Outcomes of Local Treatment for Oligometastatic Prostate Cancer Diagnosed Using PSMA PET Imaging: OLIGOMET Study

  • Not Yet Recruiting
  • Observational
  • Drug & Procedure
  • Medical University of Vienna
  • 18 - 80 Years


Study Purpose

PSMA-PET/CT or PSMA-PET/MRI are more accurate imaging modalities compared to CT/BS; in approximately 10-20% of high-risk patients diagnosed using conventional imaging PSMA-PET up-stages the disease. Therefore a substantial proportion of high-risk patients previously considered as non-metastatic are expected to be diagnosed with oligometastatic disease. While standard treatment pathways exist for patients with non-metastatic or oligometastatic disease confirmed using conventional imaging, less is known about the optimal management of patients with oligometastatic prostate cancer on PSMA-PET. Currently, data on the safety, effectiveness and oncologic outcomes of local therapies in oligometastatic patients diagnosed using PSMA-PET have been poorly reported so far. Thus, there is a need for a prospectively maintained database to collect real-world clinical data to produce high-quality research on the optimal management in oligometastatic prostate cancer who underwent PSMA-PET for primary staging and subsequent local therapy. This database will allow centers to retro- and prospectively collect data to facilitate analysis and assessment of the outcomes of oligometastatic patients managed with local therapy.

Intervention

Drug : Darolutamide

Procedure : Radical prostatectomy

Radiation : Prostate irradiation

Procedure : Surgical metastasectomy

Radiation : Irradiation of metastases

Drug : Abiraterone acetate

Drug : Enzalutamide

Drug : Apalutamide

Drug : Docetaxel

Drug : Lutetium-PSMA

Drug : Androgen deprivation treatment


Eligibility Requirements

info icon Oligometastatic prostate cancer diagnosed using PSMA PET defined as cM1a and/or cM1b with ≤5 osseous metastases and/or M1c with ≤3 lung lesions, with or without cN positivity.

info icon Oligometastatic prostate cancer treated with primary local therapy such as radical prostatectomy or radiation therapy.

info icon Any Gleason Score, any cT stage, any PSA

info icon Minimum age: 18

info icon Visceral metastases (apart from lungs).

info icon Neoadjuvant therapy prior to first PSMA PET.

info icon Non-metastatic prostate cancer.

info icon Patients who did not undergo imaging before local treatment.

Recruiting status

Not Yet Recruiting

Estimated enrollment

500

 
Study start date

May 31, 2024

Study end date

Dec 31, 2031

Last updated

Mar 23, 2025

Primary purpose

N/A

Design

Observational

Intervention

Drug & Procedure

Study phase

N/A

Allocation

N/A

 

Sponsor:

Medical University of Vienna

Collaborator:

IRCCS Ospedale San Raffaele

University Hospital of Cologne

St. Antonius Hospital

Istituto Europeo di Oncologia

University Hospital, Udine, Italy

Azienda Ospedaliera San Giovanni Battista

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice

Lund University

Medical University of Warsaw

Ziekenhuis Netwerk Antwerpen (ZNA)

Investigator:

Shahrokh F Shariat, MD PhD DDsc

Pawel G Rajwa, MD PhD

NCT06430411

Clinic Location Investigator Distance RECRUITING STATUS Contact