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Testing the Safety and Effectiveness of Radiation-based Treatment (Lutetium Lu 177 Dotatate) for Metastatic Prostate Cancer That Has Neuroendocrine Cells

Is NCT05691465 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Lutetium Lu 177 Dotatate for metastatic prostate adenocarcinoma with neuroendocrine differentiation.

Phase 2RecruitingNational Cancer Institute (NCI)NCT05691465Data as of May 2026

Treatment: Lutetium Lu 177 DotatateThis 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.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Neuroendocrine Tumor

Biomarker criteria

Allowed: PTEN loss

2 of the following 3: PTEN, TP53, or RB loss

Allowed: TP53 loss

2 of the following 3: PTEN, TP53, or RB loss

Allowed: RB1 loss

2 of the following 3: PTEN, TP53, or RB loss

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: other anti-cancer therapies

No concurrent use of other anti-cancer therapies

Cannot have received: investigational agents

Patients who are receiving any other investigational agents

Lab requirements

Blood counts

ANC >= 1,500/mcL; Platelets >= 100,000/mcL; Hemoglobin >= 8 g/dL

Kidney function

Creatinine Cockcroft calculated creatinine clearance of >= 40 mL/min

Liver function

Total bilirubin <= 1.5 x institutional ULN; AST(SGOT)/ALT(SGPT) <= 3 x institutional ULN

Cardiac function

New York Heart Association Functional Classification of class 2B or better

Absolute neutrophil count (ANC) >= 1,500/mcL; Platelets >= 100,000/mcL; Hemoglobin >= 8 g/dL; Total bilirubin <= 1.5 x institutional upper limit of normal (ULN); AST(SGOT)/ALT(SGPT) <= 3 x institutional ULN; Creatinine Cockcroft calculated creatinine clearance of >= 40 mL/min; Patients should be New York Heart Association Functional Classification of class 2B or better

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

US trial sites

  • City of Hope Comprehensive Cancer Center · Duarte, California
  • Los Angeles General Medical Center · Los Angeles, California
  • USC / Norris Comprehensive Cancer Center · Los Angeles, California
  • University of California Davis Comprehensive Cancer Center · Sacramento, California
  • Northwestern University · Chicago, Illinois

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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