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Ovarian CancerPhase 1NCT06376253

A Phase I Study of [177Lu]Lu-EVS459 in Patients With Ovarian and Lung Cancers

A Phase 1 study testing [68Ga]Ga-EVS459 and [177Lu]Lu-EVS459 in people with Ovarian Cancer and Lung Cancer, run by Novartis Pharmaceuticals at 1 site in Israel.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, dosimetry and preliminary efficacy of [177Lu]Lu-EVS459 and the safety and imaging properties of [68Ga]Ga-EVS459 in patients aged ≥ 18 years with advanced high-grade serous ovarian cancer (OC) or locally advanced unresectable or metastatic non-squamous… Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Ovarian Cancer, Lung Cancer
What is being tested?
[68Ga]Ga-EVS459 and [177Lu]Lu-EVS459
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteIsrael
Study dates
8 Sep 2024to 10 Jul 2025
Phase
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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age >= 18 years old
  • Patients with advanced high-grade serous ovarian cancer (OC) or locally advanced unresectable or metastatic non-squamous non-small cell lung cancer (non sq. NSCLC) with disease progression following, or intolerance to, at least 1 line of therapy

Who cannot join

  • Absolute neutrophil count (ANC) < 1.5 x 10^9/L, hemoglobin < 10 g/dL, or platelet count < 100 x 10^9/L
  • QT interval corrected by Fridericia's formula (QTcF) ≥ 470 msec
  • Creatinine clearance < 60 mL/min
  • Unmanageable urinary tract obstruction or urinary incontinence
  • Radiation therapy within 4 weeks prior to the first dose of [177Lu]Lu-EVS459
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

1 site in 1 country.

Israel1 site
  • Novartis Investigative Site

    Tel Aviv, 6423906

Other trials in Israel

About this study

Official title: A Phase I, Open-label, Multi-center Study to Evaluate the Safety, Tolerability, Dosimetry, and Preliminary Activity of [177Lu]Lu-EVS459 in Patients With Ovarian and Lung Cancers

The purpose of this study is to evaluate the safety, tolerability, dosimetry and preliminary efficacy of [177Lu]Lu-EVS459 and the safety and imaging properties of [68Ga]Ga-EVS459 in patients aged ≥ 18 years with advanced high-grade serous ovarian cancer (OC) or locally advanced unresectable or metastatic non-squamous non-small cell lung carcinoma (non-sq. NSCLC).

Read the detailed description

The study will be done in two parts. The first part is called "escalation" and the second part is called "expansion". In both parts of the study, patients will initially be imaged with a [68Ga]Ga EVS459 positron emission tomography (PET)/computed tomography (CT) or PET/magnetic resonance imaging (MRI) scan. In the escalation part, different doses of [177Lu]Lu-EVS459 will then be tested to identify recommended dose(s) (RD(s)) for further evaluation. The expansion part of the study will examine the safety and preliminary efficacy of [177Lu]Lu-EVS459 at the RD(s) determined during the escalation part. The end of study will occur when at least 80% of the patients in the expansion part have completed the follow-up for disease progression or discontinued from the study for any reason, and all patients have completed treatment and the 36-month long-term follow-up period.

Being tested
[68Ga]Ga-EVS459, [177Lu]Lu-EVS459
Keywords
ovarian cancer, non-squamous non-small cell lung cancer (non sq. NSCLC), advanced solid tumors, radioligand therapy (RLT), [177Lu]Lu-EVS459, [68Ga]Ga-EVS459, folate receptor (FR)
Medical subject headings
Ovarian Neoplasms, Lung Neoplasms

What participants receive

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

  • [68Ga]Ga-EVS459Drug

    Radioligand imaging agent

  • [177Lu]Lu-EVS459Drug

    Radioligand therapy

Study groups in NCT06376253
Study groupRoleWhat they receive
Arm1ExperimentalPatients will receive [68Ga]Ga-EVS459 and, if eligible, [177Lu]Lu-EVS459
Receives: Drug: [68Ga]Ga-EVS459; Drug: [177Lu]Lu-EVS459

What is being measured

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

  1. Number of participants with dose limiting toxicities of [177Lu]Lu-EVS459

    A dose limiting toxicity (DLT) is defined as any adverse event or abnormal laboratory value of CTCAE (version 5.0) Grade 3 or higher that occurs within the DLT evaluation period and that is not primarily related to disease, disease progression, intercurrent illness, or concomitant medications with a few exceptions defined in the study protocol. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.

    Measured: From start of study treatment until 6 weeks after

  2. Incidence and severity of adverse events and serious adverse events of [177Lu]Lu- EVS459

    The distribution of adverse events will be done via the analysis of frequencies for treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) and through the monitoring of relevant clinical and laboratory safety parameters.

    Measured: From start of study treatment until completion of the 36 month follow up , assessed up to approximately 42 months

  3. Dose modifications for [177Lu]Lu- EVS459

    Dose modifications (dose interruptions and reductions) for [177Lu]Lu-EVS459 will be assessed and summarized using descriptive statistics. The number of patients with dose modification will be summarized by treatment groups.

    Measured: From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks

  4. Dose intensity for [177Lu]Lu- EVS459

    Dose intensity for [177Lu]Lu- EVS459 will be assessed and summarized using descriptive statistics. Dose intensity is computed as the ratio of actual cumulative dose received and actual duration of exposure.

    Measured: From start of study treatment until last dose of study treatment, assessed up to approximately 24 weeks

Secondary outcomes (15)
  1. Overall response rate (ORR)

    ORR is defined as the proportion of patients with a BOR of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 guidelines.

    Measured: Up to approximately 42 months

  2. Duration of Response (DOR)

    DOR is the time between the first documented response (CR or PR) and the date of progression according to RECIST v1.1 guidelines.

    Measured: Up to approximately 42 months

  3. Disease control rate (DCR)

    DCR is defined as the proportion of patients with a BOR of CR, PR, or stable disease according to RECIST v1.1 guidelines.

    Measured: Up to approximately 42 months

  4. Progression free survival (PFS)

    PFS is defined as the time from the date of start of treatment to the date of the first documented progression according to RECIST v1.1 guidelines or death due to any cause.

    Measured: Up to approximately 42 months

  5. Area Under the Curve (AUC) of [177Lu]Lu-EVS459

    The [177Lu]Lu-EVS459 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units. AUC will be determined by non-compartmental methods.

    Measured: Cycle 1 Day 1 (Pre-infusion, end of infusion, Post-dose (10 minutes and 30 minutes, 1, 2, 4, 6 and 12 hours), Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  6. Total body clearance of [177Lu[Lu-EVS459

    The [177Lu]Lu-EVS459 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units. Total body clearance will be determined by non-compartmental methods.

    Measured: Cycle 1 Day 1 (Pre-infusion, end of infusion, Post-dose (10 minutes and 30 minutes, 1, 2, 4, 6 and 12 hours), Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  7. Observed maximum plasma concentration (Cmax) of [177Lu]Lu-EVS459

    The [177Lu]Lu-EVS459 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units. Cmax will be determined by non-compartmental methods.

    Measured: Cycle 1 Day 1 (Pre-infusion, end of infusion, Post-dose (10 minutes and 30 minutes, 1, 2, 4, 6 and 12 hours), Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  8. Volume of distribution during the terminal phase following intravenous elimination (Vz) of [177Lu]Lu-EVS459

    The [177Lu]Lu-EVS459 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units. Vz will be determined by non-compartmental methods.

    Measured: Cycle 1 Day 1 (Pre-infusion, end of infusion, Post-dose (10 minutes and 30 minutes, 1, 2, 4, 6 and 12 hours), Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  9. Terminal elimination half-life (T1/2) of [177Lu]Lu-EVS459

    The [177Lu]Lu-EVS459 pharmacokinetic analysis will be performed based on decay-corrected blood radioactivity concentration data converted to mass units. T1/2 will be determined by non-compartmental methods.

    Measured: Cycle 1 Day 1 (Pre-infusion, end of infusion, Post-dose (10 minutes and 30 minutes, 1, 2, 4, 6 and 12 hours), Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  10. Urinary excretion of radioactivity expressed as a percentage of injected activity (%IA)

    Urine elimination data for [177Lu]Lu-EVS459 will be assessed based on decay-corrected urine radioactivity concentration data. Urine elimination data will be expressed as percentage of injected activity (%IA).

    Measured: Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition and 6 hours post-end-of infusion(EOI), 6-24 hours post-EOI, 24-48 hours post-EOI, 48-72 hours post-EOI. The duration of a cycle is 6 weeks.

  11. Renal clearance of [177Lu]Lu- EVS459

    Urine samples will be collected over specified time intervals and analysed for radioactivity. Renal clearance of 177Lu-EVS459 will be summarized using descriptive statistics.

    Measured: Cycle 1: Pre-infusion, beginning of infusion to first SPECT/CT image acquisition, first SPECT/CT image acquisition and 6 hours post-end-of infusion(EOI), 6-24 hours post-EOI, 24-48 hours post-EOI, 48-72 hours post-EOI. The duration of a cycle is 6 weeks.

  12. Absorbed dose of [177Lu]Lu- EVS459

    The absorbed dose in normal tissues and tumor lesions will be summarized with descriptive statistics.

    Lesion number will be assigned by dosimetry expert.

    Measured: Cycle 1 Day 1, Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  13. Time-activity curves (TACs) related to [177Lu]Lu-EVS459 uptake in organs and tumor lesions

    Time-activity curves (TACs) for the various organs and tumor lesions will be produced as fraction of injected activity per gram of tissue (%IA/g) as a function of time.

    Measured: Cycle 1 Day 1, Cycle 1 Day 2 (24 hours), Cycle 1 Day 3 (48 hours), Cycle 1 Day 4 (72 hours), Cycle 1 Day 8 (168 hours). The duration of a cycle is 6 weeks.

  14. Incidence and severity of adverse events and serious adverse events of [68Ga]Ga-EVS459

    The distribution of adverse events will be done via the analysis of frequencies for treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) and through the monitoring of relevant clinical and laboratory safety parameters.

    Measured: From Imaging visit until 14 days after 68Ga-EVS459 administration or until first dose of study treatment, assessed up to approximately 14 days

  15. Visual and quantitative assessment of [68Ga]Ga-EVS459 uptake in normal tissues and tumor lesions over time

    After [68Ga]Ga-EVS459 administration, [68Ga]Ga-EVS459 PET/CT or PET/MRI will be performed. Standardized uptake values (SUVs) of [68Ga]Ga-EVS459 in normal tissues and tumor lesions over time will be summarized.

    Measured: From 0 up to approximately 3 hours after [68Ga]Ga-EVS459 dosing

Timeline

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

  1. First posted19 Apr 2024
  2. Study start8 Sep 2024
  3. Primary completion10 Jul 2025
  4. Study completion10 Jul 2025

Why it stopped: Study termination based on sponsor decision due to lack of tolerability observed with \[177Lu\]Lu-EVS459

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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06376253
Sponsor's protocol ID
CGIZ943A12101
Other IDs
2023-507674-41-00, 2023
Status last verified
Jul 2026
First submitted
2 Apr 2024
Last updated
9 Jul 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing [68Ga]Ga-EVS459 and [177Lu]Lu-EVS459 in people with Ovarian Cancer and Lung Cancer, run by Novartis Pharmaceuticals at 1 site in Israel.

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 2 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: stopped early, as of the sponsor's last update on 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Israel. 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?

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.

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 was stopped early (reason given: Study termination based on sponsor decision due to lack of tolerability observed with \[177Lu\]Lu-EVS459). Results are not available in the source record.

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?

Number of participants with dose limiting toxicities of [177Lu]Lu-EVS459 (time frame: From start of study treatment until 6 weeks after). The study lists 4 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 9 Jul 2026.

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