Radioactive therapy shows promise for tough prostate cancer
NCT ID NCT05413850
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new radioactive drug (lutetium rhPSMA-10.1) in men with advanced prostate cancer that has spread and no longer responds to hormone therapy. The goal is to find the safest and most effective dose, and to see if it can shrink tumors or lower PSA levels. About 82 men will take part in this early-phase trial across multiple centers.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 82 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2022
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male subjects, 18 years of age or older with histologically confirmed adenocarcinoma of the prostate. 2. Serum testosterone levels \<50 ng/dL (1.73 nmol/L) after surgical or continued chemical castration. 3. Presence of disease target or non target lesions (per RECIST v1.1) on CT/MRI and/or presence of disease on full body 99mTc bone scan performed within 28 days of screening. 4. Positive disease expression of PSMA as confirmed on PSMA PET/CT scan. 5. At least 4 weeks or 5 half-lives (whichever is longer) elapsed between last anti-cancer treatment administration and the initiation of study treatment (except for Luteinising Hormone-releasing Hormone or GnRH). 6. Resolution of all previous treatment related toxicities to CTCAE version 5.0 grade of ≤1 (except for chemotherapy induced alopecia and grade 2 peripheral neuropathy or grade 2 urinary frequency which are allowed). 7. Prior major surgery must be at least 12 weeks prior to study entry. 8. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 with a life expectancy ≥6 months. 9. Adequate bone marrow reserve and organ function as demonstrated by blood count, and serum biochemistry at baseline. 10. Adequate contraception for patients and their partners. 11. For Phase 1 mCRPC only: Subjects who have experienced disease progression on or after at least 1 NAAD (e.g. abiraterone, enzalutamide) and at least 1 course (but no more than 2 courses) of taxane-based chemotherapy. For Phase 2 mCRPC only: Subjects who have experienced disease progression on or after at least 1 NAAD (e.g. abiraterone, enzalutamide, apalutamide, darolutamide), but have not received previous taxane-based chemotherapy for the treatment of mCRPC. Exclusion Criteria: 1. Known hypersensitivity to the therapeutic or diagnostic IMP or any of its constituents. 2. Presence of significant PSMA-negative disease on ceCT/MRI scan 3. Diffuse marrow infiltration of disease ('superscan' appearance on full body 99mTc bone scan). 4. Symptomatic spinal cord compression, or clinical or radiological findings that are indicative of impending spinal cord compression. 5. Known history of haematological malignancy. 6. Known history of central nervous system (CNS) metastases. 7. Histological findings consistent with neuroendocrine phenotype of prostate cancer. 8. Known history of other solid malignancy that may reduce life expectancy and/or may interfere with disease assessment. 9. Unresolved urinary tract obstruction defined as radiographic evidence of hydronephrosis with or without ureteric stent/nephrostomy. 10. Any uncontrolled significant medical, psychiatric, or surgical condition or laboratory finding that would pose a risk to subject safety or interfere with study participation or interpretation of individual subject results. 11. Ongoing treatment with bisphosphonates for bone-targeted therapy. 12. Severe urinary incontinence that would preclude safe disposal of radioactive urine. 13. Single kidney or renal transplant or any concomitant nephrotoxic therapy that might put the subject at high risk of renal toxicity during the study in the judgement of the investigator. 14. Clinically significant abnormalities on a single 12 lead electrocardiogram (ECG) at screening. 15. Previously received external beam irradiation to a field that includes more than 30% of the bone marrow or kidneys. 16. Previous treatment with any of the following: PSMA targeted radionuclide therapy, Strontium-89, Samarium-153, Rhenium 186, Rhenium-188, Radium-223, hemi-body irradiation. 17. Subjects with bilateral hip replacements or any significant metallic implants or objects, that may affect image quality and/or dosimetry calculations. 18. Transfusion of blood products for the sole purpose of meeting the eligibility criteria for this clinical study. 19. Participation in other studies involving IMP(s) within 28 days or 5 half-lives (whichever is longer) prior to study entry and/or during study participation. 20. Any history of clinically significant parenchymal lung disease e.g. interstitial lung disease or bullous emphysema. 21. Any history of prior thoracic external beam radiotherapy. 22. Presence of abnormal PSMA PET uptake in the lung parenchyma above expected physiological levels, as determined by local assessment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
20 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Beatson West of Scotland Cancer Center
RECRUITINGGlasgow, G12 0YN, United Kingdom
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Biogenix Molecular LLC
RECRUITINGMiami, Florida, 33165, United States
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Bristol Hematology and Oncology Center
RECRUITINGBristol, BS2 8ED, United Kingdom
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Emory University Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
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Hospital Rechts der Isar
RECRUITINGMunich, Germany
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James Cook University Hospital
RECRUITINGMiddlesbrough, TS4 3BW, United Kingdom
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Meander Medisch Centrum
RECRUITINGAmersfoort, Netherlands
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NovaCure Health
RECRUITINGMiami, Florida, 33176, United States
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Oxford University Hospitals NHS Foundation Trust
RECRUITINGOxford, United Kingdom
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Radboud UMC
RECRUITINGNijmegen, Gelderland, 6525GA, Netherlands
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Saint Luc University Hospital
RECRUITINGBrussels, 1200, Belgium
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St Bartholomew's Hospital
RECRUITINGLondon, EC1A 7BE, United Kingdom
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University Hospital Aachen
RECRUITINGAachen, Germany
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University Hospital Essen
RECRUITINGEssen, Germany
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University Hospital Ghent
RECRUITINGGhent, 9000, Belgium
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University Hospital Leuven
RECRUITINGLeuven, Belgium
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University Hospital Southampton NHS Foundation Trust
RECRUITINGSouthampton, SO16 6YD, United Kingdom
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Universitätsklinikum Augsburg
RECRUITINGAugsburg, Germany
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Weill Cornell Medicine - New York - Presbyterian Hospital
COMPLETEDNew York, New York, 10065, United States
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Weston Park
RECRUITINGSheffield, United Kingdom
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XCancer Omaha / Urology Cancer Center
RECRUITINGOmaha, Nebraska, 68130, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A scanner in the operating room could show surgeons exactly where prostate cancer remains
- New PET tracer aims to light up hidden cancer targets
- Can daily adaptive radiotherapy spare healthy tissue in prostate cancer?
- Can a radioactive tracer and MRI reveal prostate Cancer's true extent?
- Five-Fraction radiation plus hormone therapy tested against High-Risk prostate cancer
- Can a 10-Hour eating window fight cancer fatigue?