Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
ID06639191

A Phase 1 Study to Evaluate Safety, Tolerability, and Biodistribution of [177Lu]Lu-AKIR001 in Adults With CD44v6 Expressing Solid Tumors

Led by Karolinska University Hospital · Updated on 2026-01-30

15

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

K

Karolinska University Hospital

Lead Sponsor

K

Karolinska Institutet

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the safety and tolerability of increasing doses of [177Lu]Lu-AKIR001, a drug targeting CD44v6-expressing solid tumors that cannot be surgically removed or have spread. This early phase 1 trial focuses on patients with advanced cancers such as thyroid gland anaplastic carcinoma, poorly differentiated thyroid carcinoma, head and neck cancer, cervix carcinoma, vulvar cancer stage IV, and non-small cell lung cancer stage IV, who have no other reasonable treatment options. The main goal is to understand the toxicity profile of [177Lu]Lu-AKIR001 by monitoring dose-limiting toxicities and serious adverse events.

CONDITIONS

Brief Title

[177Lu]Lu-AKIR001 First-in-human Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participant is 18 years of age or older
  • Able and willing to provide written informed consent
  • Has histologically confirmed metastatic or locally advanced irresectable CD44v6-expressing solid malignancy with disease progression in the last 8 weeks
  • Specific prior treatments depending on tumor type, including targeted therapies or chemotherapy as detailed in protocol
  • Measurable disease per RECIST v1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Life expectancy of at least three months as estimated by investigator
  • Adequate organ and bone marrow function within 8 days before first infusion
  • Females of childbearing potential must use effective contraception before, during, and for 6 months after treatment
  • Male participants must use effective barrier contraception or abstain from heterosexual intercourse during treatment and for 4 months after last dose
Not Eligible

You will not qualify if you...

  • Untreated or symptomatic brain metastases requiring ongoing steroids
  • Other malignancies diagnosed within last 5 years except certain skin or cervical cancers
  • Chemotherapy, targeted therapy, or radiotherapy within 4 weeks prior to enrollment
  • Ongoing toxicities greater than grade 1 from previous cancer treatments
  • Pregnancy or breastfeeding
  • Uncontrolled hypertension, heart, liver, or kidney disease or other serious medical or psychiatric conditions
  • Severe skin diseases requiring systemic anti-inflammatory treatment
  • Known HIV infection, hepatitis B or C infection, or active tuberculosis

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - At least 6 weeks post-dose per cohort

Participants receive escalating doses of [177Lu]Lu-AKIR001 according to cohort assignment to evaluate safety and tolerability.

1 baseline visit and weekly visits during 6-week follow-up

Follow-up

Duration - Up to 12 months for efficacy and up to 5 years for safety

Participants are monitored for long-term safety, anti-tumor efficacy, and adverse events.

Periodic visits over 12 months and annual visits up to 5 years

Trial Site Locations

Total: 1 location

1

Karolinska University hospital

Stockholm, Stockholm County, Sweden, 17176

Actively Recruiting

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Research Team

R

Renske Altena, Associate Professor, MD PhD

T

Thuy Tran, Associate Prof, PharmD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Preclinical Validation of [177Lu]Lu-AKIR001, a CD44v6-Targeted Radiotherapeutic Entering First-in-Human Trials.

Anja C L Mortensen, Tabassom Mohajershojai, Amanda Gustafsson...

https://pubmed.ncbi.nlm.nih.gov/41198237