Study of Alpha Radioligand Therapy AB001 in Patients With Metastatic Castration Resistant Prostate Cancer (mCRPC)

NCT ID: NCT07214961

Last Updated: 2025-12-22

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-03

Study Completion Date

2028-11-03

Brief Summary

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This Phase 1 study will evaluate the safety, tolerability, and preliminary effectiveness of AB001, an alpha-emitting radioligand targeting prostate-specific membrane antigen (PSMA), in patients with advanced prostate cancer who are either 177Lu-PSMA naïve or experienced. The study includes dose escalation to identify a recommended dose and dose expansion to further assess safety and anti-tumour activity. Primary objectives are to characterize the safety profile and determine the optimal dose and schedule for future studies

Detailed Description

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Conditions

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Prostate Cancer (CRPC) Metastatic Castrate Resistant Prostate Cancer (mCRPC)

Keywords

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radioligand therapy Pb-212 castrate-resistant prostate cancer alpha particles metastatic mCRPC Lu-177

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This is an open-label, noncontrolled, multinational, multicentre, interventional Phase 1 clinical study of AB001 in patients with advanced mCRPC.

The study includes the following main parts:

Dose Escalation: To assess the safety and tolerability of AB001 and determine the recommended dose level and treatment schedule in both 177Lu-PSMA naïve and 177Lu-PSMA experienced groups to take into the Expansion part.

Dose Expansion: To further characterise the antitumour activity and safety profile of the recommended dose and schedule in both 177Lu-PSMA naïve and 177Lu-PSMA experienced groups for further development of AB001 in specific patient populations.

Dose Escalation will seamlessly progress into Dose Expansion.

The study will include several sub-studies to enable characterisation of the biodistribution, body clearance, and PK of AB001 in participants with mCRPC.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AB001 treated ¹⁷⁷Lu-PSMA naïve mCRPC patients

Dose Escalation will be initiated in ¹⁷⁷Lu-PSMA naïve mCRPC patients with the first cohort of participants receiving a starting dose of 100 MBq Pb212 (AB001) administered by slow injection on Day 1 of a 6-week (42-day) cycle. Four cycles of study treatment are planned; however, individual participants may continue up to a maximum of six treatment cycles provided they meet defined criteria. Subsequent cohorts of 177Lu-PSMA naïve participants will be opened for dose finding and schedule optimisation.

Group Type EXPERIMENTAL

AB001

Intervention Type DRUG

Pb-212 PSMA targeted alpha radioligand therapy

AB001 treated 177Lu-PSMA experienced mCRPC patients

For the 177Lu-PSMA experienced Group, the first cohort will initiate enrolment with a starting dose of 100 MBq Pb212 (AB001) administered by slow injection on Day 1 of a 6-week (42-day) cycle. Four cycles of study treatment are planned; however, individual participants may continue up to a maximum of six treatment cycles provided they meet defined criteria. Subsequent cohorts of 177Lu-PSMA experienced participants will be opened for dose finding and schedule optimisation.

Group Type EXPERIMENTAL

AB001

Intervention Type DRUG

Pb-212 PSMA targeted alpha radioligand therapy

Interventions

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AB001

Pb-212 PSMA targeted alpha radioligand therapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male participants at least 18 years of age
* ECOG PS of 0 to 2
* Progressive mCRPC
* Previous treatment with at least one novel ARPI
* Prior orchiectomy and/or ongoing androgen-deprivation therapy
* Prior treatment with at least one taxane regimen or patient refusing or considered appropriate by treating physician to delay taxane therapy
* 177Lu-PSMA experienced Group only: Prior treatment with at least one dose of 177Lu-PSMA
* At least one PSMA-avid distant metastatic lesion
* Adequate bone marrow, renal, and hepatic function

Exclusion Criteria

* Blockage in the bladder or kidneys
* Untreated or uncontrolled brain metastases. Treated brain metastases are permitted provided they are neurologically stable
* Symptomatic, or clinical or radiologic findings indicative of impending cord compression.
* History of myelodysplastic syndrome (MDS), treatment-related acute myeloid leukaemia or features suggestive of MDS/acute myeloid leukaemia.
* A known additional malignancy that has required active treatment within the past two years before start of study treatment, except for adequately treated basal or squamous cell carcinoma of the skin, or carcinoma in situ that has undergone curative therapy
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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ARTBIO Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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CMO

Role: STUDY_CHAIR

ARTBIO Inc.

Locations

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BAMF Health

Grand Rapids, Michigan, United States

Site Status RECRUITING

United Theranostics

Princeton, New Jersey, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Snr Director, Clinical Operations

Role: CONTACT

Phone: +16178525700

Email: [email protected]

Facility Contacts

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Mark Olson

Role: primary

United Theranostics

Role: primary

Other Identifiers

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2024-516523-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AB001-101

Identifier Type: -

Identifier Source: org_study_id