Using 177Lu-PSMA to treat high-risk prostate cancer after radical treatment
Official title: 177Lu-PSMA as a Systemic Adjuvant Treatment in Patients With High- and Very High-risk Prostate Cancer After Radical Treatment Using Locoregional Teleradiotherapy and Hormone Therapy
Run by Maria Sklodowska-Curie National Research Institute of Oncology · NCT06449781 · Data updated 2026-11-12
This study is testing if a new treatment called 177Lu-PSMA can help men with high-risk prostate cancer stay cancer-free after their initial treatment and hormone therapy.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 200 (estimated) |
| Sponsor | Maria Sklodowska-Curie National Research Institute of Oncology Academic / other |
| Locations | 1 site (Gliwice) |
| Status | Recruiting |
| Started | January 9, 2025 |
| Main results expected | November 2030 |
| Study ends | November 2030 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT06449781 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult men over 18 years with histopathologically confirmed high or very high-risk prostate cancer who have completed radical locoregional treatment within the last three months.
✕Probably not a fit
Patients with signs of cancer dissemination or those who do not meet the specified health criteria will 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 phase 2 clinical trial evaluates the effectiveness of 177Lu-PSMA as a systemic adjuvant treatment for adult men with high and very high-risk prostate cancer following radical locoregional treatment and hormone therapy. Participants will receive a single administration of 177Lu-PSMA, while both the study and control groups will continue standard hormone therapy. The study aims to assess the safety and efficacy of this intervention over a five-year observation period, focusing on patients who show no signs of cancer dissemination after their initial treatment.
Why it matters
Potential benefit: If successful, this treatment could improve outcomes for patients with high-risk prostate cancer by reducing the risk of cancer recurrence.
How similar studies have gone: Other studies have shown promise with similar approaches using targeted radioligand therapy in prostate cancer, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Giving a written informed consent
* Histopathologically confirmed high or very high risk prostate cancer
* Completion of radical locoregional treatment
* Completion of locoregional treatment within 3 months before inclusion to the study
* ECOG performance status 0 to 2
* Age over 18 years
* Within 28 days before entering the study, there were no signs of cancer dissemination documented in radiological tests
* Castrate testosterone level (testosteron \< 50 ng/dL lub 1,7 nmol/L)
* Patients with adequate function of main organs:
* bone marrow:
* neutrophils \> 1500x10\^9/L;
* thrombocytes \> 100,000x10\^9/L;
* hemoglobin \> 9 g/dL
* liver:
* bilirubin \< 2xULN (upper limit of normal) in patients with Gilbert's syndrome \< 5xULN;
* aminotransferase \< 3xULN
* kidneys:
* eGFR \> 50 ml/min
* albumin \>2.5 mg/ml
* For men of reproductive age: the need to use double barrier contraception
Exclusion Criteria:
* The presence of distant metastases confirmed by radiological examination
* Absence of approval to use effective contraception method
* Absence of Patient's consent to participate in the Study
* Urinary tract obstruction or/and hydronephrosis.
* Concurrent anticancer treatment.
Where it's running
-
Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch
Gliwice, Poland Recruiting
Study contacts
- Study coordinator: Daria Handkiewicz-Junak
- Email: daria.handkiewicz-junak@gliwice.nio.gov.pl
- Phone: 48322789339
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Targeted alpha therapy for B7-H3 expressing solid tumors using AKY-2519
This phase 1b trial tests a radiolabeled drug (AKY-2519) to see if it's safe and tolerable in adults with B7-H3 positive advanced solid tumors, including NSCLC and SCLC, with imaging to help guide use.
-
PSMA-guided surgery and tissue-resident T cells in node-positive prostate cancer
This study tests whether PSMA-guided surgery can help identify and study tissue-resident T cells in prostate cancer that has spread to lymph nodes.
-
Predictive factors for response to Lu-177 PSMA therapy in metastatic castration-resistant prostate cancer
This study tests whether imaging, dose measurements, and blood tests can predict which men with metastatic castration-resistant prostate cancer will respond to Lu-177 PSMA therapy.
-
Salvage high-dose-rate brachytherapy for locally recurrent prostate cancer
This observational study tests whether salvage HDR brachytherapy can help men with locally recurrent prostate cancer after initial radiotherapy, using advanced imaging and biopsy to guide treatment.
-
Multi-peptide Vaccination and PSMAxCD3 Antibody Therapy for Prostate Cancer with Biochemical Recurrence
This phase 2 trial tests whether a PSMA-targeted bispecific antibody (CC-1), a prostate cancer peptide vaccine (VAC-XS15-PC01), or both can be given safely and help control biochemical recurrence after local therapy in men with prostate cancer.
-
Lutetium-177 Ludotadipep for advanced prostate cancer
This study tests whether adding Lu-177 Ludotadipep to standard care helps men with metastatic castration-resistant prostate cancer live longer without their disease getting worse.
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.