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Prostatic Neoplasms, Castration-ResistantPhase 1/2SECuRENCT04868604

64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA for Identification and Treatment of PSMA-expressing Metastatic Castrate Resistant Prostate Cancer (SECuRE)

A Phase 1/2 study testing 64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA in people with Prostatic Neoplasms, Castration-Resistant, run by Clarity Pharmaceuticals Ltd at 7 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The aim of this study is to determine the safety and efficacy of 67Cu-SAR-bisPSMA in participants with PSMA-expressing metastatic castrate resistant prostate cancer. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
7 sitesUnited States
Study dates
11 Aug 2021to Sep 2026
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent;
  • ≥18 years of age;
  • Eastern Cooperative Oncology Group performance status of 0 to 2;
  • Life expectancy >6 months;
  • Histological, pathological, and/or cytological confirmation of Prostate cancer (PCa);
  • Positive 64Cu-SAR-bisPSMA PET/CT scan, where 64Cu-SAR-bisPSMA uptake (standardized uptake value [SUV] max) of at least 1 known lesion is higher than that of the liver on the 1 hour positron emission tomography (PET)/computed tomography (CT) scan;
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  • Castrate level of serum/plasma testosterone (<50 ng/dL or <1.7 nmol/L);
  • Have progressive metastatic castration-resistant prostate cancer (mCRPC) despite prior androgen deprivation therapy and:
  • Dose Escalation: at least either enzalutamide and/or abiraterone (or other such androgen receptor pathway inhibitors [androgen receptor pathway inhibitorsARPIs]).
  • Cohort Expansion Main Group: Participant has progressed once or twice on a prior second generation ARPI (abiraterone, enzalutamide, darolutamide, or apalutamide). No concomitant ARPI on study. Note: First generation ARPI is allowed but not considered as prior ARPI. Second generation ARPI must be the most recent therapy received.
  • Cohort Expansion Concomitant Enzalutamide Group: Participant has progressed only once on prior second generation ARPI (prior abiraterone, darolutamide, or apalutamide is allowed, prior treatment with enzalutamide is not allowed). Note: First generation ARPI is allowed but not considered as prior ARPI. Second generation ARPI must be the most recent therapy received.
  • Documented progressive mCRPC will be based on at least 1 of the following criteria:
  • Serum/plasma prostate specific antigen (PSA) progression defined as 2 consecutive increases in PSA over a previous reference value measured at least 1 week prior. The minimal value for study enrollment is 2.0 ng/mL;
  • Soft-tissue progression defined as a ≥20% increase in the sum of the diameter (SOD) (short axis for nodal lesions and long axis for non-nodal lesions) of all target lesions based on the smallest SOD since the last treatment directed at the metastatic cancer has started (not including hormonal therapy) or the appearance of 1 or more new lesions;
  • Progression of bone disease: evaluable disease or new bone lesions(s) by bone scan.
  • ≥1 metastatic lesion that is present at screening CT, magnetic resonance imaging (MRI), or bone scan imaging obtained ≤28 days prior to enrollment into the study;
  • Participants must have recovered to ≤ Grade 2 from all clinically significant toxicities related to prior therapies (prior chemotherapy, radiation, immunotherapy, etc.);
  • Participants must have adequate organ function:
  • Bone marrow reserve:
  • White blood cell (WBC) count ≥2.5 x 109/L (2.5 x 109/L is equivalent to 2.5 x 103/μL and 2.5 x K/μL and 2.5 x 103/cc and 2500/μL) OR
  • Absolute neutrophil count (ANC) ≥1.5 x 109 /L (1.5 x 109 /L is equivalent to 1.5 x 103 /μL and 1.5 x K/μL and 1.5 x 103 /cc and 1500/μL);
  • Platelets ≥100 x 109 /L (100 x 109 /L is equivalent to 100 x 103 /μL and 100 x K/μL and 100 x 103 /cc and 100,000/μL);
  • Hemoglobin ≥9 g/dL (5.59 mmol/L);
  • Total bilirubin ≤1.5 x the institutional upper limit of normal (ULN). For participants with known Gilbert's Syndrome ≤3 x ULN is permitted;
  • Alanine aminotransferase or aspartate aminotransferase ≤3.0 x ULN OR ≤5.0 x ULN for participants with liver metastases;
  • Creatinine clearance or estimated glomerular filtration rate ≥50 mL/min
  • For participants who are human immunodeficiency virus infected: Participant must be healthy and have a low risk of Acquired Immune Deficiency Syndrome related outcomes in the opinion of the Investigator;
  • For participants who have partners of childbearing potential: Partner and/or participant must use a method of birth control with adequate barrier protection.

Who cannot join

  • Major surgery within 12 weeks prior to enrollment into the study;
  • Brain metastasis;
  • Histologic diagnosis of small cell or neuroendocrine prostate cancer;
  • Prior history of leukemia or Myelodysplastic Syndrome;
  • Diagnosis of Deep Vein Thrombosis or Pulmonary Embolism within 4 weeks prior to enrollment into the study;
  • Unmanageable urinary tract obstruction;
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  • Evidence of progressive lesion(s) on MRI and/or CT (according to Response Evaluation Criteria in Solid Tumors V1.1) that is prostate-specific membrane antigen (PSMA) negative on the 1 hour 64Cu-SAR-bisPSMA PET/CT scan as determined at screening. NOTE: THIS CRITERION IS NOT APPLICABLE TO PARTICIPANTS IN THE 64Cu-SAR-bisPSMA DOSIMETRY PHASE AND DOSE ESCALATION PHASE.
  • Previous treatment with a systemic radionuclide:
  • Dose Escalation: Previous treatment with a systemic radionuclide, including 177Lu, Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Actinium-225, Iodine-131 within 6 months or in case of Radium-223 within 3 months of treatment initiation (Day 0) without prior approval of the medical monitor;
  • Cohort Expansion: Previous treatment with a systemic radionuclide, including Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Iodine-131 within 6 months or in case of Radium-223 within 3 months of treatment initiation (Day 0) without prior approval of the medical monitor; Any previous PSMA targeted radionuclide therapy (including 177Lu and Actinium-225) is also excluded.
  • Previous treatment with any systemic anti-cancer therapy (e.g. immunotherapy or biological therapy [including monoclonal antibodies]) within 4 weeks prior to treatment on study with the exception of Luteinizing Hormone Releasing Hormone (LHRH), any other androgen deprivation therapy (ADT) or low dose corticosteroids.
  • Dose Escalation: prior treatment with chemotherapy within 4 weeks of first administration of 67Cu-SAR-bisPSMA is also excluded.
  • Cohort Expansion: Prior treatment with cytotoxic chemotherapy for castration resistant PCa (e.g. taxanes, platinum, estramustine, vincristine, methotrexate, etc) is also excluded. Note: Taxane exposure (maximum 6 cycles) in the adjuvant or neoadjuvant setting is allowed if 12 months have elapsed since completion of this adjuvant or neoadjuvant therapy. Prior treatment with any poly (adenosine diphosphate-ribose) polymerase inhibitors (PARPi) is also excluded. NOTE: THIS CRITERION IS NOT APPLICABLE TO PARTICIPANTS IN THE 64Cu-SAR-bisPSMA DOSIMETRY PHASE;
  • Previous treatment with any investigational agents within 4 weeks prior enrollment into the study;
  • Known hypersensitivity to the components of the investigational products or its analogues;
  • Transfusion for the sole purpose of making a participant eligible for study inclusion;
  • Spinal metastasis with symptomatic cord compression, or clinical or radiologic findings indicative of impending cord compression;
  • Concurrent serious medical conditions, including, but not limited to, New York Heart Association class III or IV congestive heart failure, history of congenital prolonged QT syndrome, uncontrolled infection, known active hepatitis B or C, or other significant co-morbid conditions that in the opinion of the Investigator would impair study participation or cooperation;
  • Diagnosed with other malignancies that are expected to alter life expectancy or may interfere with disease assessment. However, participants with a prior history of malignancy that has been adequately treated and who have been disease free for more than 3 years are eligible, as are participants with adequately treated non-melanoma skin cancer, superficial bladder cancer;
  • Any condition or personal situation that would pose an unacceptable radiation safety risk (as per institution guidelines, state and/or national regulations) to the participant or carer at the time of release following the completion of therapy (e.g. uncontrolled urinary incontinence, high dependency care);
  • Participants in whom it is known that external beam radiation therapy is scheduled after enrollment into the study. NOTE: THIS CRITERION IS NOT APPLICABLE TO PARTICIPANTS IN THE 64Cu-SAR-bisPSMA DOSIMETRY PHASE.
  • Participants in the Cohort Expansion Concomitant Enzalutamide Group:
  • Participants with known hypersensitivity to enzalutamide or any of its ingredients.
  • Participants with a history of seizures.
  • Participants with a history of loss of consciousness (unless of cardiac origin) or transient ischemic attack within 12 months prior to enrolment into the study.
  • Participants with conditions that increase the risk of seizures include those with a history of traumatic brain injury, stroke or cerebrovascular disease, arteriovenous malformations in the brain, neurodegenerative diseases, primary or metastatic brain tumors, active leptomeningeal disease, uncontrolled hypertension (systolic >179 or diastolic >105), patients undergoing alcohol withdrawal.

Trial locations and contacts

7 sites in 1 country. Contact the study team or a site near you to ask about taking part.

7 sites in 1 country

United States7 sites, 7 recruiting
  • BAMF Health

    Grand Rapids, Michigan, 49503

    Brandon Mancini

    Recruiting
  • Weill Cornell Medicine at New York-Presbyterian

    New York, New York, 10021

    Scott Tagawa, MD

    Recruiting
  • XCancer

    Omaha, Nebraska, 68130

    Tony Romero, 402-690-3716, tromero@gucancer.com

    Luke Nordquist, MD

    Recruiting
  • East Jefferson General Hospital

    River Ridge, Louisiana, 70123

    Recruiting
  • Mayo Clinic

    Rochester, Minnesota, 55905

    Geoffrey Johnson, MD

    Recruiting
  • Washington University School of Medicine at Barnes-Jewish Hospital

    St Louis, Missouri, 63110

    Vikas Prasad, MD

    Recruiting
  • Stanford Cancer Institute

    Stanford, California, 94305

    David Marcellus

    Hong Song, MD

    Recruiting

Other trials in United States

About this study

Official title: A Phase I/IIa Theranostic Study of 64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA for Identification and Treatment of PSMA-expressing Metastatic Castrate Resistant Prostate Cancer

The aim of this study is to determine the safety and efficacy of 67Cu-SAR-bisPSMA in participants with PSMA-expressing metastatic castrate resistant prostate cancer.

Being tested
64Cu-SAR-bisPSMA, 67Cu-SAR-bisPSMA
Medical subject headings
Prostatic Neoplasms, Castration-Resistant

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 64Cu-SAR-bisPSMADrug

    64Cu-SAR-bisPSMA

  • 67Cu-SAR-bisPSMADrug

    67Cu-SAR-bisPSMA

Study groups in NCT04868604
Study groupRoleWhat they receive
67Cu-SAR-bisPSMAExperimentalIn the dosimetry phase patients will receive a single 200 MBq administration of 64Cu-SAR-bisPSMA. In the dose escalation phase patients will receive up to 2 administrations of 200 MBq of 64Cu-SAR-bisPSMA. In the cohort expansion phase patients will receive up to 3 administrations of 200 MBq of 64Cu-SAR-bisPSMA. In the dose escalation phase patients will receive up to 4 administrations of 67Cu-SAR-bisPSMA (dose will be determined based on cohort allocation). In the cohort expansion phase patients will receive up to 6 administrations of 67Cu-SAR-bisPSMA at the recommended dose level determined through dose escalation.
Receives: Drug: 64Cu-SAR-bisPSMA; Drug: 67Cu-SAR-bisPSMA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Biodistribution of 64Cu-SAR-bisPSMA

    Biodistribution will be calculated by utilizing the PET/CT scans.

    Measured: 48 hours

  2. Dosimetry of 64Cu-SAR-bisPSMA

    Dosimetry will be calculated by utilizing the PET/CT scans.

    Measured: 48 hours

  3. Modelling of 67Cu-SAR-bisPSMA dosimetry utilizing the 64Cu-SAR-bisPSMA PET/CT scans

    Dosimetry will be calculated by utilizing the PET/CT scans.

    Measured: 48 hours

  4. Maximum Tolerated Dose (MTD) or Maximum Feasible Dose of a single dose of 67Cu-SAR-bisPSMA

    MDT as determined by cohort observations of dose limiting toxicities (DLT)

    Measured: 8 weeks

  5. Recommended dose of two doses of 67Cu-SAR-bisPSMA

    Recommended dose as determined by cohort observations of DLTs

    Measured: 14 weeks

  6. Efficacy of 67Cu-SAR-bisPSMA in terms of Prostate specific Antigen (PSA) response

    Proportion of participants with ≥50% decline in PSA

    Measured: Up to 5 years

  7. Efficacy of 67Cu-SAR-bisPSMA in terms of radiographic response

    Efficacy will be assessed via the overall response rate according to RECIST V1.1 for soft tissue disease and according PCWG3 for bone lesions

    Measured: Up to 5 years

  8. Incidence of 67Cu-SAR-bisPSMA Treatment-Emergent Adverse Events [Safety and Tolerability]

    Adverse Events will be as assessed by CTCAE version 5.00

    Measured: Up to 5 years

  9. Safety and tolerability of 67Cu-SAR-bisPSMA: Number of Participants With Changes from baseline in Vital Signs

    Change from baseline in vital signs

    Measured: Up to 1 year

  10. Safety and tolerability of 67Cu-SAR-bisPSMA: Number of Participants With Changes from baseline in electrocardiogram (ECG) parameters

    Change from baseline in ECG parameters

    Measured: Up to 24 weeks

  11. Safety and tolerability of 67Cu-SAR-bisPSMA: Number of Participants With Changes from baseline in laboratory results

    Change from baseline in laboratory results

    Measured: Up to 22 weeks

  12. Incidence of 64Cu-SAR-bisPSMA Treatment-Emergent Adverse Events [Safety and Tolerability]

    Adverse Events will be as assessed by CTCAE version 5.00

    Measured: Up to 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2021
  2. Study start11 Aug 2021
  3. Primary completionSep 2026 (estimated)
  4. Study completionSep 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This study is to be conducted in 3 phases, a dosimetry phase, a dose escalation phase and a cohort expansion phase.
Masking
None (open label)
Enrolment
54 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04868604
Sponsor's protocol ID
CLP05
Acronym
SECuRE
Status last verified
May 2026
First submitted
15 Apr 2021
Last updated
6 May 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing 64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA in people with Prostatic Neoplasms, Castration-Resistant, run by Clarity Pharmaceuticals Ltd at 7 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 28 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Clarity Pharmaceuticals (+61 (0) 2 9209 4037, clinicaltrials@claritypharmaceuticals.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Biodistribution of 64Cu-SAR-bisPSMA (time frame: 48 hours). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2026.

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