Trial of 225Ac-DOTATATE (RYZ101) in Subjects With ER+, HER2-negative Unresectable or Metastatic Breast Cancer Expressing SSTRs.

NCT ID: NCT06590857

Last Updated: 2025-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-19

Study Completion Date

2033-01-31

Brief Summary

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Phase 1b/2 open-label trial of 225Ac-DOTATATE (RYZ101) in subjects with ER+, HER2-negative unresectable or metastatic breast cancer expressing SSTRs.

Detailed Description

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Conditions

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Metastatic Breast Cancer HER2-negative Breast Cancer ER+ Breast Cancer Advanced Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation

RYZ101 Dose Level -1

RYZ101 Dose Level 1

RYZ101 Dose Level 2

RYZ101 Dose Level 3

Group Type EXPERIMENTAL

RYZ101

Intervention Type DRUG

Ac-225

Expansion

RYZ101 RP2D Regimen

Group Type EXPERIMENTAL

RYZ101

Intervention Type DRUG

Ac-225

Interventions

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RYZ101

Ac-225

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Subjects must meet all the following criteria for enrollment in the study:

* Eastern Cooperative Oncology Group performance status ≤2.
* Histologically confirmed, ER+, HER2-negative, locally advanced and unresectable or metastatic breast cancer not amenable to treatment with curative intent.
* At least one RECIST v1.1-measurable tumor lesion that is SSTR-PET positive (defined as maximum standard uptake value (SUVmax) higher than liver mean standard uptake value (SUVmean) on SSTR-PET imaging) and at least 80% of RECIST v1.1measurable tumor lesions are SSTR-PET positive
* Sufficient renal function, as evidenced by eGFR ≥60 mL/min/1.73m2 calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation
* Adequate hematologic and hepatic function

Exclusion Criteria

Subjects who meet any of the following criteria will be excluded from the study:

* Prior radiopharmaceutical therapy, including radioembolization.
* Any toxicities from prior treatments that have not recovered to CTCAE Grade ≤1, except for alopecia.
* Significant cardiovascular disease
* Known active uncontrolled or symptomatic central nervous system (CNS) metastases, carcinomatous meningitis, spinal cord compression, or leptomeningeal disease.
* History of hypersensitivity or allergy to 225Ac, 68Ga, 64Cu, octreotate, or any of the excipients of DOTATATE imaging agents.
* Prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the study safety or efficacy assessments.
* Pregnancy or lactation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RayzeBio, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Denis Ferreira, MD

Role: STUDY_DIRECTOR

RayzeBio, Inc.

Locations

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Research Facility

Phoenix, Arizona, United States

Site Status NOT_YET_RECRUITING

Research Facility

Irvine, California, United States

Site Status RECRUITING

Research Facility

Santa Monica, California, United States

Site Status RECRUITING

Research Facility

Longmont, Colorado, United States

Site Status RECRUITING

Research Facility

Jacksonville, Florida, United States

Site Status NOT_YET_RECRUITING

Research Facility

Atlanta, Georgia, United States

Site Status NOT_YET_RECRUITING

Research Facility

Indianapolis, Indiana, United States

Site Status RECRUITING

Research Facility

Boston, Massachusetts, United States

Site Status RECRUITING

Research Facility

Detroit, Michigan, United States

Site Status NOT_YET_RECRUITING

Research Facility

Rochester, Minnesota, United States

Site Status NOT_YET_RECRUITING

Research Facility

St Louis, Missouri, United States

Site Status RECRUITING

Research Facility

Omaha, Nebraska, United States

Site Status RECRUITING

Research Facility

Buffalo, New York, United States

Site Status NOT_YET_RECRUITING

Research Facilty

New York, New York, United States

Site Status NOT_YET_RECRUITING

Research Facility

New York, New York, United States

Site Status RECRUITING

Research Facility

Cleveland, Ohio, United States

Site Status NOT_YET_RECRUITING

Research Facility

Philadelphia, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

Research Facility

Pittsburgh, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

Research Facility

Dallas, Texas, United States

Site Status RECRUITING

Research Facility

Houston, Texas, United States

Site Status RECRUITING

Research Facilty

Salt Lake City, Utah, United States

Site Status RECRUITING

Research Facility

Norfolk, Virginia, United States

Site Status RECRUITING

Research Facility

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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RayzeBio Clinical Trials

Role: CONTACT

1-619-657-0057

Facility Contacts

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Site Contact

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Other Identifiers

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RYZ101-201

Identifier Type: -

Identifier Source: org_study_id

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