177Lu-Rhpsma-10.1

Clinical trials are studying 177Lu-Rhpsma-10.1 in men with advanced prostate cancer, especially metastatic castration-resistant prostate cancer. These studies aim to assess safety, tolerability, dosing, and anti-tumor effects, and one trial compares it with another PSMA-targeted treatment.

Table of Contents

Trial overview

Clinical trials of 177Lu-Rhpsma-10.1 are studying men with advanced prostate cancer, mainly metastatic castration-resistant prostate cancer (mCRPC), which means the cancer has spread and is no longer well controlled by hormone-lowering treatment.[1][2]

Two interventional studies are listed: one completed Phase 1 study and one authorised study that includes Phase 1 and Phase 2 parts.[1][2]

Who is being studied

The trials focus on men with advanced prostate cancer, especially those with PSMA-positive disease, which means the cancer shows a marker called PSMA that can help identify the right study group.[1]

One study includes patients with PSMA-positive non-curative metastatic castration-resistant prostate cancer, while the other study includes men with metastatic castration-resistant prostate cancer (mCRPC).[1][2]

Trial phases and study goals

Both studies are early clinical trials, and one of them also moves into Phase 2.[1][2] Phase 1 usually focuses on safety, tolerability, and the study of the right treatment regimen, which means the way the treatment is given.[2]

In the completed Phase 1 study, the main goal was to compare the therapeutic index of 177Lu-Rhpsma-10.1 with lutetium (177Lu) vipivotide tetraxetan (Pluvicto®).[1] In the authorised study, Phase 1 aimed to find the recommended Phase 2 dose regimen by checking safety and tolerability, and Phase 2 aimed to evaluate efficacy, which means whether the treatment shows signs of helping against the cancer.[2]

Main outcomes being measured

The completed study measured the ratio of tumor to kidney absorbed dose, which is a way to compare how much treatment reaches the cancer versus the kidney.[1] This is called the therapeutic index.[1]

The authorised study measured dose-limiting toxicities (serious side effects that can limit the dose), treatment-emergent adverse events (health problems that appear or worsen during treatment), and the number of patients with an anti-tumor response defined as a PSA drop of at least 50% by the end of treatment.[2]

Summary of the trials

One study is already completed and enrolled 24 people, while the other is authorised and planned to enroll 112 people.[1][2]

Together, these trials are designed to learn whether 177Lu-Rhpsma-10.1 is safe enough for further study and whether it may help control advanced prostate cancer.[1][2]

Trial ID Phase Condition studied Status Enrollment
NCT06516510 Phase 1 PSMA-positive non-curative metastatic castration-resistant prostate cancer Completed 24
NCT05413850 Phase 1 / Phase 2 Metastatic castration-resistant prostate cancer (mCRPC) Authorised 112

Ongoing Clinical Trials on 177Lu-Rhpsma-10.1

  • Study on the Safety and Effects of Lutetium (177Lu) rhPSMA-10.1 Injection in Men with Advanced Prostate Cancer

    Recruiting

    1 1
    Investigated drugs:
    Belgium Germany The Netherlands
  • Study Comparing Lutetium (177Lu) rhPSMA-10.1 and Lutetium (177Lu) Vipivotide Tetraxetan for Patients with Advanced Prostate Cancer

    Not recruiting

    1 1 1
    France Germany The Netherlands Spain

Glossary

  • Metastatic prostate cancer: Prostate cancer that has spread from the prostate to other parts of the body.
  • Castration-resistant prostate cancer (CRPC): Prostate cancer that keeps growing even when male hormone levels are very low.
  • Metastatic castration-resistant prostate cancer (mCRPC): A form of prostate cancer that has spread and no longer responds well to hormone-lowering treatment.
  • PSMA-positive: Cancer cells that show a marker called PSMA, which helps researchers identify the right patients for the study.
  • Phase 1: An early study phase that mainly checks safety, tolerability, and how the treatment should be given.
  • Phase 2: A study phase that looks more closely at whether the treatment shows signs of working.
  • Dose-limiting toxicities (DLTs): Side effects that are serious enough to limit the dose that can be used safely.
  • Treatment-emergent adverse events (TEAEs): Medical problems that appear or get worse after treatment starts.
  • Prostate-specific antigen (PSA): A protein made by the prostate. In prostate cancer studies, a drop in PSA can be a sign that treatment is helping.
  • Therapeutic index: A way to compare how much treatment reaches the tumor versus nearby organs, such as the kidney.

References