New radioactive therapy targets Hard-to-Treat prostate cancer
NCT ID NCT07441837
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests a radioactive drug called terbium-161 PSMA in 60 men with metastatic prostate cancer that has worsened after standard treatments. The drug is designed to seek out and destroy cancer cells. Participants will receive three cycles of the drug, and researchers will monitor tumor response, side effects, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Terbium-161 PSMA I&T (a radioactive drug that targets prostate cancer cells)
- What this could lead to
- If successful, this could provide a new treatment option for men with advanced prostate cancer that has stopped responding to other therapies.
- What could go wrong
- This is a small, early-phase trial with only 60 participants. The drug may not shrink tumors or improve survival, and it can cause side effects like bone marrow suppression or organ damage.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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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
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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: * Men aged 18 years or older with mCRPC (histologically or cytologically confirmed adenocarcinoma of the prostate) * Progressive disease as defined by the Prostate Cancer Clinical Trials Working Group 3 (PCWG3) under previous treatment with taxane chemotherapy (unless medically unsuitable) and at least one second-generation androgen receptor pathway inhibitor (ARPI) * Adequate bone marrow, hepatic, and renal function * Eastern Cooperative Oncology Group performance status of 0-2; * A life expectancy of at least 6 months. * On Ga-68 PSMA PET/CT, a maximum standardised uptake value (SUVmax) of at least 20 in at least one metastasis and SUVmax of at least 10 in measurable soft tissue metastases. * Patient has provided written informed consent * PSA progression: minimum of 2 rising PSA values from baseline measurement with interval of ≥1 wk between each measurement * Soft-tissue progression: per RECIST 1.1 * Bone progression: ≥2 new lesions on bone scan * At least 3 wk interval since completion of surgery or radiotherapy before registration Exclusion Criteria: * Patients with discordant metastases defined as positive on 2-\[¹⁸F\]fluoro-2-deoxy-D-glucose (FDG) PET-CT with minimal uptake on Ga-68-PSMA PET-CT * Previous treatment with another radioisotope * Other malignancies within the previous 2 years before registration other than basal cell or squamous cell carcinomas of skin or other cancers that are unlikely to recur within 24 months * Concurrent illnesses that could jeopardise the ability of the patient to undergo the trial procedures. * Patient has symptomatic brain metastases or leptomeningeal metastases * Patient has symptomatic or impending cord compression unless appropriately treated beforehand and clinically stable for \>4 wk
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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 places running it
4 sites. 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
Locations
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Anadolu Sağlık Merkezi
Istanbul, Turkey (Türkiye)
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Ankara University Medical School Dept of Nuclear Medicine
Ankara, 06590, Turkey (Türkiye)
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Bilkent City Hospital
Ankara, Turkey (Türkiye)
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Memorial Sisli Hospital
Istanbul, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Training a Patient's own immune cells to fight advanced prostate cancer
- Radioactive missile aims at prostate cancer that spread
- New PET tracer targets ACP3 to spot prostate cancer
- Can a One-Week radiation course match four weeks for prostate cancer?
- Can a new PET tracer spot hidden prostate cancer spread?
- Can a gel cushion shield the rectum during prostate radiation?