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OncoMatch/Clinical Trials/NCT05204147

Actinium 225 Labeled Anti-CEA Antibody (Ac225-DOTA-M5A) for the Treatment of CEA Producing Advanced or Metastatic Cancers

Is NCT05204147 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies Actinium Ac 225-DOTA-anti-CEA Monoclonal Antibody M5A for advanced cancer.

Phase 1RecruitingCity of Hope Medical CenterNCT05204147Data as of May 2026

Treatment: Actinium Ac 225-DOTA-anti-CEA Monoclonal Antibody M5AThis phase I study tests the safety, side effects, and best dose of Ac225-DOTA-M5A in treating patients with CEA positive colorectal cancer that has spread to other places in the body (advanced). Ac225-DOTA-M5A is a humanized monoclonal anti-CEA antibody, linked to a radioactive agent called actinium 225. M5A attaches to CEA positive cancer cells in a targeted way and delivers actinium 225 to kill them.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Required: CEACAM5 overexpression (serum CEA above institutional limit of normal OR >30% tumor cells with IHC intensity 2+ or greater)

malignancy that expresses CEA ... tumors that produce CEA as documented by either an elevated serum CEA above the institutional limit of normal or by immunohistochemical methods ... more than 30% of the tumor cells have an intensity of 2+ or greater

Lab requirements

Blood counts

WBC >= 4000/ul, absolute neutrophil count >= 1500/ul, platelet count >= 125,000/ul

Kidney function

creatinine <= 1.5 mg/dl and/or a calculated creatinine clearance >= 60 cc/min

Liver function

bilirubin <= 1.5 mg/dl and ALT and AST no greater than 2 times the upper limit of normal; less than 1/3 of the liver must be estimated to be involved with tumor

Adequate bone marrow function as evidenced by white blood count (WBC) >= 4000/ul, absolute neutrophil count >= 1500/ul, platelet count >= 125,000/ul are required; Adequate renal function as evidenced by a creatinine <= 1.5 mg/dl and/or a calculated creatinine clearance >= 60 cc/min; Adequate liver function as evidenced by bilirubin <= 1.5 mg/dl and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) no greater than 2 times the upper limit of normal. Less than 1/3 of the liver must be estimated to be involved with tumor

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope Medical Center · Duarte, California

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