Using PSMA-PET CT to monitor prostate cancer in patients on active surveillance
Official title: ESCAPE - Evaluation of Prostate Specific Membrane Antigen Positron Emission Tomography-Computed Tomography in Active Surveillance for Prostate CancEr
Run by Weill Medical College of Cornell University · NCT05948657 · Data updated 2026-11-12
This study is testing if PSMA-PET CT scans can help men with low-risk prostate cancer on active surveillance see if they still have significant cancer or not.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 200 (estimated) |
| Sponsor | Weill Medical College of Cornell University Academic / other |
| Locations | 4 sites (Los Angeles, California and 3 other locations) |
| Status | Recruiting |
| Started | February 26, 2024 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | May 4, 2026 |
| Trial ID | NCT05948657 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are males aged 18 and older with histologically confirmed low or favorable intermediate-risk prostate cancer who are pursuing active surveillance.
✕Probably not a fit
Patients who have previously received treatment for prostate cancer or those with a life expectancy of less than 10 years may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of PSMA-PET CT imaging in identifying the absence of clinically significant prostate cancer in men who are on active surveillance for low and favorable intermediate-risk prostate cancer. It is a prospective, multicenter, nonrandomized single-arm study that aims to enroll 200 participants who meet specific NCCN guidelines. The study will assess the diagnostic accuracy of this imaging technique over time, with participants undergoing yearly PSMA-PET CT scans and prostate biopsies to monitor their condition.
Why it matters
Potential benefit: If successful, this study could provide a more accurate method for monitoring prostate cancer, potentially reducing unnecessary treatments for patients.
How similar studies have gone: Other studies have shown promise in using advanced imaging techniques for cancer monitoring, but this specific approach with PSMA-PET CT in active surveillance is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males aged ≥ 18. * Histologically confirmed low or favorable intermediate risk prostate cancer per NCCN guidelines. (Note: Grade Group 2 must have 20% or less involvement in every core and no presence of cribiform or intraductal carcinoma). * PSA \< 20 ng/ml. * Ability to undergo yearly PSMA-PET CT. * Ability to undergo yearly prostate mpMRI. * Ability to undergo transrectal or transperineal template and fusion prostate biopsy. * Willingness to undergo yearly prostate biopsies. Exclusion Criteria: * History of prior treatment for prostate cancer. * History of systemic therapy for prostate cancer. * Inability to undergo transrectal ultrasound. * Life expectancy less than 10 years. * Not interested in pursuing active surveillance. * Initial diagnosis of prostate cancer greater than 15 months.
Where it's running
-
Weill Cornell Medicine - New York Presbyterian Hospital
New York, New York, United States Recruiting -
UH Cleveland Medical Center
Cleveland, Ohio, United States Recruiting -
UCLA
Los Angeles, California, United States Not yet recruiting -
UCSF
San Francisco, California, United States Not yet recruiting
Study contacts
- Principal investigator: Timothy McClure, M.D. — Weill Medical College of Cornell University
- Study coordinator: Holly Kuczynski
- Email: hok4001@med.cornell.edu
- Phone: 646-962-7523
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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.