Clinical trial Recruiting at 3 sites Observational Men only

Blood-based tumor DNA testing during PSMA radioligand therapy

Official title: Liquid Biopsy as a Biomarker in Patients Treated With PSMA Radioligand Therapy

Run by Wuerzburg University Hospital · NCT07118436 · Data updated 2026-11-12

This project will test whether blood-based liquid biopsies taken before, during, and after PSMA radioligand therapy can help predict outcomes for men with metastatic castration-resistant prostate cancer.

Quick facts

Study typeObservational
SexMen only
Enrollment100 (estimated)
SponsorWuerzburg University Hospital
Academic / other
Locations3 sites (Augsburg and 2 other locations)
StatusRecruiting
StartedSeptember 1, 2024
Main results expectedDecember 2026
Study endsAugust 2028
Registry record updatedAugust 12, 2025
Trial IDNCT07118436 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with metastatic castration-resistant prostate cancer who are eligible for PSMA radioligand therapy, have had prior antiandrogen and taxane therapy, and can provide informed consent and attend the participating German centers.

Probably not a fit

Patients who are not eligible for PSMA radioligand therapy, cannot provide serial blood samples, lack detectable ctDNA, or cannot attend the participating sites are unlikely to benefit from participation.

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

What this trial studies

This observational study will collect serial blood samples for circulating tumor DNA (ctDNA) analysis from men with mCRPC who are receiving PSMA-targeted radioligand therapy. Samples will be obtained before the first cycle, during treatment, and after completion to look for molecular changes that correlate with response or early progression. Clinical data including recent PSMA PET/CT, prior therapies, and outcomes will be correlated with liquid biopsy findings. The work is conducted at several German university hospitals and uses non-invasive serial sampling to explore prognostic markers.

Why it matters

Potential benefit: If successful, this approach could let doctors use simple blood tests to monitor response to PSMA radioligand therapy and detect emerging resistance earlier.

How similar studies have gone: Previous work has shown ctDNA can reflect tumor burden and predict outcomes in mCRPC, but applying serial liquid biopsies specifically during PSMA radioligand therapy is relatively new and still being validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with mCRPC eligble for PSMA RLT
* In-lable use for PSMA RLT
* PSMA PET/CT not older than 8 weeks prior to first cycle of PSMA RLT
* One previous line of antiandrogen receptor pathway treatment and one previous line of taxan based therapy
* Age ≥ 18 years
* Written informed consent
* Sufficient knowledge of the German language or presence of a translator

Exclusion Criteria:

* Unwilling to adhere to study procedures
* Missing interdisciplinary tumor conference advise for PSMA RLT

Where it's running

  • University hospital Wuerzburg - Department of Nuclear Medicine
    Augsburg, Germany
    Recruiting
  • TUM Klinikum rechts der Isar - Department of Nuclear medicine
    München, Germany
    Recruiting
  • University hospital Wuerzburg - Department of Nuclear Medicine
    Würzburg, Germany
    Recruiting

Study contacts

  • Principal investigator: Kerstin Michalski, MD — University hospital Wuerzburg - Department of Nuclear Medince
  • Study coordinator: Kerstin Michalski, MD
  • Email: michalski_k@ukw.de
  • Phone: +4993120135931

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.