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OncoMatch/Clinical Trials/NCT07363486

Sequential Study of 225Ac-LNC1011 in the Treatment of Metastatic Castration-Resistant Prostate Cancer

Is NCT07363486 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1/2 trial studies 225Ac-LNC1011 for prostate cancer.

Phase 1/2RecruitingFirst Affiliated Hospital of Fujian Medical UniversityNCT07363486Data as of Jun 2026Location: China

Treatment: 225Ac-LNC1011PSMA is an ideal target for the precise diagnosis and treatment of prostate cancer. LNC1011 is a novel albumin-binding PSMA-targeted compound. This study aims to investigate the safety and efficacy of different doses of 225Ac-labeled LNC1011 in the treatment of patients with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC) and to explore the optimal therapeutic dose.

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Extracted eligibility criteria

Treatments studied

Radioligand therapy

225Ac-LNC1011

Cancer type

Prostate Cancer

Biomarker criteria

Required: FOLH1 high-uptake lesion on 68Ga-PSMA-11 PET/CT imaging (lesion uptake >1.5 times the liver background)

Presence of high-uptake lesions confirmed by 68Ga-PSMA-11 PET/CT imaging (positive defined as lesion uptake >1.5 times the liver background)

Disease stage

Metastatic disease required

Performance status

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

Demographics

Ages ≤ 90
Male only

Prior therapy

Max 2 prior lines
Min 1 prior line

Must have received: taxane

Patients who have not received, refused, or progressed after receiving at least 1 but no more than 2 prior taxane-based therapies. The taxane regimen must have included exposure for at least 2 cycles. Patients who received only one taxane may be included if the investigator deems them unsuitable for a second taxane (e.g., due to frailty assessed by geriatric/comorbidity evaluation or intolerance).

Must have received: novel androgen axis drug (abiraterone, enzalutamide)

Patients who have progressed after receiving at least one novel androgen axis drug [NAAD] (e.g., abiraterone, enzalutamide).

Cannot have received: systemic anticancer therapy

Exception: excluding endocrine therapy

Patients who have received systemic anticancer therapy (e.g., chemotherapy, radiotherapy, immunotherapy; excluding endocrine therapy), investigational drugs, or device therapy within 4 weeks prior to dosing

Cannot have received: radionuclide therapy (Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, Lutetium-177)

Patients who received radionuclide therapy (Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223, Lutetium-177) within 6 months

Cannot have received: external beam radiation therapy

any External Beam Radiation Therapy (EBRT) within 2 months prior to the first dose

Cannot have received: cytotoxic chemotherapy

Planned use of cytotoxic chemotherapy, antitumor immunotherapy, radioligand therapy, or similar agents during the study

Cannot have received: antitumor immunotherapy

Planned use of cytotoxic chemotherapy, antitumor immunotherapy, radioligand therapy, or similar agents during the study

Cannot have received: radioligand therapy

Planned use of cytotoxic chemotherapy, antitumor immunotherapy, radioligand therapy, or similar agents during the study

Cannot have received: external beam radiation therapy

Prior EBRT involving extensive bone marrow (>25%)

Lab requirements

Blood counts

neutrophil count ≥ 1.5 × 10#/l, white blood cell count ≥ 3.0 × 10#/l, platelet count ≥ 100 × 10#/l, hemoglobin ≥ 10 g/dl (≥ 100 g/l)

Kidney function

serum creatinine ≤ 1.5 × uln

Liver function

albumin ≥ 30 g/l, total bilirubin ≤ 1.5 × uln, alt or ast ≤ 3.0 × uln (without liver metastases) or ≤ 5.0 × uln (with liver metastases)

Cardiac function

qtcf >470 ms or long qt syndrome history; myocardial infarction, angina, or cabg within 6 months deemed ineligible by investigators

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

Frequently asked questions

Is NCT07363486 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior systemic anticancer therapy, radionuclide therapy, external beam radiation therapy disqualifies patients from enrollment.

Does this trial require FOLH1?

Yes, FOLH1 high-uptake lesion on 68Ga-PSMA-11 PET/CT imaging is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 90 years or younger.

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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