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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 (May 2026). This Phase 1/2 trial studies 225Ac-LNC1011 for prostate cancer.

Phase 1/2RecruitingFirst Affiliated Hospital of Fujian Medical UniversityNCT07363486Data as of May 2026

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

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)

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.

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