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OncoMatch/Clinical Trials/NCT07156565

Actinium Therapy for Late-stage Aggressive Sarcomas

Is NCT07156565 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies [Ac 225]RTX-2358 for advanced soft tissue sarcoma.

Phase 1RecruitingRatio Therapeutics, Inc.NCT07156565Data as of Jun 2026Location: United States · Canada

Treatment: [Ac 225]RTX-2358The goal of this clinical trial is to learn about the safety of drug \[Ac225\]RTX-2358 and the diagnostic imaging agent \[Cu64\]LNTH-1363S. Additionally Ratio Therapeutics will learn if \[Ac225\]RTX-2358 drug is effective in treating advanced sarcoma. The main questions the study aims to answer in Phase/Part 1 of the trial are: * Is \[Ac225\]RTX-2358 tolerable or does it cause toxicities (medical problems) in patients. * What is the most tolerable dose of \[Ac225\]RTX-2358 * Does the treatment show effectiveness on advanced sarcoma Participants will: * Take drug \[Ac225\]RTX-2358 once every 8 weeks (4 cycle target; 6 cycle maximum) over a period of 12 months * Visit the clinic three times for the first week of cycle one, then once a week for the remaining 7 weeks of cycle 1 for check-ups and tests. * For cycles 2-6: patient will visit the clinic once every 2 weeks for checkups and tests * Remain in long term follow-up for a period of four additional years

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Extracted eligibility criteria

Treatments studied

Other

[Ac 225]RTX-2358

Cancer type

Sarcoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Cannot have received: whole pelvic irradiation

History of whole pelvic irradiation.

Cannot have received: radioligand therapy

History of radioligand therapy.

Cannot have received: palliative surgery or external beam radiation

Exception: within 14 days prior to first administration

Treatment within 14 days prior to first administration with: Palliative surgery or external beam radiation.

Cannot have received: approved anticancer therapy including chemotherapy or immunotherapy

Exception: within 14 days prior to first administration

Treatment within 14 days prior to first administration with: Approved anticancer therapy including chemotherapy or immunotherapy.

Cannot have received: investigational therapy

Exception: within 14 days prior to first administration

Treatment within 14 days prior to first administration with: Any investigational therapy.

Cannot have received: major surgery

Exception: within 14 days prior to first administration

Treatment within 14 days prior to first administration with: Any major surgery (e.g., requiring general anesthesia).

Lab requirements

Blood counts

Neutrophil count ≥ 1200 µL without G-CSF; Platelet count ≥ 100,000 µL; Hemoglobin ≥ 8 g/dL; Coagulation parameters (PT, INR, aPTT) ≤ 1.5 × ULN

Kidney function

Calculated creatinine clearance ≥ 60 mL/min

Liver function

Total bilirubin level ≤ 1.5 × ULN; AST and ALT ≤ 2.5 × ULN

Adequate Organ reserve and renal function as evidenced by: Neutrophil count ≥ 1200 µL without granulocyte colony stimulating factor; Platelet count ≥ 100,000 µL; Hemoglobin ≥ 8 g/dL; Total bilirubin level ≤ 1.5 × ULN; AST and ALT ≤ 2.5 × ULN; Calculated creatinine clearance ≥ 60 mL/min; Coagulation parameters (PT, INR, aPTT) ≤ 1.5 × ULN

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

US trial sites

  • UCLA · Los Angeles, California
  • Mayo Clinic · Rochester, Minnesota
  • Memorial Sloane Kettering Cancer Center · New York, New York
  • Case Western · Cleveland, Ohio
  • MD Anderson Cancer Center · Houston, Texas

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07156565 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior whole pelvic irradiation, radioligand therapy, palliative surgery or external beam radiation disqualifies patients from enrollment.

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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Related pages

Sarcoma trials