Testing the Safety and Effectiveness of Radiation-based Treatment (Lutetium Lu 177 Dotatate) for Metastatic Prostate Cancer That Has Neuroendocrine Cells
Part of paid clinical trials in Duarte, California.
- Sponsor
- National Cancer Institute (NCI)
- Study ID
- NCT05691465
- Phase
- PHASE2
- Status
- Recruiting
Conditions
- Metastatic Prostate Adenocarcinoma With Neuroendocrine Differentiation
- Metastatic Prostate Neuroendocrine Carcinoma
- Metastatic Prostate Small Cell Neuroendocrine Carcinoma
- Stage IV Prostate Cancer AJCC v8
Eligibility Criteria
- Sex
- MALE
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Biospecimen Collection — PROCEDUREUndergo collection of blood
- Computed Tomography — PROCEDUREUndergo CT scan
- Gallium Ga 68-DOTATATE — RADIATIONGiven IV
- Lutetium Lu 177 Dotatate — DRUGGiven IV
- Positron Emission Tomography — PROCEDUREUndergo PET
Study Details
This phase II trial studies how well lutetium Lu 177 dotatate works in treating patients with prostate cancer with neuroendocrine differentiation that has spread to other places in the body (metastatic). Neuroendocrine differentiation refers to cells that have traits of both hormone-producing endocrine cells and nerve cells. These cells release hormones into the blood in response to a signal from the nervous system. Hormones are biological substances that circulate through the bloodstream to control the activity of other organs or cells in the body. Lutetium Lu 177-dotatate is a radioactive drug. It binds to a protein called somatostatin receptor, which is found on some neuroendocrine tumor cells. Lutetium Lu 177-dotatate builds up in these cells and gives off radiation that may kill them. It is a type of radioconjugate and a type of somatostatin analog. Treatment with Lutetium Lu 177 dotatate may shrink the tumor in a way that can be measured in patients with metastatic prostate cancer with neuroendocrine differentiation.
Key Dates
- Start date
- Dec 27, 2023
- Status verified
- Jan 2026
- Primary completion
- Nov 2, 2026
- Completion
- Nov 2, 2026
Study Design
- Enrollment
- 30 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Treatment (lutetium Lu 177 dotatate)Patients receive lutetium Lu 177 dotatate IV over 30 minutes. Cycles repeat Q6W for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients also receive gallium Ga 68-dotatate IV during screening then undergo PET/CT scan at baseline and collection of blood throughout the trial.
Primary Outcome Measure
Objective response rate (ORR) [ Time Frame: At 6 months ]
Locations (13)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| City of Hope Comprehensive Cancer Center | Duarte | California | 91010 | Abhishek Tripathi (PRINCIPAL_INVESTIGATOR) |
| Los Angeles General Medical Center | Los Angeles | California | 90033 | - |
| USC / Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | - |
| University of California Davis Comprehensive Cancer Center | Sacramento | California | 95817 | - |
| Northwestern University | Chicago | Illinois | 60611 | Maha H. Hussain (PRINCIPAL_INVESTIGATOR) |
| University of Kentucky/Markey Cancer Center | Lexington | Kentucky | 40536 | Site Public Contact 859-257-3379 Zin W. Myint (PRINCIPAL_INVESTIGATOR) |
| Johns Hopkins University/Sidney Kimmel Cancer Center | Baltimore | Maryland | 21287 | Michael A. Carducci (PRINCIPAL_INVESTIGATOR) |
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27157 | Site Public Contact 336-713-6771 Michael McCormack (PRINCIPAL_INVESTIGATOR) |
| Ohio State University Comprehensive Cancer Center | Columbus | Ohio | 43210 | Edmund Folefac (PRINCIPAL_INVESTIGATOR) |
| UT Southwestern/Simmons Cancer Center-Dallas | Dallas | Texas | 75390 | - |
| M D Anderson Cancer Center | Houston | Texas | 77030 | Ana Aparicio (PRINCIPAL_INVESTIGATOR) |
| University of Wisconsin Carbone Cancer Center - Eastpark Medical Center | Madison | Wisconsin | 53718 | John M. Floberg (PRINCIPAL_INVESTIGATOR) |
| University of Wisconsin Carbone Cancer Center - University Hospital | Madison | Wisconsin | 53792 | John M. Floberg (PRINCIPAL_INVESTIGATOR) |
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