PSMA靶向荧光造影剂DGPR1008用于机器人辅助根治性前列腺切除术术中成像的安全性和有效性
关于PSMA靶向荧光造影剂DGPR1008用于机器人辅助根治性前列腺切除术术中成像的安全性和有效性的Ⅱ期临床研究
This study is a single-center, single-arm, open-label exploratory study to evaluate the safety and efficacy of fluorescent imaging combined with a robotic surgical control system for robot-assisted radical prostatectomy.
研究概览
地位
条件
研究类型
注册 (实际的)
阶段
- 阶段2
联系人和位置
学习地点
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Shanghai Municipality
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Shanghai、Shanghai Municipality、中国
- RENJI
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Subjects with pathologically confirmed prostate cancer via preoperative prostate core needle biopsy who are scheduled to undergo robot-assisted radical prostatectomy (RARP).
- Subjects must provide informed consent for the trial prior to enrollment, with a full understanding of the trial content, procedures and potential adverse events; they must be able to communicate effectively with investigators, comply with the trial protocol to complete the entire study, and voluntarily sign a written informed consent form.
- Male adult subjects aged 18 years or older (inclusive).
- Gleason total score ≥7, or radiological findings (transrectal ultrasound (TRUS) and/or prostate magnetic resonance imaging (MRI), computed tomography (CT) or prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT)) indicating clinical stage ≥T2.
- No hepatic or renal impairment: Hepatic function: Total bilirubin ≤2 × upper limit of normal (ULN) (except for Gilbert's syndrome), alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤3 × ULN; Renal function: Creatinine clearance rate ≥50 mL/min/1.73 m² (calculated via the simplified MDRD equation).
- Subjects judged by the investigator to have no definite surgical contraindications and to be suitable for robot-assisted radical prostatectomy (RARP).
- Subjects and their partners/spouses must agree to have no childbearing or sperm donation plans from the screening period to 3 months after the trial completion, and voluntarily adopt effective contraceptive measures.
Exclusion Criteria:
- Subjects with an allergic diathesis (e.g., a known history of hypersensitivity to two or more drugs), a predisposition to allergic symptoms such as rashes or urticaria, or a known hypersensitivity to the study drug (including its ingredients).
- Subjects with clinically significant abnormal findings in screening tests that are judged by the investigator to affect the study; or those with comorbidities that pose a serious risk to subject safety or interfere with study completion (except for subjects whose conditions are judged by the investigator to be stable for enrollment).
- Subjects who have participated in other clinical trials and received investigational drugs or medical devices within 1 month prior to the administration of the study drug.
- Subjects who have received neoadjuvant therapy, radiotherapy, focal ablation therapy, hormonal therapy, androgen deprivation therapy, or other such treatments in the past 6 months.
- Subjects who are judged by the investigator to be ineligible for the study due to other circumstances.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:顺序分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:0.02mg/kg DGPR1008 Injection Dose Group 1 (n=4~10)
0.02mg/kg |
0.02 mg/kg |
|
实验性的:0.04mg/kg DGPR1008 Injection Dose Group 1 (n=4~10)
0.04mg/kg |
0.04 mg/kg |
|
实验性的:0.06mg/kg DGPR1008 Injection Dose Group 1 (n=4~10)
0.06mg/kg |
0.06 mg/kg |
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
评估DGPR1008通过近红外荧光检测前列腺癌组织的敏感性(真阳性率,TP/(TP+FN))、特异性(真阴性率,TN/(TN+FP))、假阳性率(FP/(FP+TN))和假阴性率(FN/(FN+TP))
大体时间:给药后7天
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给药后7天
|
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评估根治性前列腺切除术后,通过近红外荧光成像(NIR)在肿瘤床识别出的荧光信号导致额外切除的组织中,经组织病理学检查确认为肿瘤阳性的比例。
大体时间:给药后7天
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给药后7天
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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评估经根治性前列腺切除术后通过组织病理学检查评估的阳性手术切缘(PSM)≥1的受试者比例。
大体时间:给药后7天
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给药后7天
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评估肿瘤与背景比值(TBR)
大体时间:给药后7天
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给药后7天
|
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Number of participants with Adverse events
大体时间:7 days after administration
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Number of participants with Adverse events, with abnormal vital signs assessment, abnormal physical examination findings, abnormal electrocardiogram (ECG) readings, and abnormal laboratory tests including complete blood count (CBC), blood biochemistry, urine routine test, and coagulation function tests |
7 days after administration
|
合作者和调查者
赞助
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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