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OncoMatch/Clinical Trials/NCT06972628

Treatment of Patients With Progressive mCRPC With 177Lu-PSMA-617

Is NCT06972628 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies Administering Lutetium-177-PSMA-617 (PLUVICTO) for metastatic castration-resistant prostate cancer.

Phase 2RecruitingEbrahim S DelpassandNCT06972628Data as of Jun 2026

Treatment: Administering Lutetium-177-PSMA-617 (PLUVICTO)The purpose of this study is to evaluate the safety and tolerability of Lutetium-177-PSMA-617 (PLUVICTO) in patients with metastatic castration-resistant prostate cancer (mCRPC) and extensive bone metastases, which appear as a "super scan" pattern on a bone scan. Pluvicto is FDA-approved, but patients with super scan bone scans were previously excluded from the VISION clinical trial, leaving a knowledge gap. The study will enroll up to 30 men with metastatic castration-resistant prostate cancer, with an initial dosing approach that differs from the standard dose. The safety and tolerability of PLUVICTO will be evaluated in this study, with a focus on identifying the optimal dose for this population. This study addresses an important gap in understanding how Pluvicto performs in mCRPC patients with super scan findings.

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Extracted eligibility criteria

Treatments studied

Radioligand therapy

Administering Lutetium-177-PSMA-617 (PLUVICTO)

Cancer type

Prostate Cancer

Biomarker criteria

Required: FOLH1 PSMA-positive lesion on PET/CT

Positive PSMA PET/CT scan showing at least one PSMA-positive metastatic lesion

Required: AR castrate-level testosterone (<50 ng/dL or <1.7 nmol/L)

Castrate-level serum/plasma testosterone (<50 ng/dL or <1.7 nmol/L)

Disease stage

Metastatic disease required

Performance status

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

Demographics

Male only

Prior therapy

Min 1 prior line

Must have received: androgen receptor-axis-targeted therapy

Prior treatment with at least one androgen receptor-axis-targeted therapy (ARAT)

Cannot have received: radiopharmaceutical (Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, hemi-body irradiation)

Exception: allowed if >6 months before start of treatment

Prior treatment with radiopharmaceuticals (e.g., Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, hemi-body irradiation) within six months before start of treatment under this protocol

Cannot have received: PSMA-targeted radioligand therapy

Prior PSMA-targeted radioligand therapy

Cannot have received: systemic anti-cancer therapy

Exception: allowed if >4 weeks before screening

Systemic anti-cancer therapy (e.g., chemotherapy, immunotherapy, monoclonal antibodies) within four weeks before screening visit

Lab requirements

Blood counts

Hemoglobin ≥9.0 g/dL; Platelet count ≥90 × 10⁹/L; White blood cell count ≥2.0 × 10⁹/L; absolute neutrophil count (ANC) >1.5 × 10⁹/L; must be met without recent transfusions (within 28 days prior to first study treatment) or growth factor support (within 21 days)

Kidney function

Serum/plasma creatinine ≤1.5 × upper limit of normal (ULN); exclusion if estimated glomerular filtration rate <60 mL/min

Hemoglobin ≥9.0 g/dL. Platelet count ≥90 × 10⁹/L. White blood cell count ≥2.0 × 10⁹/L, absolute neutrophil count (ANC) >1.5 × 10⁹/L. Serum/plasma creatinine ≤1.5 × upper limit of normal (ULN). Renal impairment (estimated glomerular filtration rate <60 mL/min), hemoglobin <9 g/dL, ANC <1.5 × 10⁹/L, or platelets < 90 × 10⁹/L [excluded].

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

US trial sites

  • Excel Diagnostics & Nuclear Oncology Center · Houston, Texas

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT06972628 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior radiopharmaceutical, PSMA-targeted radioligand therapy, systemic anti-cancer therapy disqualifies patients from enrollment.

Does this trial require FOLH1?

Yes, FOLH1 PSMA-positive lesion on PET/CT is a required biomarker for enrollment.

Does this trial require AR?

Yes, AR castrate-level testosterone is a required biomarker for enrollment.

Is this trial open to female patients?

No. This trial enrolls male patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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