About this trial
The primary objective of this study is to compare overall survival (OS) in patients with progressive PSMA-positive mCRPC who receive 177Lu-NYM032 in addition to best supportive/best standard of care versus patients treated with best supportive/best standard of care alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient must be male and aged ≥18 years old.
Patients must have histological, pathological, and/or cytological confirmation of prostate cancer.
Patient's serum/plasma testosterone level must be at a castrate level (<50 ng/dL or <1.7 nmol/L).
Participants must have ≥1 metastatic lesion that is present on baseline CT, MRI, or bone scan imaging obtained ≤ 28 days prior to randomization.
Disqualifiers
Any systemic anti-cancer therapy (e.g. chemotherapy, immunotherapy or biological therapy [including monoclonal antibodies], excluding ARPI therapy;) anticancer device therapy, radiation therapy, or an investigational drug in a clinical study within 4 weeks prior to day of randomization.
Previous treatment with any of the following within 6 months of randomization: Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, hemi-body irradiation.
Previous PSMA-targeted radioligand therapy is not allowed.
Patients with a history of Central Nervous System (CNS) metastases must have received therapy (surgery, radiotherapy, gamma knife) and be neurologically stable, asymptomatic, and not receiving corticosteroids for the purposes of maintaining neurologic integrity. Patients with epidural disease, canal disease and prior cord involvement are eligible if those areas have been treated, are stable, and not neurologically impaired.
Trial design
Parallel
Treatments tested in this trial
177Lu-NYM032 injection
DrugAdministered intravenously once every 6 weeks (1 cycle) for a maximum of 6 cycles.
Best supportive/best standard of care
Other interventionBest supportive/best standard of care as defined by the local investigator
Treatment groups
Trial outcomes
Primary outcomes
Overall Survival (OS)
OS is defined as time to death due to any cause
Secondary outcomes
Radiographic progression-free survival (rPFS)
rPFS is defined as the time to radiographic progression by PCWG3-modified RECIST v1.1 or death
Number of participants with Treatment Emergent Adverse Events
The distribution of adverse events (AE) will be done via the analysis of frequencies for treatment emergent Adverse Event (TEAEs), Serious Adverse Event (TESAEs) and Deaths due to AEs, through the monitoring of relevant clinical and laboratory safety parameters.
Overall Response Rate (ORR)
ORR is defined as the proportion of participants with Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) according to PCWG3 modified RECIST 1.1
Disease control rate (DCR)
DCR is defined as the proportion of participants with Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) in soft tissue according to PCWG3 modified RECIST 1.1
Locations
Sponsors and contacts
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