Study of Lutetium (177Lu) Vipivotide Tetraxetan for Metastatic Prostate Cancer

This study is looking at the safety, how well it's tolerated, and how radiation is distributed in the body when using Lutetium (177Lu) Vipivotide Tetraxetan (also called AAA617). This treatment is for men with metastatic castration-resistant prostate cancer (prostate cancer that has spread and is no longer responding to hormone therapy) who have not had chemotherapy before. You would receive AAA617 as an intravenous infusion (into a vein) every 6 weeks for up to 12 cycles. The study will also look at any side effects and how often doses need to be adjusted. To join, you must have prostate cancer that shows a specific biomarker called PSMA on a PET scan. The study aims to enroll about 106 participants, but its current status is unclear.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll about 106 adult men.
What's involved
You would undergo screening, receive AAA617 infusions every 6 weeks for up to 12 cycles, and have follow-up visits for safety and other assessments.
Compensation
Not stated in the trial record.
Follow-up
You will be followed for safety for up to 42 (+7) days after your last AAA617 dose, and for survival and progression after treatment.

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NCT06531499

A Study of Radiation Dosimetry, Safety, and Tolerability of Extended Lutetium (177Lu) Vipivotide Tetraxetan Treatment in Chemo-naïve Adults With Metastatic Castration-resistant Prostate Cancer: RADIOpharmaceutical DOSimetry Evaluation (RADIODOSE) Study

Recruiting
PHASE1Ages 18+InterventionalTreatment
Novartis Pharmaceuticals
~106 participants
Updated 2025-12-31 on ClinicalTrials.gov
What's tested:AAA617Gonadotropin-releasing hormone (GnRH) analoguesGonadotropin-releasing hormone (GnRH) antagonists

At a glance

Recruiting sites
21 of 21 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Time activity curves (TACs) and absorbed radiation dose of AAA617 in organs
Measured over From Cycle 1 to Cycle 12; cycle = 42 days
+2 more outcomes measured
Metastatic Castration-Resistant Prostate Cancer
21 sites across 14 states
Germany5
California2
North Rhine-Westphalia2
Switzerland2
Minnesota1
Missouri1
Nebraska1
Gelderland1
  • Novartis Pharmaceuticals · STUDY_DIRECTOR · Novartis Pharmaceuticals

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Eligibility criteria

Inclusion

Signed informed consent must be obtained prior to participation in the study.
Participants must be adults ≥ 18 years of age.
Participants must have an ECOG performance status ≤ 1.
Participants must have histological confirmation of adenocarcinoma of the prostate.
Participants must be PSMA-positive per 68Ga-PSMA PET/CT scans at baseline
Participants must have a castrate level of serum/plasma testosterone (\< 50 ng/dL or \< 1.7 nmol/L) either by pharmaceutical or surgical methods.
Participants must have progressed only once on prior second generation ARPIs
Documented progressive mCRPC
Participants must have ≥ 1 metastatic lesion by conventional imaging that is present on screening/baseline CT, MRI, or bone scan
Renal: eGFR ≥ 60 mL/min/1.73m2 using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
Participants must have recovered to ≤ Grade 2 from all clinically significant toxicities related to prior therapies except alopecia.

Exclusion

Previous treatment with any of the following within 6 months of study enrollment: Strontium 89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, hemi-body irradiation
Any previous radioligand therapy.
Prior treatment with cytotoxic chemotherapy for metastatic castration-resistant or metastatic hormone-sensitive prostate cancer (mHSPC) (e.g., taxanes, platinum, estramustine, vincristine, methotrexate, etc.), immunotherapy or biological therapy \[including monoclonal antibodies\]. \[Note: Taxane exposure (maximum 6 cycles) in the adjuvant or neoadjuvant setting is allowed if 12 months have elapsed since completion of this adjuvant or neoadjuvant therapy. Prior treatment with sipuleucel-T is allowed\].
Concurrent therapies: cytotoxic chemotherapy, immunotherapy, radioligand therapy, PARP inhibitor, biological, or investigational therapy
History of myocardial infarction (MI), angina pectoris, or coronary artery bypass graft (CABG) within 6 months prior to ICF signature and/or clinically active significant cardiac disease
Concurrent serious acute or chronic nephropathy and/or moderate to severe renal impairment as determined by the principal investigator.
Diagnosed with other active malignancies that are expected to alter life expectancy or may interfere with disease assessment
Sexually active males unwilling to use a condom during intercourse while taking study treatment and for 14 weeks after stopping study treatment.
Concurrent urinary outflow obstruction or unmanageable urinary incontinence
History of somatic or psychiatric disease/condition that may interfere with the aims and assessments of the study.
  • Time activity curves (TACs) and absorbed radiation dose of AAA617 in organsFrom Cycle 1 to Cycle 12; cycle = 42 days

    Time activity curve (TAC) will be generated from the amount radioactivity in one given tissue. Time integrated activity coefficient and absorbed dose will be calculated

  • Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)For up to 12 cycles in taxane-naive participants with progressive PSMA-positive mCRPC with nrmal kidney function or mild renal impairment; cycle = 42 days

    The distribution of adverse events for Radioligand Therapy (RLT) will be done via the analysis of frequencies for Adverse Event (AEs) and Serious Adverse Event (SAEs) through the monitoring of relevant clinical and laboratory safety parameters. Adverse event monitoring should be continued for at least 42 days following the end of treatment (EOT) visit. Participants receiving the study treatment will continue to be followed for safety every 12 weeks during the long-term follow-up for selected adverse events

  • Percentage of participants with AAA617 dose reductions, interruptions and discontinuationsUp to 42 (+7) days after last AAA617 dose administration (Safety Follow-up)

    The assessment of tolerability will be based on the frequency of participants with dose interruptions, reductions, and study treatment discontinuations. Dose reduction will be based on the worst toxicity demonstrated at the last dose.