Study Title

A Phase 2 Randomized Trial in Patients With Metastatic Castration Resistant Prostate Cancer to Determine the Efficacy of a Flexible Dosing Schedule of Lu-PSMA Treatment up to 12 Cycles Including Potential Treatment Holiday Periods in Comparison to the Standard Fixed Dosing Schedule of Six Cycles Every Six Weeks (FLEX-MRT)

Study Details

Description:

The randomized phase 2 FLEX MRT compares a group of patients treated with LuPSMA on a flexible and extended dosing schedule including "treatment holiday" periods (investigational arm, up to 12 cycles) to a control group treated with a fixed dosing schedule of 6 treatments cycles maximum administered every 6 weeks. The flexible dosing schedule in the investigational arm, will be based on SPECT/CT response assessments obtained 24h after injection of LuPSMA therapy cycle. The response assessment during treatment holiday period will be based on PET/CT every 12 weeks.

Sponsor:

Jonsson Comprehensive Cancer Center (UCLA)

Contacts:

Hamzah Alam (Clinical Research Coordinator)

halam@mednet.ucla.edu

3102067372

Maria Contreras (Clinical Research Coordinator)

mmcontreras@mednet.ucla.edu

310-825-7336

Drug Details

Lu177 PSMA-617
Isotope(s):
    LUTETIUM-177
    Radioisotope: Lu-177
    Theranostic Role: Therapeutic Agent & SPECT Imaging
    T1/2 (Half-Life): 6.7 Days
    Decay Mode: BETA, GAMMA
    Energy: Eβeta max 497 keV, Gamma 113-208 keV
    Range: In Tissue: 0.25-2mm
    Decay Daughters: Hf177
    Status: FDA Approvals: PLUVICTO® (2022), LUTATHERA® (2017)
  • LUTETIUM-177
  • GALLIUM-68
    Radioisotope: Ga-68
    Theranostic Role: PET Imaging
    T1/2 (Half-Life): 68 minutes
    Decay Mode: POSITRON β+ (88.9%), GAMMA, ELECTRON CAPTURE (8.7%)
    Energy: Beta: max 1.9 MeV Gamma 1.1 MeV, 511 keV
    Range: N/A
    Decay Daughters: Zn68 (Stable)
    Status: FDA Approvals: NETSPOT® (2016), LOCAMETZ® (2022), ILLUCIX® (2021)
  • GALLIUM-68
Target(s):
  • PSMA
Ligand: Small Molecules
Chelator: DOTA
Linker: Glutamate-urea-Lysine
Inclusion
  • PSMA PET/CT must be performed within 8 weeks of planned first cycle of 177Lu-PSMA-617.
  • Patients must have ≥ 1 metastatic lesion by any imaging (CT, magnetic resonance imaging [MRI], bone scan, PET)
  • Patients must have received at least one androgen-receptor signaling inhibitors (ARSI)
  • Patients must have received at least one regimen of chemotherapy for mCRPC
  • Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
Exclusion
  • Glomerular filtration rate (GFR) < 50 ml/min
  • Less than 6 weeks between last myelosuppressive therapy
  • Urinary tract obstruction or marked hydronephrosis
  • Prior cycle of 177Lu-PSMA-617 therapy

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