About this trial
To determine the dose, safety, radiation dosimetry and efficacy of 177Lu-rhPSMA-10.1 in participants with PSMA-expressing metastatic castrate resistant prostate cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male subjects, 18 years of age or older with histologically confirmed adenocarcinoma of the prostate.
Serum testosterone levels <50 ng/dL (1.73 nmol/L) after surgical or continued chemical castration.
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.
Positive disease expression of PSMA as confirmed on PSMA PET/CT scan.
Disqualifiers
Known hypersensitivity to the therapeutic or diagnostic IMP or any of its constituents.
Presence of significant PSMA-negative disease on ceCT/MRI scan
Diffuse marrow infiltration of disease ('superscan' appearance on full body 99mTc bone scan).
Symptomatic spinal cord compression, or clinical or radiological findings that are indicative of impending spinal cord compression.
Trial design
Sequential
Treatments tested in this trial
Lutetium (177Lu) rhPSMA-10.1 Injection
DrugTherapeutic cycles of 177Lu-rhPSMA-10.1
18F-rhPSMA-7.3 injection (in phase 1 only)
Diagnostic test18F-rhPSMA-7.3 (in phase 1 only) at an administered activity of 296 MBq (8 mCi) for PET/CT scan to ascertain whether the subject has PSMA-positive disease.
Treatment groups
Trial outcomes
Primary outcomes
Phase 1 Incidence of DLTs
Incidence of DLTs during the DLT observation period.
Phase 1 Frequency and nature of TEAEs
Frequency and nature of treatment-emergent adverse events (TEAEs).
Phase 2 Evaluate the efficacy of Lutetium (177Lu) rhPSMA-10.1 Injection
The number of subjects with an anti-tumour response defined as ≥50% reduction in PSA level from baseline to the end of treatment.
Sponsors and contacts
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Blue Earth Therapeutics Ltd
Lead sponsor
PSI CRO
Collaborator