Status:

NOT_YET_RECRUITING

177Lu-FAP-2286 Treatment in Urethelial Neoplasms: Utility and Safety as a Novel Treatment.

Lead Sponsor:

Ankara University

Collaborating Sponsors:

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

Conditions:

Bladder (Urothelial, Transitional Cell) Cancer Metastatic or Unresectable

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Ga-68-FAPI has recently been proven to be superior to F-18-FDG in various cancers. These results have also raised hope in using FAP radiopharmaceuticals with theranostic approach. Lu-177 bound FAPI mo...

Detailed Description

Bladder cancer has a variable incidence worldwide, changing with environmental factors. Urothelial carcinoma the the most common histopathological subtype. Early-stage bladder cancer has a favoruable ...

Eligibility Criteria

Inclusion

  • Patients with histopathologically proven advanced stage urothelial bladder cancer refractory to all standard therapies and no standard treatments are available or are contraindicated.
  • Patients aged \>18y, male or female gender
  • Patients who are willing to cooperate with the study protocol, including the therapy regimen, posttherapy imaging and follow up visits
  • Patients who read and signed the written informed consent form.
  • A positive Ga-68-FAPI scan result (at least 50% of the lesions with an SUVmax \>1.5 times liver SUVmax )
  • Blood tests (Platelets\>120.000/mm3, Neutrophils\>1500cell/mm3, Hb\>8g/dL
  • Liver function tests: (ALT and AST\<2.5Xupper limit of normal, Bilirubin\<2mg/dL, Total bilirubin\<1.5X upper limit of normal
  • PT, aPTT and INR in normal range
  • Normal GFR, serum Cr levels
  • ECOG 0-1
  • Life expectancy longer than 6 months

Exclusion

  • Low Ga-68-FAPI uptake
  • Not willing to sign informed consent form
  • ECOG \>1
  • Hematological tests and renal function tests are not eligible
  • Disseminated bone marrow metastasis
  • Central nervous system metastasis or existence of any lesion with risk of compression
  • Co-existing secondary malignancies
  • Previous radioligand therapies
  • Being received anticancer therapies in 4 weeks

Key Trial Info

Start Date :

June 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2028

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06880757

Start Date

June 1 2025

End Date

June 1 2028

Last Update

March 18 2025

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