Clinical trial Recruiting at 16 sites Phase1; Phase2 Interventional Ages 18 to 90

Targeted therapy using Lead-212 for solid tumors

Official title: A Phase I/IIa Image-Guided, Alpha-Particle Therapy Study of [203Pb]Pb-PSV359 and [212Pb]Pb-PSV359 in Patients With Solid Tumors That Are Known to be Fibroblast Activation Protein (FAP)-Positive

Run by Perspective Therapeutics · NCT06710756 · Data updated 2026-11-12

This study is testing a new targeted radiation treatment for patients with solid tumors that have a specific protein to see if it can effectively treat their cancer while protecting healthy tissue.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years to 90 Years
SexAll
Enrollment112 (estimated)
SponsorPerspective Therapeutics
Industry-sponsored
Drugs / interventionsradiation
Locations16 sites (Los Angeles, California and 15 other locations)
StatusRecruiting
StartedApril 28, 2025
Main results expectedJanuary 31, 2028
Study endsMay 28, 2032
Registry record updatedOctober 28, 2026
Trial IDNCT06710756 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with locally advanced or metastatic solid tumors that have shown progression despite standard therapies.

Probably not a fit

Patients with known brain metastases or active secondary malignancies may not benefit from this study.

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

What this trial studies

This clinical trial evaluates the safety and efficacy of a peptide-based radiopharmaceutical, Lead-212 PSV359, in patients with solid tumors that express Fibroblast Activation Protein (FAP). The study is divided into two parts: a dose-escalation phase to determine the maximum tolerated dose and a dose-expansion phase to further assess the identified doses. Patients will undergo imaging to confirm FAP expression and will receive escalating doses of the treatment to evaluate its therapeutic potential. The trial aims to improve targeted radiation delivery to cancerous tissues while minimizing exposure to healthy tissues.

Why it matters

Potential benefit: If successful, this therapy could provide a new targeted treatment option for patients with advanced solid tumors.

How similar studies have gone: Other studies using targeted alpha-particle therapies have shown promise, suggesting potential for success with this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Aged ≥ 18 years
* Satisfactory organ function as determined by laboratory testing
* Eastern Cooperative Oncology Group performance (ECOG) status of 0 to 1
* Life expectancy \> 3 months
* Progressive disease despite standard therapy or for whom no standard therapy exists
* Positive \[203Pb\]Pb-PSV359 SPECT/CT scan showing uptake of \[203Pb\]Pb-PSV359 in at least 1 known lesion on the 1-hour SPECT/ CT scan
* Histological, pathological, and/or cytological confirmation of solid tumor malignancy that is locally advanced or metastatic

Exclusion Criteria:

* Known hypersensitivity to the active agent or any of the excipients
* Active secondary malignancy
* Pregnancy or breastfeeding a child
* Known brain metastases
* Known active or uncontrolled infections requiring ongoing antifungals or antibiotics in the 3 days prior to enrollment
* Known medical condition which would make this protocol unreasonably hazardous for the patient
* Existence of any medical or social issues likely to interfere with study conductor that may cause increased risk to the subject or to others, e.g., lack of ability to follow radiation safety precautions
* Medical history of a condition resulting in a severe allergic reaction such as anaphylaxis or angioedema to known components of the investigational product or excipients
* Major surgery within 21 days prior to the administration of \[212Pb\]Pb-PSV359; the subject must be sufficiently recovered and stable before treatment administration
* Diagnosis of deep vein thrombosis or pulmonary embolism within 4 weeks prior to enrollment into the study
* Current abuse of alcohol or illicit drugs
* Treatment with any live/attenuated vaccine in the 7 days prior to enrollment
* Previous treatment with any systemic anticancer therapy within 4 weeks prior to treatment on study

Where it's running

  • VA Greater Los Angeles Healthcare System
    Los Angeles, California, United States
    Recruiting
  • UCLA Department of Medicine - Hematology/Oncology
    Los Angeles, California, United States
    Recruiting
  • University of Miami
    Miami, Florida, United States
    Recruiting
  • Biogenix
    Miami, Florida, United States
    Recruiting
  • University of Kansas
    Kansas City, Kansas, United States
    Recruiting
  • University of Kentucky
    Lexington, Kentucky, United States
    Recruiting
Show 10 more locations
  • Mayo Clinic in Rochester, Minnesota
    Rochester, Minnesota, United States
    Recruiting
  • Saint Louis University
    St Louis, Missouri, United States
    Recruiting
  • Nebraska Cancer Specialists
    Omaha, Nebraska, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - Main Campus
    New York, New York, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • Ohio State University
    Columbus, Ohio, United States
    Recruiting
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • UT Southwestern University Hospital Radiology Clinic
    Dallas, Texas, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • University of Wisconsin
    Madison, Wisconsin, United States
    Recruiting

Study contacts

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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.