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Prostate CancerPhase 2PSMA-ADJUVONCT06449781

177Lu-PSMA as a Systemic Adjuvant Treatment in Patients With High and Very High Risk Prostate Cancer

A Phase 2 study testing Lutetium (177Lu) vipivotide tetraxetan in people with Prostate Cancer, run by Maria Sklodowska-Curie National Research Institute of Oncology at 1 site in Poland.

Recruiting

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

Sites and contacts
Official record
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Trial summary

Single-center, non-commercial phase 2 clinical trial to evaluate 177Lu-PSMA as a systemic adjuvant treatment in patients with high and very high risk prostate cancer after radical treatment using locoregional teleradiotherapy and hormone therapy 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?
Lutetium (177Lu) vipivotide tetraxetan
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 sitePoland
Study dates
9 Jan 2025to Nov 2030
Phase
Phase 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

  • Giving a written informed consent
  • Histopathologically confirmed high or very high risk prostate cancer
  • Completion of radical locoregional treatment
  • Completion of locoregional treatment within 3 months before inclusion to the study
  • ECOG performance status 0 to 2
  • Age over 18 years
Show all 20Show fewer
  • Within 28 days before entering the study, there were no signs of cancer dissemination documented in radiological tests
  • Castrate testosterone level (testosteron < 50 ng/dL lub 1,7 nmol/L)
  • Patients with adequate function of main organs:
  • bone marrow:
  • neutrophils > 1500x10^9/L;
  • thrombocytes > 100,000x10^9/L;
  • hemoglobin > 9 g/dL
  • liver:
  • bilirubin < 2xULN (upper limit of normal) in patients with Gilbert's syndrome < 5xULN;
  • aminotransferase < 3xULN
  • kidneys:
  • eGFR > 50 ml/min
  • albumin >2.5 mg/ml
  • For men of reproductive age: the need to use double barrier contraception

Who cannot join

  • The presence of distant metastases confirmed by radiological examination
  • Absence of approval to use effective contraception method
  • Absence of Patient's consent to participate in the Study
  • Urinary tract obstruction or/and hydronephrosis.
  • Concurrent anticancer treatment.

Trial locations and contacts

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

Poland1 site, 1 recruiting
  • Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch

    Gliwice, 44-101

    Tomasz Lachcik, +48322789791, tomasz.lachcik@gliwice.nio.gov.pl

    Daria Handkiewicz-Junak, Prof.

    Recruiting

Other trials in Poland

About this study

Official title: 177Lu-PSMA as a Systemic Adjuvant Treatment in Patients With High- and Very High-risk Prostate Cancer After Radical Treatment Using Locoregional Teleradiotherapy and Hormone Therapy

Single-center, non-commercial phase 2 clinical trial to evaluate 177Lu-PSMA as a systemic adjuvant treatment in patients with high and very high risk prostate cancer after radical treatment using locoregional teleradiotherapy and hormone therapy

Read the detailed description

The intervention will consist of a single administration of 177Lu-PSMA in the research arm. Both the study and control groups will receive standard hormone therapy.

The study population includes 200 adult men with high-risk or very high-risk prostate cancer, with no signs of cancer dissemination in radiological examinations after completion of radiotherapy and continued hormone therapy

Participation time in the Study:

intervention phase - 1 day; observation phase - 5 years

Conditions
Prostate Cancer
Being tested
Lutetium (177Lu) vipivotide tetraxetan
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • Lutetium (177Lu) vipivotide tetraxetanDrug

    Also called Pluvicto

    The intervention will consist of a single administration of 7,4 GBq of lutetium (177Lu) vipivotide tetraxetan

Study groups in NCT06449781
Study groupRoleWhat they receive
ExperimentalExperimentalThe intervention will consist of a single administration of 177Lu-PSMA with an activity of 7.4 GBq. Participants will also receive standard hormone therapy
Receives: Drug: Lutetium (177Lu) vipivotide tetraxetan
ControlNo interventionParticipants will receive standard hormone therapy

What is being measured

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

  1. Treatment effectiveness

    Assessment of treatment failure - the assesment of biochemical progression ratio, defined as a rise of PSA by 2 ng/mL or more above the nadir, proven by a consecutive examination performed at least 4 weeks later

    Measured: 2 and 5 years after end of treatment

Secondary outcomes (5)
  1. Biochemical progression-free survival

    Comparative assessment of biochemical progression-free survival time defined as an increase in tPSA (prostate specific antigen) in the blood above the nadir (the lowest PSA value after completion of treatment) by 2 ng/mL or more, confirmed in the next test performed no earlier than after 4 weeks

    Measured: During the intervention and follow up period (assessed up to 5 years)

  2. Radiological progression-free survival

    Comparative assessment of radiological progression-free survival defined according to PCWG3 criteria

    Measured: During the intervention and follow up period (assessed up to 5 years)

  3. Time until the next therapeutic intervention

    Comparative assessment of the time until the next therapeutic intervention

    Measured: During the intervention and follow up period (assessed up to 5 years)

  4. Incidence of Treatment-Emergent Adverse Events according to CTCAE v 5.0

    Comparative assessment of safety and tolerability of treatment according to CTCAE v 5.0

    Measured: During the intervention and follow up period (assessed up to 5 years)

  5. Quliaty of life

    Comparison of EORTC QLQ-PR25 quality of life indicators between study groups

    Measured: During the intervention and follow up period (assessed 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 posted10 Jun 2024
  2. Study start9 Jan 2025
  3. Primary completionNov 2030 (estimated)
  4. Study completionNov 2030 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Open-label, two-arm, randomized study.
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06449781
Sponsor's protocol ID
PSMA-ADJUVO
Other IDs
Nr EU CT: 2023-504912-13-00
Acronym
PSMA-ADJUVO
Status last verified
Oct 2026
First submitted
6 Dec 2023
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lutetium (177Lu) vipivotide tetraxetan in people with Prostate Cancer, run by Maria Sklodowska-Curie National Research Institute of Oncology at 1 site in Poland.

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 20 inclusion and 5 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 16 Oct 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 Poland. 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 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 Daria Handkiewicz-Junak (48322789339, daria.handkiewicz-junak@gliwice.nio.gov.pl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment effectiveness (time frame: 2 and 5 years after end of treatment). 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 16 Oct 2026.

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