjects administered any high energy (\>300 KeV) gamma-emitting radioisotope within five physical half-lives, or any IV iodinated contrast medium within 24 hours, or any high density oral contrast medium (oral water contrast is acceptable) within 5 days, prior to study drug injection. 2. Subjects with any medical condition or other circumstance that, in the opinion of the investigator, compromise obtaining reliable data, achieving study objectives, or completion. Cohort A Only: * Patients with prior androgen deprivation therapy or any investigational neoadjuvant agent or intervention Cohort B Only: \[Enrollment is Complete; No longer recruiting subjects\] * Prior radiation or ablative therapy to intended site of biopsy, if within the prostate bed * Initiation of new therapy for recurrent and/or progressive metastatic disease since radiographic documentation of recurrence/progression.
References
Publications (1)
- DERIVEDSaperstein L, Rowe SP, Gorin MA, Pienta KJ, Siegel BA, Morris MJ, Baskaran S, Stambler N, DiPippo VA, Denes BS. Impact of Concomitant Hormone Therapy on the Diagnostic Performance of 18F-Piflufolastat PET/CT in Prostate Cancer Patients: A Sub-Group Analysis of OSPREY Cohort B. Prostate. 2025 Aug;85(11):1005-1015. doi: 10.1002/pros.24909. Epub 2025 May 4. PMID 40320701