This is a phase I clinical trial conducted in participants with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC). After confirmation of PSMA positivity, participants receive intravenous administration of 177Lu-PSMA-VG01. The objectives are: to evaluate the biodistribution, radiation dosimetry, safety and tolerability of 177Lu-PSMA-VG01 in participants; and to assess the pharmacokinetics (PK), preliminary anti-tumor activity, and in vivo stability of 177Lu-PSMA-VG01 in participants.
This is a prospective, single-arm, dose-escalation and open phase I clinical study. 10-24 participants are expected to be enrolled. Participants will sign the informed consent form (ICF) prior to screening. Only PSMA-positive participants with metastatic castration-resistant prostate cancer (mCRPC) who meet the inclusion criteria and do not meet any exclusion criteria will be enrolled. The successful screened participants will be treated with 177Lu-PSMA-VG01 injection intravenously during the treatment period. Pharmacokinetic (PK) blood samples will be collected, and SPECT/CT imaging will be performed during the clinical study. Long-term follow-up will last up to 2 years after completion of EOT. Throughout the study period, participants will undergo safety monitoring following drug administration.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Treatment patients
Zhong Shan Hospital Fudan University
Shanghai, Shanghai Municipality, China
RECRUITINGRadiation dosimetry
Standard uptake value (SUV), organ accumulation (%ID), absorbed dose (AD), and effective dose (ED) in tumors and target organs
Time frame: Up to 36 weeks
Dose-Limiting Toxicities (DLT)
Evaluating the safety and tolerability of the 177Lu-PSMA-VG01 injection in participants.
Time frame: Up to 6 weeks
Maximum Tolerate dose(MTD)
Evaluating the safety and tolerability of the 177Lu-PSMA-VG01 injection in participants.
Time frame: Up to 6 weeks
AE
Evaluating the safety and tolerability of the 177Lu-PSMA-VG01 injection in participants. All Adverse Events (AEs) occurring during the clinical study period will be monitored.
Time frame: Up to 36 weeks
Accumulation (%ID)
Evaluation of drug biodistribution in major human organs.
Time frame: Up to 36 weeks
Area under the plasma concentration-time curve from time zero to the last measurable concentration(AUC₀-last)
Pharmacokinetics (PK) of 177Lu-PSMA-VG01 in plasma
Time frame: Up to 8 days.
Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUC0-inf)
Pharmacokinetics (PK) of 177Lu-PSMA-VG01 in plasma
Time frame: Up to 8 days .
Maximum plasma concentration (Cmax)
Pharmacokinetics (PK) of 177Lu-PSMA-VG01 in plasma
Time frame: Up to 8 days .
Objective Response Rate (ORR)
Time frame: Up to 2 years after completing the End-of-Treatment visit.
radiographic Progression-Free Survival (rPFS)
Time frame: Up to 2 years after completing the End-of-Treatment visit.
PSA response rate
PSA50 response rate and PSA90 response rate
Time frame: From baseline to 36 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.