Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial

Abstract Background The BULLSEYE trial is a multicenter, open-label, randomized controlled trial to test the hypothesis if 177Lu-PSMA is an effective treatment in oligometastatic hormone-sensitive prostate cancer (oHSPC) to prolong the progression-free survival (PFS) and postpone the need for androg...

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Autores principales: Bastiaan M. Privé, Marcel J. R. Janssen, Inge M. van Oort, Constantijn H. J. Muselaers, Marianne A. Jonker, Willemijn A. van Gemert, Michel de Groot, Harm Westdorp, Niven Mehra, J. Fred Verzijlbergen, Tom W. J. Scheenen, Patrik Zámecnik, Jelle O. Barentsz, Martin Gotthardt, Walter Noordzij, Wouter V. Vogel, Andries M. Bergman, Henk G. van der Poel, André N. Vis, Daniela E. Oprea-Lager, Winald R. Gerritsen, J. Alfred Witjes, James Nagarajah
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Publicado: BMC 2021
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spelling oai:doaj.org-article:d0eae2f7bc184b94b9f6863ede0c30e82021-11-08T11:02:50ZUpdate to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial10.1186/s13063-021-05733-41745-6215https://doaj.org/article/d0eae2f7bc184b94b9f6863ede0c30e82021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05733-4https://doaj.org/toc/1745-6215Abstract Background The BULLSEYE trial is a multicenter, open-label, randomized controlled trial to test the hypothesis if 177Lu-PSMA is an effective treatment in oligometastatic hormone-sensitive prostate cancer (oHSPC) to prolong the progression-free survival (PFS) and postpone the need for androgen deprivation therapy (ADT). The original study protocol was published in 2020. Here, we report amendments that have been made to the study protocol since the commencement of the trial. Changes in methods and materials Two important changes were made to the original protocol: (1) the study will now use 177Lu-PSMA-617 instead of 177Lu-PSMA-I&T and (2) responding patients with residual disease on 18F-PSMA PET after the first two cycles are eligible to receive additional two cycles of 7.4 GBq 177Lu-PSMA in weeks 12 and 18, summing up to a maximum of 4 cycles if indicated. Therefore, patients receiving 177Lu-PSMA-617 will also receive an interim 18F-PSMA PET scan in week 4 after cycle 2. The title of this study was modified to; “Lutetium-177-PSMA in Oligo-metastatic Hormone Sensitive Prostate Cancer” and is now partly supported by Advanced Accelerator Applications, a Novartis Company. Conclusions We present an update of the original study protocol prior to the completion of the study. Treatment arm patients that were included and received 177Lu-PSMA-I&T under the previous protocol will be replaced. Trial registration ClinicalTrials.gov NCT04443062 . First posted: June 23, 2020.Bastiaan M. PrivéMarcel J. R. JanssenInge M. van OortConstantijn H. J. MuselaersMarianne A. JonkerWillemijn A. van GemertMichel de GrootHarm WestdorpNiven MehraJ. Fred VerzijlbergenTom W. J. ScheenenPatrik ZámecnikJelle O. BarentszMartin GotthardtWalter NoordzijWouter V. VogelAndries M. BergmanHenk G. van der PoelAndré N. VisDaniela E. Oprea-LagerWinald R. GerritsenJ. Alfred WitjesJames NagarajahBMCarticleHormone-sensitive prostate cancerLutetium-177-PSMAMetastases-directed therapyOligometastasesRadioligand therapyUrologic oncologyMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-4 (2021)
institution DOAJ
collection DOAJ
language EN
topic Hormone-sensitive prostate cancer
Lutetium-177-PSMA
Metastases-directed therapy
Oligometastases
Radioligand therapy
Urologic oncology
Medicine (General)
R5-920
spellingShingle Hormone-sensitive prostate cancer
Lutetium-177-PSMA
Metastases-directed therapy
Oligometastases
Radioligand therapy
Urologic oncology
Medicine (General)
R5-920
Bastiaan M. Privé
Marcel J. R. Janssen
Inge M. van Oort
Constantijn H. J. Muselaers
Marianne A. Jonker
Willemijn A. van Gemert
Michel de Groot
Harm Westdorp
Niven Mehra
J. Fred Verzijlbergen
Tom W. J. Scheenen
Patrik Zámecnik
Jelle O. Barentsz
Martin Gotthardt
Walter Noordzij
Wouter V. Vogel
Andries M. Bergman
Henk G. van der Poel
André N. Vis
Daniela E. Oprea-Lager
Winald R. Gerritsen
J. Alfred Witjes
James Nagarajah
Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
description Abstract Background The BULLSEYE trial is a multicenter, open-label, randomized controlled trial to test the hypothesis if 177Lu-PSMA is an effective treatment in oligometastatic hormone-sensitive prostate cancer (oHSPC) to prolong the progression-free survival (PFS) and postpone the need for androgen deprivation therapy (ADT). The original study protocol was published in 2020. Here, we report amendments that have been made to the study protocol since the commencement of the trial. Changes in methods and materials Two important changes were made to the original protocol: (1) the study will now use 177Lu-PSMA-617 instead of 177Lu-PSMA-I&T and (2) responding patients with residual disease on 18F-PSMA PET after the first two cycles are eligible to receive additional two cycles of 7.4 GBq 177Lu-PSMA in weeks 12 and 18, summing up to a maximum of 4 cycles if indicated. Therefore, patients receiving 177Lu-PSMA-617 will also receive an interim 18F-PSMA PET scan in week 4 after cycle 2. The title of this study was modified to; “Lutetium-177-PSMA in Oligo-metastatic Hormone Sensitive Prostate Cancer” and is now partly supported by Advanced Accelerator Applications, a Novartis Company. Conclusions We present an update of the original study protocol prior to the completion of the study. Treatment arm patients that were included and received 177Lu-PSMA-I&T under the previous protocol will be replaced. Trial registration ClinicalTrials.gov NCT04443062 . First posted: June 23, 2020.
format article
author Bastiaan M. Privé
Marcel J. R. Janssen
Inge M. van Oort
Constantijn H. J. Muselaers
Marianne A. Jonker
Willemijn A. van Gemert
Michel de Groot
Harm Westdorp
Niven Mehra
J. Fred Verzijlbergen
Tom W. J. Scheenen
Patrik Zámecnik
Jelle O. Barentsz
Martin Gotthardt
Walter Noordzij
Wouter V. Vogel
Andries M. Bergman
Henk G. van der Poel
André N. Vis
Daniela E. Oprea-Lager
Winald R. Gerritsen
J. Alfred Witjes
James Nagarajah
author_facet Bastiaan M. Privé
Marcel J. R. Janssen
Inge M. van Oort
Constantijn H. J. Muselaers
Marianne A. Jonker
Willemijn A. van Gemert
Michel de Groot
Harm Westdorp
Niven Mehra
J. Fred Verzijlbergen
Tom W. J. Scheenen
Patrik Zámecnik
Jelle O. Barentsz
Martin Gotthardt
Walter Noordzij
Wouter V. Vogel
Andries M. Bergman
Henk G. van der Poel
André N. Vis
Daniela E. Oprea-Lager
Winald R. Gerritsen
J. Alfred Witjes
James Nagarajah
author_sort Bastiaan M. Privé
title Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
title_short Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
title_full Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
title_fullStr Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
title_full_unstemmed Update to a randomized controlled trial of lutetium-177-PSMA in Oligo-metastatic hormone-sensitive prostate cancer: the BULLSEYE trial
title_sort update to a randomized controlled trial of lutetium-177-psma in oligo-metastatic hormone-sensitive prostate cancer: the bullseye trial
publisher BMC
publishDate 2021
url https://doaj.org/article/d0eae2f7bc184b94b9f6863ede0c30e8
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