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A Clinical Study of Safety and Tolerability, Dosimetry, and Biodistribution of 177Lu-TLX591 in Combination with Standard of Care (SOC) versus SOC Alone in Japanese Patients with mCRPC

A Multicenter, Prospective, Open-Label Phase 3 Study to Investigate the Safety and Tolerability, Dosimetry, and Biodistribution of Lutetium (177Lu) Rosopatamab tetraxetan in Combination with Standard of Care Versus Standard of Care Alone in Japanese Patients with Prostate-Specific Membrane Antigen (PSMA) Positive Metastatic Castration-Resistant Prostate Cancer (mCRPC) after Treatment with an Androgen Receptor Pathway Inhibitor (ARPI) - ProstACT Global

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250333
Enrollment
490
Registered
2025-09-03
Start date
2025-10-31
Completion date
Unknown
Last updated
2025-09-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic Castration Resistant Prostate Cancer

Interventions

This is a designed to investigate and confirm the benefits and risks associated with 177Lu-TLX591 administered together with SOC compared to SOC alone, in participants with PSMA-positive metastatic ca

Sponsors

Yoshino Shuta
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: - Male, at least 18 years old, with documented adenocarcinoma of the prostate defined by histological / pathological confirmation - Confirmed mCRPC (defined as >=1 metastatic lesions present on baseline CT, MRI, or bone scintigraphy) - Disease that is PSMA positive, as demonstrated by a 68Ga-PSMA-11 PET/CT scan or PET/MRI - ECOG Performance Status 0, 1, or 2 with an estimated life expectancy of >= 6 months from Day 1 - Must have received a minimum of 12 weeks of prior therapy on their first ARPI (abiraterone, apalutamide, darolutamide, or enzalutamide), received in either the mCSPC, nmCRPC, or mCRPC treatment settings. Participants may have received docetaxel in the mCSPC setting (up to 6 cycles of docetaxel) provided the last dose of docetaxel was >= 6 months prior to screening and >= 4 cycles of docetaxel were administered. - Must have recovered to <= Grade 1 from all clinically significant toxicities related to prior therapies

Exclusion criteria

Exclusion criteria: - Have received prior treatment with monoclonal antibody HuJ591 or any other PSMA-targeted radioligand therapy - Have received chemotherapy in the mCRPC setting (note: prior docetaxel uses in the mCSPC setting is permitted if the last dose of therapy was >= 6 months prior to screening and >= 4 cycles of docetaxel were administered). - Has PC associated with pathological findings consistent with small cells or any histology other than adenocarcinoma of the prostate. If there are minor (=1cm - History of stroke or seizure within the last 6 months - Has received treatment with any PARP inhibitors (i.e., olaparib) or with any platinum based anti-neoplastic drugs.

Design outcomes

Primary

MeasureTime frame
The main evaluation items are as follows: Part1 the clinical safety and tolerability of 177Lu-TLX591 the pharmacokinetics (PK), biodistribution (BD), and radiation dosimetry Part2 Radiographic Progression-free Survival Overall Survival Objective Response Rate (ORR) Time to a first symptomatic skeletal event (SSE)

Countries

Australia, Belgium, Brazil, Canada, France, Germany, Italy, Japan, Netherlands, New Zealand, Singapore, South Korea, Spain, Turkey, United Kingdom, United States

Contacts

Public ContactJiro Takayama

IQVIA Services Japan G.K.

Jiro.Takayama@iqvia.com+81-3-6859-9500

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Feb 4, 2026