Reason for request

Inclusion

First assessment.

 

Key points

Favourable opinion on reimbursement in the MA indication: "for the detection of prostate-specific membrane antigen (PSMA)-positive lesions with positron emission tomography (PET) in adults with prostate cancer (PC) in the following clinical settings:

  • primary staging of patients with high-risk PC prior to primary curative therapy,
  • suspected PC recurrence in patients with increasing levels of serum prostate-specific antigen (PSA) after primary curative therapy,
  • identification of patients with PSMA-positive, progressive, metastatic, castration-resistant prostate cancer (mCRPC), for whom PSMA-targeted therapy is indicated."

 

Role in the diagnostic strategy?

LOCAMETZ (gallium (68Ga) gozetotide) plays a role in the diagnostic strategy:

  • for the primary staging of patients presenting with high-risk PC before a primary curative treatment. It is an additional alternative as an optional examination, according to current recommendations.
  • in case of suspected PC recurrence in patients with increasing levels of serum PSA after a primary curative treatment. It is a first-line examination, in the same way as RADELUMIN.
  • for the identification of patients with PSMA-positive, progressive, mCRPC, for whom PSMA-targeted therapy is indicated. It is a first-line examination, for the identification of PSMA-positive patients.

Clinical Benefit

Substantial

The clinical benefit provided by LOCAMETZ (gallium (68Ga) gozetotide), kit for radiopharmaceutical preparation is significant in the MA indication: “[…]  for the detection of prostate-specific membrane antigen (PSMA)-positive lesions with positron emission tomography (PET) in adults with prostate cancer (PC) in the following clinical settings:

  • primary staging of patients with high-risk PC prior to primary curative therapy,
  • suspected PC recurrence in patients with increasing levels of serum prostate-specific antigen (PSA) after primary curative therapy,
  • identification of patients with PSMA-positive, progressive, metastatic, castration-resistant prostate cancer (mCRPC), for whom PSMA-targeted therapy is indicated (see section 4.4)."

Clinical Added Value

no clinical added value

LOCAMETZ (gallium (68Ga) gozetotide), kit for radiopharmaceutical preparation, provides no clinical added value (CAV V) in the diagnostic strategy of prostate cancer, in the following clinical situations:

  • primary staging of patients presenting with high-risk PC before a primary curative treatment,
  • suspected PC recurrence in patients with increasing levels of serum prostate-specific antigen (PSA) after a primary curative treatment,
  • identification of patients with PSMA-positive, progressive, metastatic, castration-resistant prostate cancer (mCRPC), for whom PSMA-targeted therapy is indicated.

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