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Thyroid CancerPhase 1NCT07438847

177Lu-CTR-FAPI for the Treatment of Thyroid Cancer

A Phase 1 study testing 177Lu-CTR-FAPI therapy in people with Thyroid Cancer, run by SHAOYAN LIU at 2 sites in China.

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

This is a multi-center, open-label, single-arm, dose-escalation phase I study, aiming to evaluate the safety and efficacy of 177Lu-CTR-FAPI (covalent targeted radioligand-fibroblast activation protein inhibitor), a novel radiopharmaceutical in the treatment of thyroid cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Thyroid Cancer
What is being tested?
177Lu-CTR-FAPI therapy
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
2 sitesChina
Study dates
1 Jan 2026to 31 Dec 2027
Phase
Phase 1
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed diagnosis of thyroid cancer according to the 2022 WHO classification of thyroid tumors. Differentiated thyroid carcinoma must be diagnosed as radioactive iodine-refractory (RAIR) by a nuclear medicine specialist.
  • Evidence of progressive disease based on RECIST 1.1 criteria in pre-treatment imaging.
  • Prior surgical resection of resectable cervical lesions, with currently unresectable systemic disease.
  • Previous targeted therapy was discontinued due to intolerance, or lack of benefit from targeted therapy assessed by investigator, or patient refusal.
  • At least one measurable target metastatic lesion on contrast-enhanced CT/MRI (longest diameter of lesion ≥ 10 mm or shortest diameter of lymph node ≥ 15 mm).
  • Positive CTR-FAPI uptake in lesions, defined as SUVmax > 10 in more than half of the lesions on 68Ga-CTR-FAPI PET/CT.
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  • Life expectancy > 6 months.
  • ECOG performance status ≤ 2.
  • Prior anti-tumor therapy-related toxicities that recoverd to Grade 0 or 1 (except alopecia, pigmentation, or chronic radiation toxicities and deemed irreversible by the investigator).
  • For subjects with fertility: agreement to use effective contraception during treatment and 4 months (males) or 7 months (females) after the last dose.
  • Voluntary participation and signed informed consent.

Who cannot join

  • Presence of CTR-FAPI-negative lesions (i.e., malignant lesions on contrast-enhanced CT/MRI without uptake on 68Ga-CTR-FAPI PET/CT).
  • Prior therapeutic radionuclide therapy (except 131I).
  • Systemic anti-cancer therapy (including chemotherapy, targeted therapy, immunotherapy, radionuclide therapy, or anti-tumor traditional Chinese medicine) within 4 weeks before the first dose.
  • Participation in another drug or device clinical trial within 4 weeks before the first dose.
  • Insufficient major organ function.
  • Severe or uncontrolled comorbidities.
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  • Presence of pleural effusion or ascites requiring intervention or judged uncontrolled by the investigator at screening.
  • Active infection within 4 weeks before the first dose.
  • Women who are pregnant, breastfeeding, or planning pregnancy.
  • Known allergy to contrast agents.
  • History of symptomatic central nervous system metastases.
  • Other concurrent malignancies.
  • Surgery under general anesthesia within 8 weeks before the first dose.
  • History of acute coronary syndrome or stroke within 8 weeks before the first dose.
  • Severe claustrophobia.
  • Any other condition deemed inappropriate for participation by the investigator (e.g., poor compliance, inability to cooperate with treatment and follow-up).

Trial locations and contacts

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

Ziren Kong, M.D. contact

0086-18500487274

zrkong@126.com

China2 sites, 2 recruiting
  • National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

    Beijing, 100021

    Ziren Kong, M.D., 0086-18500487274, zrkong@126.com

    Recruiting
  • Peking Union Medical College Hospital

    Beijing, 100730

    Xin Zhang, M.D., 0086-010-69154713, zhangxin37@pumch.cn

    Recruiting

Other trials in China

About this study

Official title: 177Lu-CTR-FAPI for the Treatment of Thyroid Cancer: A Prospective, Multi-center, Open-labeled, Single-arm, Phase I Study

This is a multi-center, open-label, single-arm, dose-escalation phase I study, aiming to evaluate the safety and efficacy of 177Lu-CTR-FAPI (covalent targeted radioligand-fibroblast activation protein inhibitor), a novel radiopharmaceutical in the treatment of thyroid cancer. The primary endpoint of the study is the safety of 177Lu-CTR-FAPI, and the secondary endpoints include treatment response and dosimetry evaluation.

Read the detailed description

This clinical trial aims to evaluate the safety, tolerability, and preliminary efficacy of 177Lu-CTR-FAPI in patients with thyroid cancer. The study is designed to characterize the safety profile and dose-limiting toxicities (DLTs) in order to determine the maximum tolerated dose (MTD) of 177Lu-CTR-FAPI. Additionally, the study will assess biochemical responses, radiological responses and improvement of life quality as well as the dosimetry profile of this molecule.

This is a multi-center, open-label, single-arm phase I trial using a classic "3+3" dose-escalation design. The starting dose is 100 mCi and increases in 50 mCi increments for subsequent cohort. The MTD is defined as the highest dose at which fewer than 33% of participants experience a DLT during the 6-week observation period following the first administration. A total of 12 eligible participants with thyroid cancer will be enrolled and receive intravenous infusions of 177Lu-CTR-FAPI every 6 weeks, for up to 4 cycles. Dose delays are permitted based on evaluation of treatment response or the necessity for recovery from adverse reactions, with a maximum delay of 12 weeks after the previous dose.

Conditions
Thyroid Cancer
Being tested
177Lu-CTR-FAPI therapy
Keywords
Thyroid cancer, Radionuclide therapy, CTR-FAPI
Medical subject headings
Thyroid Neoplasms

What participants receive

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

  • 177Lu-CTR-FAPI therapyDrug

    177Lu-CTR-FAPI will be diluted in 100 mL of normal saline and administered via slow intravenous infusion over 20-30 minutes. Dose will be escalated according to a "3+3" design, starting at 100 mCi and increasing in 50 mCi increments for subsequent cohort. Vital signs will be measured before and after drug administration. Throughout the infusion period, subjects will be closely monitored for any associated symptoms and adverse reactions.

Study groups in NCT07438847
Study groupRoleWhat they receive
177Lu-CTR-FAPI ArmExperimentalParticipants will receive intravenous infusions of 177Lu-CTR-FAPI every 6 weeks for up to 4 cycles. A standard "3+3" dose-escalation design will be utilized, with starting dose of 100mCi and subsequent dose levels increasing by 50 mCi increments. Dose delays are permitted based on the recovery from adverse reactions and treatment response.
Receives: Drug: 177Lu-CTR-FAPI therapy

What is being measured

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

  1. Incidence and severity of adverse events, frequency of dose-limiting toxicities and maximum tolerated dose of 177Lu-CTR-FAPI in patients with thyroid cancer.

    Incidence and severity of adverse events, frequency of dose-limiting toxicities(DLTs) will be evaluated within the 6-week observation period following the first administration of 177Lu-CTR-FAPI. DLTs will be assesse based on Common Terminology Criteria for Adverse Events (CTCAE) 5.0.

    The Maximum Tolerated Dose (MTD) will be defined as the highest dose at which fewer than 33% of participants experience a DLT during the 6-week observation period following the first administration.

    Measured: From enrollment to 6 weeks after the first injection of 177Lu-CTR-FAPI.

Secondary outcomes (10)
  1. Biochemical response rate

    Biochemical response of participants is deifined by the change of serum tumor markers (thyroglobulin for differentiated thyroid carcinoma and calcitonin for medullary thyroid carcinoma) from baseline as follows:

    Progressive disease (PD) is defined as more than 50% increase of serum tumor markers; Stable disease (SD) is defined as less than 50% increase or 50% reduction of serum tumor markers; Partial response (PR) is defined as more than 50% reduction of baseline serum tumor markers; Complete response (CR) is defined as normalization of serum tumor markers.

    The overall response rate (ORR) is measured as the proportion of participants achieving biochemical CR or PR, and the disease control rate (DCR) is defined as the proportion of participants achieving biochemical CR, PR, or SD.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  2. Duration of biochemical response

    Duration of biochemical response is measured as the time period during which participants achieving biochemical CR or PR.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  3. Radiological response rate

    The radiological response is evaluated by radiological examinations, including contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1.

    The ORR is measured as the proportion of participants achieving CR or PR, and the DCR is defined as the proportion of participants achieving CR, PR, or SD.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  4. Duration of radiological response

    Duration of radiological response is measured as the time period during which participants achieving radiological CR or PR.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  5. Progression-free survival

    Progression-free survival (PFS) is defined as the time from enrollment until the first occurrence of disease progression or death from any cause, whichever occurs earlier.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  6. Overall survival

    Overall survival (OS) is defined as the time from enrollment until death from any cause.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  7. Change of quality of life score

    Change of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) scores compared with baseline is measured to evaluate improvement of life quality, in which a higher score of Function Scales and Global Health Status / Quality of Life Scale (transformed range 0-100) indicates better functioning or a higher quality of life and a lower score of Symptom Scales (transformed range 0-100) indicates less severity or frequency of the symptom.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  8. Change of Pain score

    Change of Brief Pain Inventory (BPI) scores compared with baseline is measured to evaluate pain severity (range 0-10) and pain interference (range 0-10), and a lower score indicates a better outcome.

    Measured: From enrollment to 1 year after the last 177Lu-CTR-FAPI injection.

  9. The absorbed doses for major organs and tumors of 177Lu-CTR-FAPI

    After the first administration, participants will undergo radiation dosimetry assessments.

    Blood samples will be collected at specific time points for radioactivity measurements.

    Whole-body planar imaging as well as regional quantitative single photon emission computed tomography/computed tomography (SPECT/CT) at specific time points will also be performed. Regions of interest (ROI) will be delineated on SPECT images for lesions, kidneys, bone marrow, total skeleton, heart, liver, and spleen. These ROIs will be projected onto the whole-body images to derive time-activity curves and residence times. The OLINDA software will then be used to calculate the absorbed radiation doses in tumors and normal organs.

    Measured: From enrollment to 8 days after the first administration

  10. The maximum dose

    The maximum dose will be acquired based on the organ dose limits calculated from the radiation dosimetry assessments.

    Measured: From enrollment to 8 days after the first administration

Timeline

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

  1. First posted27 Feb 2026
  2. Study start1 Jan 2026
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
A total of 12 adult participants with thyroid cancer will receive intravenous infusions of 177Lu-CTR-FAPI every 6 weeks for up to 4 cycles. A standard "3+3" dose-escalation design is employed. The starting dose is 100 mCi, with subsequent dose levels increasing by 50 mCi increments. Dose delays are permitted based on recovery from adverse reactions and reatment response. Participants will undergo structured monitoring and follow-up visit to assess safety, efficacy, and long-term outcomes.
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07438847
Sponsor's protocol ID
BRP-010-003
Status last verified
Feb 2026
First submitted
26 Jan 2026
Last updated
27 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kong Z, Li Z, Cui XY, Wang J, Xu M, Liu Y, Chen J, Ni S, Zhang Z, Fan X, Huang J, Lin Y, Sun Y, He Y, Lin X, Meng T, Li H, Song Y, Peng B, An C, Gao C, Li N, Liu C, Zhu Y, Yang Z, Liu Z, Liu S. CTR-FAPI PET Enables Precision Management of Medullary Thyroid Carcinoma. Cancer Discov. 2025 Feb 7;15(2):316-328. doi: 10.1158/2159-8290.CD-24-0897.

    PubMed 39470165
  • Cui XY, Li Z, Kong Z, Liu Y, Meng H, Wen Z, Wang C, Chen J, Xu M, Li Y, Gao J, Zhu W, Hao Z, Huo L, Liu S, Yang Z, Liu Z. Covalent targeted radioligands potentiate radionuclide therapy. Nature. 2024 Jun;630(8015):206-213. doi: 10.1038/s41586-024-07461-6. Epub 2024 May 22.

    PubMed 38778111

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 177Lu-CTR-FAPI therapy in people with Thyroid Cancer, run by SHAOYAN LIU at 2 sites in China.

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 11 inclusion and 16 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 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. 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?

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 Ziren Kong, M.D. (0086-18500487274, zrkong@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and severity of adverse events, frequency of dose-limiting toxicities and maximum tolerated dose of 177Lu-CTR-FAPI in patients with thyroid cancer. (time frame: From enrollment to 6 weeks after the first injection of 177Lu-CTR-FAPI.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07438847, which also lists 2 linked publications.

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 27 Feb 2026.

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