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

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

Abstract

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.

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.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04443062 . First posted: June 23, 2020.

More about this publication

Trials

Volume 22
Issue nr. 1
Pages 768
Publication date 04-11-2021

Full text links

Publisher website (DOI) 10.1186/s13063-021-05733-4
Europe PubMed Central 34736509
Pubmed 34736509

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