Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 90 Men only

New PSMA PET/CT (flotufolastat F-18) compared with MRI to find prostate cancer

Official title: Beacon: Prospective Assessment of Flotufolastat F 18 PSMA and MRI in the Diagnosis of Clinically Significant Prostate Cancer

Run by Jonsson Comprehensive Cancer Center · NCT07164027 · Data updated 2026-11-12

We are testing whether a PSMA PET/CT scan using flotufolastat F-18 can better guide targeted prostate biopsies in men with prostate cancer who have a suspicious MRI lesion (PI-RADS 3-5).

More Prostate Carcinoma trials

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 90 Years
SexMen only
Enrollment30 (estimated)
SponsorJonsson Comprehensive Cancer Center
Academic / other
Locations1 site (Los Angeles, California)
StatusRecruiting
StartedNovember 14, 2025
Main results expectedJanuary 28, 2036
Study endsJanuary 28, 2037
Registry record updatedMarch 10, 2026
Trial IDNCT07164027 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Men aged 18 to 90 who have at least one PI-RADS 3-5 lesion on MRI within the past 12 months and who can undergo PET/CT and prostate biopsy are ideal candidates.

Probably not a fit

Men who have had prior treatment for prostate cancer, cannot stop blood thinners, or have contraindications to PET/CT or ultrasound-guided 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 early Phase I interventional study gives participants an IV injection of flotufolastat F-18 followed by PET/CT imaging, then performs both PSMA PET/CT/ultrasound fusion biopsy and MRI/ultrasound fusion biopsy in a randomized order within six months. The trial compares detection rates for clinically significant prostate cancer (grade group ≥2) between PSMA PET and MRI ROIs, and examines relationships between SUV, PI-RADS scores, and the potential to omit systematic biopsy. Secondary and exploratory goals include characterizing incidental GG1 detection, concordance of tumor location between methods, validating an MRI+PSMA composite score, and comparing aggressiveness and tumor volume identified by each modality. Blood samples and biopsy biospecimens may be collected for correlative analyses.

Why it matters

Potential benefit: If successful, this approach could locate clinically significant prostate cancer more accurately and help reduce unnecessary systematic biopsies.

How similar studies have gone: PSMA PET imaging has shown promising results in detecting prostate cancer in other studies, but using flotufolastat F-18 specifically to guide targeted prostate biopsies is relatively new and still being tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Men aged 18-90 at study enrollment
* Have at least one PI-RADS 3-5 lesion on MRI within the 12 months prior to enrollment

Exclusion Criteria:

* Contraindication to flotufolastat F 18 PET CT
* Contraindication to ultrasound-guided prostate biopsy
* Previous treatment of prostate cancer
* Unable to discontinue blood thinners for 7 days prior to biopsy
* Any investigational agents within 42 days prior to the day of the first dose
* Not able to understand and to follow study instructions and requirements. This also includes the inability to complete the study imaging and or biopsy procedures due to any reason (e.g., severe claustrophobia, inability to lie still for the entire imaging time, any condition that precludes raised arms position)

Where it's running

  • UCLA / Jonsson Comprehensive Cancer Center
    Los Angeles, California, United States
    Recruiting

Study contacts

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.