PSMA PET for the Staging and Management of Hepatocellular Carcinoma

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

This prospective, single-center study evaluates the clinical utility of F18-Piflufolastat (PSMA) PET/CT when added to conventional cross-sectional imaging for patients with suspected or confirmed hepatocellular carcinoma (HCC). The study aims to determine whether PSMA PET/CT improves diagnostic accuracy for indeterminate liver lesions (LI-RADS 3 and 4), enhances staging precision in treatment-naïve patients, and provides more accurate assessment of treatment response in patients undergoing locoregional therapy (LRT). The goal is to assess how PSMA PET/CT may impact clinical decision-making, staging, and management of HCC across multiple stages of disease.

Eligibility criteria

Qualifiers

Adult patients age >18 years from the VA medical system

Treatment-naïve patients with HCC with BCLC B or C disease

Disqualifiers

Patients with renal dysfunction or contrast allergy that precludes contrast enhanced cross sectional imaging

Patients with presence of active primary malignancy other than HCC and non-melanoma skin cancer in the past 3 years

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

90 Participants
are grouped into 3 trial groups

Sponsors and collaborators

VA Office of Research and Development

Lead sponsor

Miami VA Healthcare System

Collaborator

VA Medical Center-West Los Angeles

Collaborator