Low PSMA SUV Boost (LPS-Boost): Intensified 177Lu-PSMA-617 Treatment for Patients With Metastatic Castrate-Resistant Prostate Cancer With Low PSMA Expressing Disease
NCT06526299 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 51
Last updated 2026-03-24
Summary
This phase II trial tests how well 177Lu-PSMA-617 works in treating patients with prostate cancer that has spread from where it first started (primary site) to other places in the body (metastatic) and that remains despite treatment (resistant). Lutetium Lu 177 (177Lu), the radioactive (tracer) component being delivered by prostate-specific membrane antigen (PSMA)-617, has physical properties that make it ideal radionuclide (imaging tests that uses a small dose tracer) for treatment of metastatic castrate-resistant prostate cancer (mCRPC). 177Lu-PSMA-617 works by binding to prostate cancer cells and inducing damage to deoxyribonucleic acid (DNA) inside prostate cancer cells. Giving 177Lu-PSMA-617 may improve treatment outcomes for patients with mCRPC.
Conditions
- Metastatic Castration-Resistant Prostate Carcinoma
- Stage IVB Prostate Cancer AJCC v8
Interventions
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Bone Scan
Undergo bone scan
- PROCEDURE
-
Computed Tomography
Undergo SPECT/CT and CT
- DRUG
-
Lutetium Lu 177 Vipivotide Tetraxetan
Given IV
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo MRI
- PROCEDURE
-
PSMA PET-CT Scan
Undergo PSMA PET/CT
- OTHER
-
Questionnaire Administration
Ancillary studies
- PROCEDURE
-
Single Photon Emission Computed Tomography
Undergo SPECT/CT
Sponsors & Collaborators
- collaborator INDUSTRY
-
Society of Nuclear Medicine and Molecular Imaging (SNMMI) Mars Shot Research Fund
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Amir Iravani, MD FRACP · Fred Hutch/University of Washington Cancer Consortium
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-29
- Primary Completion
- 2027-12-31
- Completion
- 2027-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
68Ga-PSMA-0057 and 177Lu-PSMA-0057 in Patients With PSMA-Positive Metastatic Castration-Resistant Prostate Cancer
NCT07310355 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
Dosimetry, Safety and Potential Benefit of 177Lu-PSMA-617 Prior to Prostatectomy
NCT04430192 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Study of 177Lu-PSMA-617 In Metastatic Castrate-Resistant Prostate Cancer
NCT03511664 ·Status: COMPLETED ·Phase: PHASE3
-
177Lu-P17-087/177Lu-P17-088 in Patients With Metastatic Castration-resistant Prostate Cancer
NCT05603559 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Study of Re-treatment With [177Lu]Lu-PSMA in Men With Metastatic Castration Resistance Prostate Cancer
NCT06866938 ·Status: RECRUITING ·Phase: PHASE2
-
177Lu-EB-PSMA617 in Patients With Metastatic Castration-resistant Prostate Cancer
NCT03403595 ·Status: UNKNOWN ·Phase: PHASE1
-
Comparison of Changes in Tumor Burden in 68Ga-PSMA-11 PET/CT and 177Lu-PSMA SPECT/CT in Metastatic Castration-resistant Prostate Cancer
NCT06461689 ·Status: COMPLETED
-
Comparison of 177Lu-PSMA-617 and 225Ac-PSMA-617
NCT07054346 ·Status: RECRUITING ·Phase: PHASE1
-
Therapeutic Efficiency and Response to 2.0 GBq (55mCi) 177Lu-EB-PSMA in Patients With mCRPC
NCT04996602 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Gallium-68 PSMA-11 PET in Participants With Prostate Cancer
NCT05034562 ·Status: WITHDRAWN ·Phase: PHASE2
-
Clinical and Dosimetric Study of Patients Treated With 177Lu-PSMA-617 for Prostate Cancer.
NCT06700057 ·Status: RECRUITING
-
Intrinsic Validity of Molecular Marker(s) Detection on Tissular Tumoral DNA to Predict the Efficacy of 177Lutetium-PSMA-617 (Lu-PSMA) Treatment for Castration-resistant Metastatic Prostate Cancer
NCT06600802 ·Status: RECRUITING ·Phase: NA
-
Clinical Trial of Ac225-PSMA Radioligand Therapy of Metastatic Castration-resistant Prostate Cancer
NCT04225910 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Study of 225Ac-PSMA-617 in Men With PSMA-positive Prostate Cancer
NCT04597411 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
177Lu-PSMA-EB-01 in Patients With Metastatic Castration-resistant Prostate Cancer
NCT05613738 ·Status: RECRUITING ·Phase: NA
-
The Role of WB-MRI in the Evaluation of Prostate Cancer Patients Treated With Lutetium - Prostate Specific Membrane Antigen (Lu-PSMA)
NCT05208229 ·Status: TERMINATED
-
Study of [177Lu]Lu-PSMA-137 In Metastatic Castrate Resistant Prostate Cancer(mCRPC)
NCT06546527 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Lu-PSMA for Oligometastatic Prostate Cancer Treated With STereotactic Ablative Radiotherapy
NCT05560659 ·Status: RECRUITING ·Phase: PHASE2
-
Study of 177Lu-PSMA-617 In Metastatic Castrate-Resistant Prostate Cancer in Japan
NCT05114746 ·Status: COMPLETED ·Phase: PHASE2
-
Radioligand Therapy After PSMA PET Guided External Beam Radiotherapy for Treating Post-Prostatectomy Patients With Biochemically Recurrent Prostate Cancer
NCT06105918 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Efficacy of Ra-223 in PSMA PET Optimally Selected Patients
NCT05924672 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Open-label Study Comparing AAA817 Versus Standard of Care in the Treatment of Previously Treated PSMA-positive mCRPC Adults Who Have Disease Progressed on or After [177Lu]Lu-PSMA Targeted Therapy
NCT06780670 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Image-Guided Biopsies to Identify Mechanisms of Resistance in Patients With Metastatic Castration Resistant Prostate Cancer Treated With 177Lu-PSMA Radioligand Therapy
NCT05398302 ·Status: RECRUITING ·Phase: PHASE1
-
Two-Fraction Ultrahypofractionated Radiotherapy With Focal Boost for Intermediate Risk, Localized Prostate Cancer
NCT06518226 ·Status: RECRUITING ·Phase: NA
-
99mTc-P137 SPECT/CT in Prostate Cancer
NCT05672485 ·Status: RECRUITING ·Phase: NA