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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 90 (estimated) |
| Sponsor | Emory University Academic / other |
| Locations | 1 site (Atlanta, Georgia) |
| Status | Recruiting |
| Started | April 18, 2025 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2029 |
| Registry record updated | July 14, 2026 |
| Trial ID | NCT06865768 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
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Understanding NK Cell Function in Prostate Cancer Across Races
This study tests whether natural killer (NK) cells behave differently in prostate cancer patients of diverse racial backgrounds by analyzing blood and tissue samples.
-
MRI or CT planning to guide high-dose-rate prostate brachytherapy
This trial tests whether adding an MRI to CT-based treatment planning for HDR prostate brachytherapy changes urinary side effects in men with localized prostate cancer.
-
Targeted Early Detection for Men at High Genetic Risk for Prostate Cancer
This study tests urinary biomarkers and PSA to see if they can improve early detection for men with a strong family or genetic risk for prostate cancer.
-
Urine and MRI approach to find aggressive prostate cancer early
This study tests whether a urine test called MPS2, paired with MRI, can better detect aggressive prostate cancer in men 50–75 at risk, possibly reducing unnecessary biopsies.
-
GET FIT Together: a socially enhanced exercise program for older men with prostate cancer
This program tests whether adding structured social support to supervised online exercise reduces cancer-related loneliness and improves mental and physical health in men 65 and older who have had prostate cancer.
-
Improved MRI methods to distinguish benign from cancerous pelvic findings
This test tries new deep-learning image-processing methods on MRI scans to get clearer images faster for adults scanned for prostate screening or suspected endometriosis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.