177LU-PSMA-I&T

Clinical trials are studying 177LU-PSMA-I&T in prostate cancer and other PSMA PET/CT positive advanced or metastatic tumors. These studies look at how well it works, how safe it is, and which patients may benefit most. The trials include men with hormone-sensitive prostate cancer and patients with different tumor types.

Table of contents

Trial overview

The available clinical trials are studying 177LU-PSMA-I&T in prostate cancer and in PSMA PET/CT positive advanced or metastatic tumors.[1][2][3]

All three studies are interventional trials, which means researchers assign treatments and then measure the results.[1][2][3]

Conditions and patient groups

One Phase 2 trial is for men with oligometastatic hormone sensitive prostate cancer, which means the cancer has spread to only a small number of places and still responds to hormone treatment.[1]

Another Phase 2 trial includes patients with PSMA PET/CT positive advanced/metastatic tumours, so it is not limited to only one cancer type.[2]

The Phase 3 study is for people with metastatic hormone sensitive prostate cancer who are PSMA positive, and it compares 177LU-PSMA-I&T with standard hormone-based treatment options.[3]

Trial phases and study designs

The listed trials are in Phase 2 and Phase 3.[1][2][3]

Phase 2 trials usually look at early signs of benefit and continue to check safety, while Phase 3 trials compare treatments in larger groups to see which approach works better.[1][2][3]

The LUST study compares Lu-PSMA and Stereotactic Radiotherapy versus radiotherapy alone for oligometastatic prostate cancer.[1]

The LUBASKET study is a basket trial, which means it brings together different tumor types under one research plan.[2]

The Phase 3 study compares 177LU-PSMA-I&T with Apalutamide, Enzalutamide, or Abiraterone Acetate in a randomized design, meaning participants are assigned by chance to one treatment arm or another.[3]

Outcomes being measured

The LUST trial’s main outcome is the proportion of men who have PSA progressed after 12 months, which is reported as 12-month PSA-progression-free survival.[1]

The LUBASKET trial measures disease control rate, which includes complete response, partial response, stable disease, or no progression of disease for prostate cancer by trial rules.[2]

The same basket trial also measures safety, including acute toxicity from the first treatment until 30 days after the last treatment cycle.[2]

The Phase 3 study measures progression-free survival, including radiographic, clinical, or PSA progression-free survival, and uses PCWG3 and RECIST 1.1 rules to define progression.[3]

What participation means

Across these studies, planned enrollment ranges from 70 people in the LUST trial to 844 people in the Phase 3 comparison trial.[1][3]

Patients in these studies may receive 177LU-PSMA-I&T by intravenous infusion or injection, depending on the trial design.[1][2][3]

Because each trial has a different target group and treatment plan, eligibility depends on the exact study and the cancer features being tested.[1][2][3]

Key points for patients

  • These trials focus on prostate cancer and other PSMA-positive tumors, so the research is not limited to one setting.[1][2][3]

  • The studies are trying to learn whether 177LU-PSMA-I&T can improve disease control or delay progression compared with other treatments.[1][2][3]

  • The trials also track safety, which means they watch for unwanted effects during and shortly after treatment.[2]

  • Some trials compare 177LU-PSMA-I&T with radiotherapy alone or with standard hormone-based medicines.[1][3]

  • The study goals are different, but they all aim to find better ways to manage advanced prostate cancer or PSMA-positive tumors.[1][2][3]

Trial IDPhaseCondition studiedStatusEnrollment
NCT05893381Phase 2Oligometastatic prostate carcinomaAuthorised70
NCT05867615Phase 2PSMA PET/CT positive advanced/metastatic tumoursAuthorised83
2022-500570-33-00Phase 3Prostate cancerAuthorised844

Ongoing Clinical Trials on 177LU-PSMA-I&T

  • Study of 177Lu-PSMA and Stereotactic Radiotherapy vs. Radiotherapy for Patients with Oligometastatic Prostate Cancer

    Recruiting

    2 1 1
    Investigated drugs:
    Italy
  • Study Comparing 177Lu-PSMA-I&T with Apalutamide, Enzalutamide, and Abiraterone for Patients with Metastatic Hormone-Sensitive Prostate Cancer

    Recruiting

    3 1 1 1
    Investigated diseases:
    Sweden
  • Study on Radiometabolic Therapy with 177Lu-PSMA for Patients with Advanced or Metastatic Tumors

    Not recruiting

    2 1 1
    Investigated drugs:
    Italy

Glossary

  • Clinical trial: A research study in people that checks whether a treatment is safe and works for a certain condition.
  • Phase 2: A study stage that looks more closely at whether a treatment works and continues to monitor safety.
  • Phase 3: A larger study stage that compares treatments to see which one works better.
  • Interventional study: A study where participants receive a planned treatment so researchers can measure its effects.
  • Oligometastatic: A cancer state where the disease has spread, but only to a small number of places.
  • Hormone-sensitive prostate cancer: Prostate cancer that still responds to hormone-based treatment.
  • Metastatic: Cancer that has spread from the original place to other parts of the body.
  • PSMA PET/CT positive: A scan result showing that the tumor has PSMA detected on imaging, which helps identify patients for these studies.
  • Disease control rate: The percentage of patients whose cancer shrinks, stays stable, or does not get worse at a planned check.
  • Progression-free survival: The length of time during and after treatment when the disease does not get worse.
  • PSA progression-free survival: The length of time before prostate-specific antigen, a blood marker, shows the cancer is getting worse.
  • RECIST 1.1: A set of rules used to measure changes in solid tumors on scans.