Fractionated and Multiple Dose 225Ac-J591 for Progressive mCRPC

NCT04506567 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 60

Last updated 2026-08-19

Study results available
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Summary

The purpose of the initial (phase I) portion of this study is to find a dose level and administration schedule of the study drug, 225Ac-J591, that can be given without severe side effects. The purpose of the second (phase II) portion of the study is to determine the proportion of those with PSMA-positive tumors with \>50% PSA decline following 225Ac-J591 treatment in two regimens.

Conditions

Interventions

DRUG

Multiple Dose of 225Ac-J591 at 45 KBq/kg

Multiple dose of 45 KBq/kg

DRUG

Multiple Dose of 225Ac-J591 at 55 KBq/kg

Multiple dose of 55 KBq/kg in dose-escalation regimen

DRUG

Multiple Dose of 225Ac-J591 at 65 KBq/kg

Multiple dose of 65 KBq/kg in dose-escalation regimen

DRUG

Fractionated Dose of 225Ac-J591 at 45 KBq/kg

Fractionated dose of 45 KBq/kg in dose-escalation regimen

DRUG

Fractionated Dose of 225Ac-J591 at 55 KBq/kg

Fractionated dose of 55 KBq/kg in dose-escalation regimen

DRUG

Fractionated Dose of 225Ac-J591 at 60 KBq/kg

Fractionated dose of 60 KBq/kg in dose-escalation and dose-expansion regimens

DRUG

Fractionated Dose of 225Ac-J591 at 65 KBq/kg

Fractionated dose of 65 KBq/kg in dose-escalation regimen

DRUG

Fractionated Dose of 225Ac-J591 at 45 KBq/kg (Prior 177Lu-PSMA-RL)

Fractionated dose of 45 KBq/kg for cohort of participants previously treated with 177Lu-PSMA-RL

DRUG

Fractionated Dose of 225Ac-J591 at 50 KBq/kg (Prior 177Lu-PSMA-RL)

Fractionated dose of 50 KBq/kg for cohort of participants previously treated with 177Lu-PSMA-RL

DIAGNOSTIC_TEST

68Ga-PSMA-HBED-CC injection

68Ga-PSMA-HBED-CC PET/CT before and after treatment

Sponsors & Collaborators

  • Weill Medical College of Cornell University

    lead OTHER

Principal Investigators

  • Joseph R Osborne, MD · Weill Medical College of Cornell University

Study Design

Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
99 Years
Sex
MALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2020-08-18
Primary Completion
2025-06-01
Completion
2026-12-31
FDA Drug
Yes

Countries

  • United States

Study Locations

More Related Trials

Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04506567 on ClinicalTrials.gov