Using PSMA PET to improve detection of significant prostate cancer lesions during MRI-targeted biopsy

The Added-value of PSMA PET in Detecting Clinically Significant Prostate Cancer Lesions in Patients Undergoing MRI-targeted Biopsy. (PANDORA): a Prospective, Paired Diagnostic Study

NA · Jules Bordet Institute · NCT06867588

This study is testing if a special type of imaging called PSMA PET can help find important prostate cancer spots that might be missed during regular MRI-targeted biopsies in men with high-risk localized prostate cancer.

Quick facts

PhaseNA
Study typeInterventional
Enrollment68 (estimated)
Ages18 Years and up
SexMale
SponsorJules Bordet Institute (other)
Locations1 site (Brussels)
Trial IDNCT06867588 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of Prostate Specific Membrane Antigen (PSMA) PET imaging in detecting clinically significant prostate cancer lesions in men undergoing MRI-targeted biopsy. By comparing the accuracy of PSMA PET with conventional imaging methods, the study aims to enhance the detection rates of metastatic disease, particularly in patients with high-risk localized prostate cancer. Participants will undergo PSMA PET imaging after having a multiparametric MRI within the last six months, focusing on lesions classified as PI-RADS 3. The goal is to determine if PSMA PET can provide added value in identifying significant cancer lesions that may be missed by standard imaging techniques.

Who should consider this trial

Good fit: Ideal candidates for this study are men aged 18 and older who have undergone a multiparametric MRI within the last six months and have at least one lesion classified as PI-RADS 3.

Not a fit: Patients who have previously been diagnosed with prostate cancer through MRI-targeted biopsy or have lesions classified as PI-RADS 4-5 may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to more accurate detection of prostate cancer, allowing for better-targeted treatments and improved patient outcomes.

How similar studies have performed: Other studies have shown that PSMA PET imaging significantly outperforms conventional imaging methods in detecting prostate cancer, indicating a promising approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Subjects must meet the following criteria for inclusion in the study:

* Men ≥ 18 years of age
* Multiparametric MRI within the previous 6 months
* At least one lesion PI-RADS 3
* Able to provide written informed consent

Exclusion Criteria:

Eligible subjects must not meet any of the exclusion criteria listed below:

* Previous prostate cancer diagnostic on MRI-targeted biopsy
* At least one lesion PI-RADS 4-5
* Negative MRI (PI-RADS 1-2)
* Previous treatment for prostate cancer 11
* Contraindication to PSMA PET and/or MRI and/or prostate biopsy
* Low quality of MRI defined by a PI-QUAL score of 1 or 2
* Any medical condition that may interfere with the study procedures.

Where this trial is running

Brussels

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Multiparametric MRI, Lesion PI-RADS 3, PSMA PET, MRI-targeted biopsy

Last reviewed 2026-05-15 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.