A Study of [225Ac]Ac-AKY-1189 in Patients With Solid Tumors

NCT ID: NCT07020117

Last Updated: 2025-11-26

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

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-22

Study Completion Date

2032-06-30

Brief Summary

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This is a first-in-human Phase 1b, 2-part, multicenter open-label clinical study to evaluate safety and efficacy of a Nectin-4 radiopharmaceutical (\[225Ac\]Ac-AKY-1189) in patients with locally advanced or metastatic solid tumors and to establish the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose.

Detailed Description

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This study consists of two parts (Part 1 and 2).

Part 1 is the dose escalation portion of the study, which will investigate ascending doses of \[225Ac\]Ac-AKY-1189 (up to 6 cycles) in patients with locally advanced or metastatic solid tumors. The aim of Part 1 is to determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose.

Part 2 will be the dose expansion portion of the study and will enroll locally advanced or metastatic solid tumor patients who are identified as Nectin-4 positive by \[64Cu\] Cu-AKY-1189. Part 2 aims to further assess the efficacy of \[225Ac\]Ac-AKY-1189 at the RP2D in 3 different cohorts of patients.

Conditions

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Urothelial Carcinoma Bladder Triple Negative Breast Cancer (TNBC) Hormone Receptor Positive Breast Adenocarcinoma Non Small Cell Lung Cancer Cervical Adenocarcinoma Colorectal Adenocarcinoma Head and Neck Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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[225Ac]Ac-AKY-1189

Group Type EXPERIMENTAL

[225Ac]Ac-AKY-1189 (therapeutic)

Intervention Type DRUG

\[225Ac\]Ac-AKY-1189 Injection

[64Cu]Cu-AKY-1189 (imaging)

Intervention Type DRUG

\[64Cu\]Cu-AKY-1189 Injection

Interventions

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[225Ac]Ac-AKY-1189 (therapeutic)

\[225Ac\]Ac-AKY-1189 Injection

Intervention Type DRUG

[64Cu]Cu-AKY-1189 (imaging)

\[64Cu\]Cu-AKY-1189 Injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologic or cytologic confirmation of locally advance or metastatic disease
* Radiologic confirmation on CT of at least one measurable tumor lesion per RECIST v1.1
* ECOG Performance Status of 0 or 1
* Adequate end-organ function
* Ability to give informed consent and comply with study requirements
* Patients with CNS metastases are eligible if they have received therapy and are neurologically stable, asymptomatic and not receiving corticosteroids
* Documented disease progression on prior line of therapy for metastatic disease

Exclusion Criteria

* Prior treatment with a therapeutic radiopharmaceutical
* Prior treatment with a Nectin-4 targeted therapy, except enfortumab vedotin
* Received an investigational agent within the previous 28days
* Prior treatment with a cytotoxic chemotherapy, targeted therapy, biologic agent, immunotherapy or external-beam radiotherapy in the 3 weeks prior to study treatment
* Concurrent serious medical condition that would impair study participation or impact the assessment of treatment related toxicity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aktis Oncology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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City of Hope

Duarte, California, United States

Site Status RECRUITING

Hoag Memorial Hospital Presbyterian

Irvine, California, United States

Site Status RECRUITING

Biogenix Molecular, LLC

Miami, Florida, United States

Site Status RECRUITING

University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

BAMF Health

Grand Rapids, Michigan, United States

Site Status RECRUITING

Icahn School of Medicine at Mt. Sinai

New York, New York, United States

Site Status RECRUITING

MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Janet Horton, MD

Role: CONTACT

978-208-3986

Facility Contacts

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Abhishek Tripathi, MD

Role: primary

626-256-4673

Ryan Reddy, MD

Role: primary

949-764-4577

Jerry Joseph

Role: primary

(786)791-1799

Kristin West

Role: primary

319-356-3656

Kristin Plichta, MD, PhD

Role: backup

Role: primary

616-330-2735

Sophia Rhoads

Role: primary

317-903-4419

Patricia Acon

Role: backup

Natalie Velez

Role: primary

713-792-1478

Other Identifiers

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AKY-1189-01

Identifier Type: -

Identifier Source: org_study_id

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