Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up Men only

18F-rhPSMA-7.3 PET-mpMRI to guide targeted prostate biopsy with TRUS‑MR fusion

Official title: Prospective Phase II Validation of the Performance of a Prostate-Specific Membrane Antigen (PSMA) Radiotracer for Positron Emission Tomography-Multiparametric Magnetic Resonance (PET-mpMR) Imaging to Target Prostate Biopsy Via Transrectal Ultrasound (TRUS) -Magnetic Resonance Imaging (MRI) Fusion Technique

Run by Emory University · NCT06865768 · Data updated 2026-11-12

This phase II trial tests whether adding an 18F-rhPSMA-7.3 PET scan to standard mpMRI helps find clinically significant prostate cancer in men scheduled for prostate biopsy.

More Prostate Carcinoma trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexMen only
Enrollment90 (estimated)
SponsorEmory University
Academic / other
Locations1 site (Atlanta, Georgia)
StatusRecruiting
StartedApril 18, 2025
Main results expectedDecember 31, 2028
Study endsDecember 31, 2029
Registry record updatedJuly 14, 2026
Trial IDNCT06865768 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Men over 18 who are suspected of having prostate cancer, are scheduled for prostate biopsy, can lie still for MRI, and can provide informed consent are eligible.

Probably not a fit

Patients with recent prostatitis, recent prostate biopsy within four weeks, MRI contraindications (for example pacemakers or cochlear implants), hip prostheses, or other conditions that prevent safe MRI or biopsy are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase II trial gives an intravenous injection of the PET tracer 18F-rhPSMA-7.3, waits about 50 minutes, and performs PET imaging concurrently with standard-of-care multiparametric MRI to produce combined PET-mpMRI images. Radiologists will identify PI-RADS ≥3 lesions and use TRUS-MR fusion to guide targeted transrectal ultrasound biopsies of those areas. The primary aim is to see if PET-mpMRI improves detection of clinically significant prostate cancer in MRI-suspicious lesions, and secondary analyses will explore radiomics textural features from PET and MRI that correlate with cancer presence. The trial enrolls adult men suspected of having prostate cancer and is conducted at Emory University Hospital.

Why it matters

Potential benefit: If successful, this approach could improve detection of clinically significant prostate cancer and make targeted biopsies more accurate, potentially reducing missed cancers and unnecessary sampling.

How similar studies have gone: PSMA PET combined with MRI has shown promise in improving prostate cancer detection in other studies, but the specific use of 18F-rhPSMA-7.3 with simultaneous PET-mpMRI and radiomics is relatively new and still being tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male subjects aged \> 18 years
* Patients with suspected prostate cancer who will have prostate biopsy for confirmation
* Ability to lie still for MRI scanning
* Patients must be able to provide written informed consent

Exclusion Criteria:

* Documented acute prostatitis, symptomatic or severe benign prostatic hyperplasia (BPH) or urinary tract infections
* Patients with contraindications for MRI including implantable pace makers, cochlear implants
* Patients with uni- or bilateral hip prosthesis
* Subjects with other significant medical conditions that would create unacceptable prostate biopsy risk, compromise retention on study or compromise study related assessments
* Prostate biopsy within 4 weeks prior to entry on this study in which inflammation might affect PET-mpMR result
* Is determined by the Investigator that the patient is clinically unsuitable for the study
* Is incapable of understanding the language in which the information for the patient is given
* Participation in a concurrent clinical trial or in another trial within the past 30 days

Where it's running

  • Emory University Hospital
    Atlanta, Georgia, United States
    Recruiting

Study contacts

  • Principal investigator: David M Schuster, MD, FACR — Emory University Hospital/Winship Cancer Institute
  • Study coordinator: David M. Schuster, MD, FACR
  • Email: dschust@emory.edu
  • Phone: 404-712-4859

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.