Tiny trial tests Dual-Radiation attack on returning prostate cancer
NCT ID NCT05230251
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early study tested whether adding a radioactive drug (177Lu-PSMA) to standard brachytherapy is safe and feasible for men whose prostate cancer returned after initial radiation. Only 3 men took part. The goal was to see if the combination could control cancer both in the prostate and elsewhere in the body. Because it was so small, the results are very preliminary.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 177Lu-PNT2002 (a radioactive drug that targets prostate cancer cells)
- What this could lead to
- If it works, this combination could offer a new way to treat prostate cancer that has come back after initial radiation, potentially targeting cancer both inside and outside the prostate.
- What could go wrong
- This was a very small, early-phase study with only 3 participants, so results may not apply to most patients. The treatment also carries risks from radiation exposure.
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
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
3 people
The number who actually took part.
- Started
-
Mar 2022
- Finished
-
Dec 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Male participants only
- Healthy volunteers
-
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: * Men with prostate adenocarcinoma treated with prior primary radiotherapy at least 2 years previously * Biochemical failure according to the Phoenix criteria(Roach et al. 2006) * PSMA PET demonstrating isolated uptake (SUV\>3) within the prostate * Biopsy confirmation of local recurrence within the prostate * Not currently experiencing genitourinary (GU) or gastrointestinal (GI) Grade 3 or higher toxicity associated with prior treatment * Adequate marrow function (Absolute neutrophil count ≥ 1.5 x 109/L -Platelet count ≥ 100 x 109/L -Hemoglobin ≥ 90 g/L with no transfusions in the past 2 weeks) * Adequate renal function: Estimated creatinine clearance ≥ 30 ml/min according to Cockroft Gault equation: (140 - age) x (weight in kg) / 72 x (serum creatinine) * Adequate liver function: Total bilirubin \< 1.5 x upper limit of normal (ULN). Alanine aminotransferase (ALT) \< 3.5 x ULN * No contraindication to treatment with \[177Lu-PSMA Agent\] * No contraindication to MRI * No contraindication to therapy with high dose rate brachytherapy under general anaesthetic Exclusion Criteria: * Does not meet eligibility criteria * Prior ablative radiotherapy to the prostate (prior HDR or LDR brachytherapy or SBRT/SABR to prostate) * Documented extraprostatic or distant recurrence on PSMA PET * Consent not obtained or declines randomization * Declines HDR salvage or not fit for HDR salvage procedure * Concurrent use of hormone therapy
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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.
Contacts and locations
Locations
-
London Health Sciences Centre
London, Ontario, N6A5W9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- 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?