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OncoMatch/Clinical Trials/NCT06898437

Study of 177Lu-LNC1004 Injection in FAP-positive Radioiodine-refractory Differentiated Thyroid Cancer

Is NCT06898437 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies 177Lu-LNC1004 for radioiodine refractory differentiated thyroid cancer.

Early Phase 1RecruitingPeking Union Medical College HospitalNCT06898437Data as of May 2026

Treatment: 177Lu-LNC1004177Lu-LNC1004 Injection, a radiopharmaceutical targeting FAP, has demonstrated preliminary antitumor effect in advanced FAP-positive solid tumor patients. The primary purpose of this study is to evaluate the efficacy of 177Lu-LNC1004 Injection in patients with FAP-positive RAIR-DTC who have failed first-line TKIs treatment or refuse standard treatment. All subjects will receive 80 mCi (± 10%) 177Lu-LNC1004 Injection intravenously every 6 weeks for 2 cycles.

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Extracted eligibility criteria

Biomarker criteria

Required: FAP overexpression (FAP-positive lesion confirmed by FAPI PET/CT scan)

FAP-positive lesion confirmed by FAPI PET/CT scan

Performance status

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

Prior therapy

Min 1 prior line

Must have received: tyrosine kinase inhibitor

subject who has failed TKIs treatment or refuse standard therapy

Cannot have received: chemotherapy

Exception: within 4 weeks prior to first dosing

Received antitumor treatment including chemotherapy, radiotherapy, immunotherapy, and traditional Chinese medicine, etc. within 4 weeks prior to first dosing.

Cannot have received: radiotherapy

Exception: within 4 weeks prior to first dosing

Received antitumor treatment including chemotherapy, radiotherapy, immunotherapy, and traditional Chinese medicine, etc. within 4 weeks prior to first dosing.

Cannot have received: immunotherapy

Exception: within 4 weeks prior to first dosing

Received antitumor treatment including chemotherapy, radiotherapy, immunotherapy, and traditional Chinese medicine, etc. within 4 weeks prior to first dosing.

Cannot have received: targeted therapy

Exception: discontinued treatment for less than 4 weeks or 10 half-lives prior to first dosing

Subject who previously received targeted therapy, but discontinued treatment for less than 4 weeks or 10 half-lives prior to first dosing.

Cannot have received: systemic radionuclide therapy

Exception: within 6 months before first dosing

Received systemic radionuclide therapy or radioembolization within 6 months before first dosing

Cannot have received: radioembolization

Exception: within 6 months before first dosing

Received systemic radionuclide therapy or radioembolization within 6 months before first dosing

Cannot have received: external beam radiotherapy

Exception: within 2 weeks before the first dosing

any external beam radiotherapy within 2 weeks before the first dosing

Lab requirements

Blood counts

hemoglobin ≥ 100 g/L, neutrophil count ≥ 1.5 × 10^9/L, platelet count ≥ 100 × 10^9/L

Kidney function

creatinine clearance ≥ 60 mL/min

Liver function

albumin ≥ 3.0 g/dL; total bilirubin ≤ 1.5 × ULN; ALT and AST < 3 × ULN without liver metastasis or < 5 × ULN with liver metastasis

Cardiac function

NYHA grade ≥ 3, serious heart rhythm or conduction abnormalities, QTcF > 470 ms in male and > 480 ms in female, aortic dissection, stroke, or other grade 3 or higher cardiovascular/cerebrovascular event within 6 months

Adequate organ function as defined by: Bone marrow function: hemoglobin ≥ 100 g/L, neutrophil count ≥ 1.5 × 10^9/L, platelet count ≥ 100 × 10^9/L; Liver function: albumin ≥ 3.0 g/dL; total bilirubin ≤ 1.5 × ULN; ALT and AST < 3 × ULN without liver metastasis or < 5 × ULN with liver metastasis; Renal function: creatinine clearance ≥ 60 mL/min. Cardiac: NYHA grade ≥ 3, serious heart rhythm or conduction abnormalities, QTcF > 470 ms in male and > 480 ms in female, aortic dissection, stroke, or other grade 3 or higher cardiovascular/cerebrovascular event within 6 months [excluded].

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

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