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Prostate CancerEarly Phase 1NCT05773703

Exploratory PK and Imaging Study of PSMA-Targeted Trillium Compounds and PTI-122 in Metastatic Prostate Cancer

A Early Phase 1 study testing PSMA-Targeted [In-111]-Labeled Trillium Compound and PTI-122 in people with Prostate Cancer, run by Ratio Therapeutics, Inc. at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Exploratory study in adult males with metastatic prostate cancer intended to characterize the pharmacokinetics and biodistribution of PSMA-Targeted [In-111]-Labeled Trillium Compounds with and without the cytoprotective agent PTI-122. Up to 36 eligible subjects will be enrolled. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer
What is being tested?
PSMA-Targeted [In-111]-Labeled Trillium Compound and PTI-122
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
4 sitesUnited States
Study dates
8 Dec 2022to 12 Dec 2023
Phase
Early Phase 1
Are there results?
None posted in the registry

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

  • Adult males with metastatic prostate cancer
  • ECOG performance score 0-2
  • Stable androgen deprivation or other hormone therapy (30 days) or therapy planned but not yet initiated
  • PSMA PET scan between 3 and 28 days prior to radiotracer injection with at least 2 PSMA positive lesions and either:
  • One soft tissue lesion measuring ≥ 15 mm in the longest diameter with SUVmax lesion ≥ SUVmean normal liver, OR
  • Two bone lesions measuring ≥ 15 mm in the longest diameter with SUVmax lesion ≥ 2 x SUVmax normal liver
  • Able to understand and adhere to study requirements, and voluntarily give informed consent

Who cannot join

  • No other malignancy undergoing treatment
  • No PSMA-targeted therapy ongoing
  • Inability or unwillingness to undergo SPECT/CT imaging
  • Serum creatinine > 1.5 mg/dL or creatinine clearance ≤50 mL/min by Cockcroft-Gault estimation
  • Concurrent participation in the active treatment phase of another clinical trial of investigational medicinal product(s)
  • Significant intercurrent illness, treatment-related toxicity, or psychiatric illness/social situation that could place the subject at undue risk during study participation, significantly alter study outcomes, or affect subject compliance with study requirements for dosing and evaluation, as determined by the investigator

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Advanced Molecular Imaging & Therapy

    Glen Burnie, Maryland, 21061

  • University of Tennessee Medical Center

    Knoxville, Tennessee, 37920

  • Biogenix Molecular

    Miami, Florida, 33165

  • XCancer Omaha/Urology Cancer Center

    Omaha, Nebraska, 68130

Other trials in United States

About this study

Official title: A Phase 0 Study of the Pharmacokinetics and Biodistribution of PSMA-Targeted [In-111]-Labeled Trillium Compounds With and Without PTI-122 in Patients With Metastatic Prostate Cancer to Inform Future Phase 1 Dosing With [Ac-225]-Trillium-PSMA Radionuclide Therapy

Exploratory study in adult males with metastatic prostate cancer intended to characterize the pharmacokinetics and biodistribution of PSMA-Targeted [In-111]-Labeled Trillium Compounds with and without the cytoprotective agent PTI-122. Up to 36 eligible subjects will be enrolled. Additional subjects may be enrolled if there is insufficient data for evaluation, for example if the original study subjects do not complete required imaging studies for reasons unrelated to adverse events.

Up to four PSMA-Targeted [In-111]-Labeled Trillium Compounds will be evaluated. Each compound will be evaluated first without the cytoprotective agent, PTI-122, then the [In-111]-labeled Trillium Compound may be co-administered with PTI-122.

Conditions
Prostate Cancer
Being tested
PSMA-Targeted [In-111]-Labeled Trillium Compound, PTI-122
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • PSMA-Targeted [In-111]-Labeled Trillium CompoundDrug

    Radiotracer

  • PTI-122Drug

    Cytoprotective agent

Study groups in NCT05773703
Study groupRoleWhat they receive
Trillium Compound AloneExperimentalSingle dose of PSMA-Targeted [In-111]-Labeled Trillium Compound
Receives: Drug: PSMA-Targeted [In-111]-Labeled Trillium Compound
Trillium Compound + Single Dose PTI-122ExperimentalSingle dose of PSMA-Targeted [In-111]-Labeled Trillium Compound plus single dose of PTI-122 at 5, 10 or 15 mg
Receives: Drug: PSMA-Targeted [In-111]-Labeled Trillium Compound; Drug: PTI-122
Trillium Compound + Multiple Dose PTI-122ExperimentalSingle dose of PSMA-Targeted [In-111]-Labeled Trillium Compound plus two doses of PTI-122 at the preferred dose level
Receives: Drug: PSMA-Targeted [In-111]-Labeled Trillium Compound; Drug: PTI-122

What is being measured

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

  1. Amount of radiotracer absorbed by tumor

    Tumor uptake measured on imaging

    Measured: Over 168 hours post-injection

  2. Amount of radioactivity in blood

    Radioactivity measured pre- and post-radiotracer injection

    Measured: Over 168 hours post-injection

  3. Amount of radiotracer absorbed by organs

    Organ uptake measured on imaging

    Measured: Over 168 hours post-injection

Secondary outcomes (2)
  1. Amount of PTI-122 in blood

    PTI-122 measured pre- and post-dose

    Measured: Over 168 hours post-injection

  2. Incidence of adverse events

    Occurrence of adverse events during the study

    Measured: Over 168 hours post-injection

Timeline

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

  1. First posted17 Mar 2023
  2. Study start8 Dec 2022
  3. Primary completion12 Dec 2023
  4. Study completion12 Dec 2023

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
Early Phase 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Sequential
Model description
Each Trillium Compound will first be evaluated alone, then with single doses (5, 10, 15 mg) of the cytoprotective agent, PTI-122. Trillium Compound with two doses of PTI-122 at the preferred dose level may be studied if indicated.
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05773703
Sponsor's protocol ID
RTX-PSMA-P101
Status last verified
Dec 2023
First submitted
23 Feb 2023
Last updated
13 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing PSMA-Targeted [In-111]-Labeled Trillium Compound and PTI-122 in people with Prostate Cancer, run by Ratio Therapeutics, Inc. at 4 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 7 inclusion and 6 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: finished, as of the sponsor's last update on 13 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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 phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Amount of radiotracer absorbed by tumor (time frame: Over 168 hours post-injection). The study lists 3 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 13 Dec 2023.

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