MedPath

An early phase clinical trial to measure the safe dose of a new alpha-radiopharmaceutical for the treatment of advanced prostate cancer

Phase 1
Recruiting
Conditions
Metastatic Prostate Cancer
Cancer - Prostate
Registration Number
ACTRN12622001378718
Lead Sponsor
AdvanCell Isotopes Pty Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Male
Target Recruitment
18
Inclusion Criteria

•Male aged 18 years or older with metastatic adenocarcinoma of the prostate, defined by documented histopathology of prostate adenocarcinoma or metastatic disease typical of prostate cancer (i.e. Involving bone or pelvic lymph nodes or para-aortic lymph nodes)
•Patients with castration-resistant prostate cancer that have received at least one cycle of androgen receptor therapy and exposure to a taxane-based chemotherapy unless considered contraindicated by a medical oncologist or patient declines treatment
•Progressive disease with rising PSA level, or new lesion(s) in the viscera or lymph nodes as per RECIST 1.1 or in bone as per Prostate Cancer Working Group 3
•Significant PSMA avidity on [68Ga]Ga-PSMA PET/CT
•ECOG Performance status 0 to 2
•Adequate renal, bone and liver function (Absolute neutrophil count: greater than or equal to 2 x 109 /L , Hemoglobin: greater than or equal to 90 g/L, Platelet count: greater than or equal to 150,000 x 109/L, Serum creatinine: less than 1.5 x upper limit of normal (ULN) i.e = 125 umol/L or calculated creatinine clearance greater than or equal to 60 mL/min/1.73 m2 by Cockcroft-Gault formula, Serum total bilirubin: less than 1.5 x ULN (unless the patient has Gilbert's syndrome in which case direct bilirubin must be normal), Serum AST and ALT: less than 1.5 x ULN in the absence of liver metastases; less than 3 x ULN if due to liver metastases (in both circumstances bilirubin must meet entry criteria)
•Estimated life expectancy greater than 12 weeks
•Willing and able to comply with all study requirements, including the timing and nature of all required assessments (i.e. blood testing and scanning.)
•Have provided written Informed Consent for participation in this trial

Exclusion Criteria

•Prostate cancer with known significant sarcomatoid or spindle cell or neuroendocrine small cell components
•Sjogren’s syndrome
•ECOG status >2
•Prior treatment with radioligand therapy
•Contraindications to the use of corticosteroid treatment
•Active malignancy other than prostate cancer (excluding non-melanomatous skin cancers)
•Concurrent illness, including severe infection that may jeopardize the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
•Serious psychological, familial, sociological, or geographical condition that might hamper compliance with the study protocol and follow-up schedule
•Patients who are sexually active and not willing/able to use medically acceptable forms of barrier contraception
•Severe claustrophobia that may impact the participants ability to comply with all aspects of the imaging protocol

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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