106 Participants Needed

Lutetium Vipivotide Tetraxetan for Prostate Cancer

(RADIODOSE Trial)

Recruiting at 20 trial locations
NP
Overseen ByNovartis Pharmaceuticals
Age: 18+
Sex: Male
Trial Phase: Phase 1
Sponsor: Novartis Pharmaceuticals
Must be taking: ARPI
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the safety and tolerability of a new treatment, Lutetium Vipivotide Tetraxetan (a radioligand therapy), for prostate cancer that has spread and resists hormone treatments. The trial targets individuals who have not received certain chemotherapy drugs and have normal or mild kidney function. Ideal participants are adults with metastatic prostate cancer, confirmed by special imaging, who have previously tried hormone therapy without success. As a Phase 1 trial, the research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new therapy.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop taking your current medications. However, you cannot take certain treatments like chemotherapy, immunotherapy, or radioligand therapy while participating in the study.

Is there any evidence suggesting that Lutetium (177Lu) Vipivotide Tetraxetan is likely to be safe for humans?

Research has shown that Lutetium (177Lu) Vipivotide Tetraxetan, also known as Pluvicto, has been tested in people with prostate cancer. This treatment uses a radioactive drug to specifically target cancer cells. Past studies have used it in patients with similar conditions, and the FDA has approved it for certain prostate cancer treatments.

Reports indicate that while patients generally tolerate the treatment well, some may experience side effects such as tiredness, dry mouth, and nausea. Since it involves radiation, there is a potential risk of developing other cancers. However, these risks are weighed against the benefits of treating prostate cancer.

Overall, Lutetium (177Lu) Vipivotide Tetraxetan has shown promise in previous studies with prostate cancer patients. Discussing any potential risks with a healthcare provider is important.12345

Why do researchers think this study treatment might be promising for prostate cancer?

Unlike the standard treatments for prostate cancer, which typically involve hormone therapy, chemotherapy, or surgery, Lutetium Vipivotide Tetraxetan offers a novel approach by using targeted radiation. This treatment is unique because it involves Lutetium-177, a radioactive isotope that delivers radiation directly to prostate cancer cells, minimizing damage to surrounding healthy tissues. Researchers are excited about this because it promises more precise targeting of cancer cells, potentially leading to fewer side effects and improved effectiveness compared to current treatments.

What evidence suggests that Lutetium (177Lu) Vipivotide Tetraxetan might be an effective treatment for prostate cancer?

Research has shown that a treatment called Lutetium (177Lu) Vipivotide Tetraxetan, or AAA617, may help treat prostate cancer. In this trial, all participants will receive the investigational product AAA617. One study found that patients using this treatment lived for an average of about 15.3 months. Additionally, 68.9% of patients experienced at least a 10% improvement in their PSA levels, a protein indicating prostate cancer activity, and 55.6% saw a reduction of 50% or more. Some patients even experienced complete remission. These findings suggest that AAA617 could effectively manage advanced prostate cancer.678910

Who Is on the Research Team?

NP

Novartis Pharmaceuticals

Principal Investigator

Novartis Pharmaceuticals

Are You a Good Fit for This Trial?

Adults over 18 with metastatic castration-resistant prostate cancer (mCRPC) that's PSMA-positive. They should have normal or mildly impaired kidney function, an ECOG performance status ≤1, and testosterone levels under control by treatment or surgery. Only those who've progressed after one type of advanced hormone therapy can join.

Inclusion Criteria

I have signed the consent form to participate in this study.
I can carry out all my self-care but cannot do heavy physical work.
My prostate cancer is confirmed to be adenocarcinoma.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive up to 12 cycles of AAA617 treatment every 6 weeks

74 weeks
12 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 weeks
2 visits (in-person)

Long-term Follow-up

Participants are followed for safety every 12 weeks for selected adverse events

Up to 12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Lutetium (177Lu) Vipivotide Tetraxetan
Trial Overview The trial is testing the safety and how well patients tolerate AAA617, a radioactive drug given for up to 12 cycles. It also looks at radiation dosimetry—how the drug distributes within the body—in men who haven't had chemotherapy but whose cancer has worsened despite hormone-blocking treatments.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: AAA617Experimental Treatment3 Interventions

Lutetium (177Lu) Vipivotide Tetraxetan is already approved in United States, European Union for the following indications:

🇺🇸
Approved in United States as Pluvicto for:
🇪🇺
Approved in European Union as Pluvicto for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Published Research Related to This Trial

Lutetium Lu 177 vipivotide tetraxetan (PLUVICTO™) is a targeted radioligand therapy approved in the USA for treating metastatic castration-resistant prostate cancer (mCRPC) that expresses prostate-specific membrane antigen (PSMA), based on positive results from the phase 3 VISION trial.
This therapy specifically targets PSMA, which is overexpressed in prostate cancer cells, allowing for a more effective treatment option for patients who have already undergone other therapies like androgen receptor inhibition and taxane-based chemotherapy.
Lutetium Lu 177 Vipivotide Tetraxetan: First Approval.Keam, SJ.[2022]
177Lu-vipivotide tetraxetan is a targeted radiopharmaceutical that effectively treats metastatic castration-resistant prostate cancer (mCRPC) by delivering beta-radiation directly to cancer cells, demonstrating safety and tolerability in clinical trials.
Approved by the FDA in March 2022 based on the VISION trial, this therapy is particularly beneficial for patients who have already undergone androgen receptor pathway inhibition and taxane-based chemotherapy, highlighting its role as a new treatment option in advanced prostate cancer management.
Lutetium Lu 177 vipivotide tetraxetan for metastatic castration-resistant prostate cancer.Shah, H., Ravi, P., Sonpavde, G., et al.[2023]
Pluvicto (lutetium Lu 177 vipivotide tetraxetan) is an approved treatment for adult patients with advanced prostate cancer that expresses the prostate-specific membrane antigen (PSMA).
This therapy is specifically indicated for patients who have already undergone treatment with androgen receptor pathway inhibitors and taxane-based chemotherapy, highlighting its role in later-stage cancer management.
New Drug for Metastatic Castration-Resistant Prostate Cancer.Aschenbrenner, DS.[2022]

Citations

Patient characteristics and overall survival with lutetium (Lu ...The median OS from start of 177Lu-PSMA-617 therapy was 15.3 months (95% confidence interval [CI]: 14.6–16.3); a total of 137/643 (21.3%) ...
Patient characteristics and overall survival with lutetium ...The median overall survival from the start of ¹⁷⁷Lu-PSMA-617 therapy was 15.3 months (95% CI: 14.6–16.3), with 137 of 643 patients (21.3%) ...
Lutetium Lu 177 Vipivotide Tetraxetan Efficacy and Toxicity ...68.9% of the cohort observed PSA biomarker improvement of ≥10%, and 55.6% with ≥50% PSA reduction. Three patients (6.7%) achieved a complete ...
First-Line [177Lu]Lu-PSMA-617 Therapy Without ADT ...In the phase 3 PSMAfore trial, [177Lu]Lu-PSMA-617 demonstrated significantly improved radiographic progression-free survival compared with an ...
Lu-177 PSMA in Survival of Metastatic Castration-Resistant ...This comparative effectiveness research investigates factors associated with the difference in the observed effect of lutetium Lu 177 ...
PLUVICTO (lutetium Lu 177 vipivotide - accessdata.fda.govThe safety and efficacy of PLUVICTO have not been established in females. There are no data on the presence of lutetium Lu 177 vipivotide tetraxetan in human ...
Lutetium-177 (Lu177) PSMA-617, Vipivotide Tetraxetan ( ...Pluvicto is a therapeutic radioactive drug used for the treatment of patients with PSMA-positive mCRPC who have been previously treated with ...
FDA Approval Summary: Lutetium Lu 177 Vipivotide ...This article summarizes the FDA review of data supporting traditional approval of 177Lu-PSMA-617 for this indication. Keywords: lutetium Lu 177 vipivotide ...
pluvicto.pdfThe safety and efficacy of PLUVICTO have not been established in females. There are no data on the presence of lutetium Lu 177 vipivotide tetraxetan in ...
Lutetium lu 177 vipivotide tetraxetan (intravenous route)While receiving this medicine, you will be exposed to radiation and increase risk of cancer. If you have any questions about this, talk to your ...
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