Clinical trial Recruiting at 15 sites Phase 1 Interventional Ages 18 and up

RYZ401 for solid tumors that express somatostatin receptors

Official title: Phase 1 First-in-Human, Dose Escalation and Dose Expansion Study of RYZ401, a Novel Radiopharmaceutical Therapy Labeled With Actinium-225, in Subjects With Neuroendocrine Tumors and Other Solid Tumors Expressing Somatostatin Receptors.

Run by RayzeBio, Inc. · NCT07165132 · Data updated 2026-11-12

This trial will try RYZ401, a targeted radiotherapy, in adults with neuroendocrine or other solid tumors that show somatostatin receptors to find a safe dose and see if it shrinks tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment104 (estimated)
SponsorRayzeBio, Inc.
Industry-sponsored
Locations15 sites (Phoenix, Arizona and 14 other locations)
StatusRecruiting
StartedDecember 3, 2025
Main results expectedFebruary 2027
Study endsApril 2033
Registry record updatedNovember 3, 2026
Trial IDNCT07165132 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with histologically confirmed well-differentiated (Grade 1–3) metastatic or unresectable NETs or other SSTR-positive solid tumors, measurable disease on SSTR-PET, and adequate renal, hepatic, and hematologic function are the intended candidates.

Probably not a fit

Patients whose tumors lack SSTR expression, those with prior peptide receptor radionuclide therapy such as Lu-177, or those with inadequate organ function are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1, open-label dose-escalation and dose-expansion trial of RYZ401 in adults with SSTR-positive neuroendocrine tumors (NETs) and selected other solid tumors. The dose-escalation phase seeks the recommended Phase 2 dose (RP2D) and optimal regimen, followed by expansion cohorts focused on GEP-NETs and other frequently SSTR-expressing indications. Key endpoints include safety, tolerability, and preliminary anti-tumor activity, with eligibility confirmed by SSTR-PET imaging and requirements for adequate organ function. Patients who previously received peptide receptor radionuclide therapy such as lutetium-177 are excluded.

Why it matters

Potential benefit: If successful, RYZ401 could offer a new targeted radiotherapy option that shrinks or stabilizes SSTR-positive NETs while maintaining a manageable safety profile.

How similar studies have gone: Related SSTR-targeted radiotherapies, most notably 177Lu-DOTATATE, have shown clinical benefit in GEP-NETs, so this approach builds on established radioligand therapy while testing a different agent.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

* At least 18 years old at the time of signing the main study informed consent form (ICF).
* Histologically confirmed:

Dose Escalation (all cohorts): Grades 1-3 WD, metastatic or locally advanced and unresectable NET at any primary site, including, but not limited to, GI, pancreatic, lung, thyroid, breast, urogenital, and adrenal tumors.

* Dose Expansion Cohort A: Grades 1-3 WD, metastatic or locally advanced and unresectable GEP-NETs
* Dose Expansion Cohort B: metastatic or locally advanced and unresectable tumors known to frequently express SSTR, limited to the following indications:

  * WD NETs (Grades 1-3) from primary sites other than gastrointestinal and pancreatic (including, but not limited to, lung, thyroid, breast, urogenital, and adrenal tumors) Meningioma (Grades 1-3)

    * SSTR-positive disease, as assessed by SSTR-PET imaging
    * Adequate renal, hematologic and hepatic function

Exclusion criteria:

* Prior RPT, including Lu-177.
* Prior solid organ or bone marrow transplantation.
* Use of chronic systemic steroid therapy.
* Significant cardiovascular disease
* Resistant hypertension
* Uncontrolled diabetes
* Prior history of liver cirrhosis
* HIV, hepatitis B infection or known active hepatitis C virus infection.

Note: Additional criteria may apply and will be assessed by the study site

Where it's running

  • Research Facility
    Phoenix, Arizona, United States
    Recruiting
  • Research Facility
    Los Angeles, California, United States
    Recruiting
  • Research Facility
    Jacksonville, Florida, United States
    Recruiting
  • Research Facility
    Iowa City, Iowa, United States
    Recruiting
  • Research Facility
    Lexington, Kentucky, United States
    Recruiting
  • Research Facility
    Rochester, Minnesota, United States
    Recruiting
Show 9 more locations
  • Research Facility
    St Louis, Missouri, United States
    Recruiting
  • Research Facility
    St Louis, Missouri, United States
    Recruiting
  • Research Facility
    Columbus, Ohio, United States
    Recruiting
  • Research Facility
    Portland, Oregon, United States
    Recruiting
  • Research Facility
    Nashville, Tennessee, United States
    Recruiting
  • Research Facility
    Salt Lake City, Utah, United States
    Recruiting
  • Research Facility
    Charlottesville, Virginia, United States
    Recruiting
  • Research Facility
    Toronto, Ontario, Canada
    Recruiting
  • Research Facility
    Montreal, Quebec, Canada
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.