Neoadjuvant [177Lu]Lu-PSMAI&T radioligand therapy (PSMA-RLT) for patients with oligometastatic prostate cancer diagnosed using [68Ga]Ga-PSMA-11 PET imaging followed by radical prostatectomy: A Prospective Phase II Pilot Study

2024-519377-18-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 14 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 10
Countries 1
Sites 1

Prostate Carcinoma

To evaluate the PSA, imaging and pathological response, as well as oncological outcomes of systemic PSMA-RLT in patients planned for radical prostatectomy (RP) for oligometastatic prostate cancer (PCa) diagnosed using [68Ga]Ga-PSMA-11 PET

Key facts

Sponsor
Medical University Of Vienna
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
14 Jan 2025 → ongoing
Decision date (initial)
2025-01-14
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-519377-18-00
EudraCT number
2022-004115-92

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Efficacy

To evaluate the PSA, imaging and pathological response, as well as oncological outcomes of systemic PSMA-RLT in patients planned for radical prostatectomy (RP) for oligometastatic prostate cancer (PCa) diagnosed using [68Ga]Ga-PSMA-11 PET

Conditions and MedDRA coding

Prostate Carcinoma

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. • Patients must be adults between 18 and 75 years of age. • Oligometastatic PCa diagnosed using [68Ga]Ga-PSMA-11 imaging defined as M1a and/or M1b positive with ≤5 osseous metastases and/or M1c ≤3 lung metastases • Eastern Cooperative Oncology Group (ECOG) Performance Status: 0-1 • Patients must have adequate bone marrow reserve: WBC ≥1.5 x 109 /L, Platelets ≥100 x 109 /L and Haemoglobin ≥9 g/dL. • Patients must have adequate renal function with eGFR ≥ 50mL/min/1.73m2 using the Modification of Diet Renal Disease (MDRD) equation and an Albumin level of ≥2.5 g/dL. • Patients must be able to sign Informed Consent Form

Exclusion criteria 1

  1. • Patients must be adults between 18 and 80 years of age. • Patients with BCR after RP and RT with a PSA doubling-time (DT) of ≤ 12 months. • No hormonal therapy within the last 12 months or recovered testosterone levels. • PSMA PET negative result for local recurrence; presence of distant metastases is allowed: (cN0, cM0/cM1). • Eastern Cooperative Oncology Group (ECOG) Performance Status: 0-1 • Patients must have adequate bone marrow reserve: WBC ≥1.5 x 109 /L, Platelets ≥100 x 109 /L and Haemoglobin ≥9 g/dL. • Patients must have adequate renal function with eGFR ≥ 50mL/min/1.73m2 using the Modification of Diet Renal Disease (MDRD) equation and an Albumin level of ≥2.5 g/dL. • Patients must be able to sign Informed Consent Form.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. • Assess safety and toxicity of neoadjuvant PSMA-RLT and RP

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Lutetium (177LU) Zadavotide Guraxetan

PRD11715109 · Product

Active substance
Lutetium (177LU) Zadavotide Guraxetan
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
5.5 GBq gigabecquerel(s)
Max total dose
11 GBq gigabecquerel(s)
Max treatment duration
200 Month(s)
Authorisation status
Not Authorised
MA holder
MEDICAL UNIVERSITY OF VIENNA
Paediatric formulation
No
Orphan designation
No

Auxiliary 2

TECEOS Trockenstechampullen

PRD889848 · Product

Active substance
Stannous Oxide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS BOLUS USE
Max daily dose
700 MBq megabecquerel(s)
Max total dose
10000 MBq megabecquerel(s)
Max treatment duration
500 Month(s)
Authorisation status
Authorised
ATC code
V09BA04 — TECHNETIUM (99MTC) BUTEDRONIC ACID
Marketing authorisation
4-00026
MA holder
CIS BIO INTERNATIONAL
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Locametz 25 micrograms kit for radiopharmaceutical preparation

PRD10117086 · Product

Active substance
Gozetotide
Substance synonyms
AAA517, OH-Glu-CO-Lys(Ahx-CC-HBED)-OH
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS BOLUS USE
Max daily dose
259 MBq megabecquerel(s)
Max total dose
10000 MBq megabecquerel(s)
Max treatment duration
200 Month(s)
Authorisation status
Authorised
ATC code
V09IX14 — -
Marketing authorisation
EU/1/22/1692/001
MA holder
NOVARTIS EUROPHARM LIMITED
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 10 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Department of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine, Waehringer Guertel 18-20, Alsergrund, Vienna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2025-01-14 2025-01-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_redacted_clean_Protocol 2024-519377-18-00 1.3
Protocol (for publication) redacted Medical University of Vienna_Clinical_Trial_NEO_PSMA_RLT_V1_2 1.3
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) Medical University of Vienna NEO psma rlt v1 1 1.2
Summary of Product Characteristics (SmPC) (for publication) Medical University of Vienna Empty Placeholder 1
Synopsis of the protocol (for publication) D1_Protocol synopsis AT 2024 519377 18 00 1
Synopsis of the protocol (for publication) EORTC_QLQC30 3
Synopsis of the protocol (for publication) FACT-P_GER_Final_Ver4 4

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-07 Austria Acceptable
2025-01-10
2025-01-14
2 SUBSTANTIAL MODIFICATION SM-1 2025-02-24 Austria Acceptable
2025-05-30
2025-06-02
3 SUBSTANTIAL MODIFICATION SM-2 2025-09-30 Austria Acceptable
2025-11-16
2025-11-17