177Lu‑P17‑087 and 177Lu‑P17‑088 treatment for metastatic castration‑resistant prostate cancer
Official title: Safety, Dosimetry and Dose-escalation of 177Lu-P17-087/177Lu-P17-088 in Patients With Metastatic Castration-resistant Prostate Cancer
Run by Peking Union Medical College Hospital · NCT05603559 · Data updated 2026-11-12
This trial will test two new PSMA‑targeted radioactive drugs, 177Lu‑P17‑087 and 177Lu‑P17‑088, in men with metastatic castration‑resistant prostate cancer who have PSMA‑positive scans.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 90 Years |
| Sex | Men only |
| Enrollment | 30 (estimated) |
| Sponsor | Peking Union Medical College Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | January 1, 2023 |
| Main results expected | September 5, 2024 |
| Study ends | October 4, 2026 |
| Registry record updated | October 3, 2025 |
| Trial ID | NCT05603559 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men with progressive metastatic castration‑resistant prostate cancer, high PSMA uptake on recent 68Ga‑PSMA PET/CT, adequate bone marrow, liver, and kidney function, and no radionuclide therapy within the prior six months.
✕Probably not a fit
Patients with FDG‑positive but PSMA‑negative lesions, significant marrow/renal/hepatic impairment, or recent radionuclide therapy are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This early‑phase pilot gives a single low activity dose of either 177Lu‑P17‑087 or 177Lu‑P17‑088 and uses serial whole‑body planar and SPECT/CT imaging over seven days to measure absorbed dose and monitor safety. All participants must have recent 68Ga‑PSMA PET/CT demonstrating high PSMA expression and will be imaged at multiple time points after injection (1.5, 4, 24, 48, 72, 120, and 168 hours). After initial safety and dosimetry from a 1.1 GBq dose, the protocol advances to sequential dose‑escalation cohorts at approximately 1.11, 2.96, and 4.44 GBq to identify the maximum tolerated or optimal biological dose. A subsequent dose‑expansion phase will further characterize pharmacokinetics, safety, and preliminary antitumor activity to establish a recommended Phase II dose.
Why it matters
Potential benefit: If successful, these agents could provide longer tumor exposure to PSMA‑targeted radiation and potentially improve tumor control compared with shorter‑lived agents.
How similar studies have gone: PSMA‑targeted 177Lu therapies such as 177Lu‑PSMA‑617 have shown clinical benefit in mCRPC, but P17‑087 and P17‑088 are novel albumin‑binding derivatives and are less tested in humans.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All the patients had progressive metastatic castration-resistant prostate cancer that did not respond to androgen-suppression therapy and/or systemic chemotherapy; * Distant metastases with high PSMA expression were confirmed on 68Ga-PSMA PET/CT within one week before the injection of 177Lu-P17-087/177Lu-P17-088. Exclusion Criteria: * Patients were excluded if they had \[18F\]FDG positive tumors without corresponding PSMA uptake. Patients were also not eligible if they accepted other radionuclide therapies within 6 months or had clinically significant impaired bone marrow, liver, or kidney function with a hemoglobin level of less than 9.0 g/dL, a white blood cell count of less than 2.5×109/L, a platelet count of less than 100×109/L and a serum creatinine \> 100 μmol/L.
Where it's running
-
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China Recruiting
Study contacts
- Principal investigator: Zhaohui Zhu, MD — Peking Union Medical College Hospital
- Study coordinator: Zhaohui Zhu, MD
- Email: 13611093752@163.com
- Phone: 86-13611093752
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.