RecruitingPhase 2NCT07455903

Assessing Efficacy of Neoadjuvant ADT in Localized High-Risk Prostate Cancer Patients Utilizing 18F-Flotufolastat PSMA PET/CT

Assessing the Efficacy of Neoadjuvant Androgen Deprivation Therapy (ADT) Utilizing 18F-Flotufolastat PSMA PET/CT in Patients With High-Risk Localized Prostate Cancer (LHRPC)


Sponsor

Baptist Health South Florida

Enrollment

50 participants

Start Date

Apr 23, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this research study is to test the efficacy of ADT on prostate-specific membrane antigen (PSMA), a marker of prostate cancer, before and after scheduled ADT. Follow up will be 48 months your prostate removal to do a blood test and log if any new or worsening symptoms have occurred as a part of your standard-of-care (SOC).


Eligibility

Sex: MALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying 18-F Flotufolastat PSMA PET, a drug called Bicalutamide, and others for people with localized prostate carcinoma and prostate cancer. The study is currently recruiting participants at 1 location. People eligible for this study include men aged 18 Years and older.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGLeuprolide

22.5 mg IM every 3 months × 2 doses

DRUGDegarelix

240 mg SC loading dose, then 80 mg SC q28 days × 6 months

DRUGRelugolix

360 mg PO Day 1, then 120 mg PO daily × 6 months

DRUGTriptorelin

11.25 mg IM every 3 months × 2 doses

DRUGBicalutamide

Given only with leuprolide or triptorelin; 50 mg PO daily for 30 days

DIAGNOSTIC_TEST18-F Flotufolastat PSMA PET

296 MBq (8mCi) administered as an intravenous bolus injection prior to PSMA PET scan. May be administered diluted in normal saline (NS) or undiluted. The maximum volume of undiluted 18F-flotufolastat is 5mL. After administration, a flush with 0.9% NS will be given to ensure full delivery of the dose.

PROCEDURERadical prostatectomy

Surgery to occur 14 to 90 days after the pre-surgery visit. All RPs will be performed per institutional standard of care by fellowship-trained urologic oncologists, with an extended pelvic lymph-node dissection when clinically indicated.


Locations(1)

Miami Cancer Institute at Baptist Health, Inc.

Miami, Florida, United States

View Full Details on ClinicalTrials.gov

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NCT07455903


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