Phase 3 Study Comparing 177Lu-TLX250 Radioligand Therapy to Standard Single-Agent Treatment in Adults with Advanced or Recurrent Clear Cell Renal Cell Carcinoma Expressing CAIX
Led by Telix Pharmaceuticals (Innovations) Pty Limited · Updated on 2026-04-01
40
Participants Needed
5
Research Sites
78 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of 177Lu-TLX250, a targeted radioligand therapy, in adults with advanced, relapsed, or recurrent clear cell renal cell carcinoma ccRCC that expresses the CAIX protein. This Phase 3, randomized, open-label study aims to find the best dosing regimen and compare 177Lu-TLX250 to standard single-agent therapies used in Australia. The study includes participants who have previously received multiple systemic treatments and have measurable disease progression.
The study has two parts Part 1 focuses on dose optimization by randomly assigning participants to receive either three infusions of 177Lu-TLX250 at 8-week intervals or six infusions at 4-week intervals. Part 2 compares the chosen dose of 177Lu-TLX250 with the investigators choice of a single standard therapy. Treatments are given intravenously, and the study evaluates different dosing schedules over several months.
Participants will undergo various assessments including imaging scans, laboratory tests, and quality of life questionnaires throughout the study, which lasts about two years. Researchers will monitor safety, treatment response, survival, and how the drug distributes in the body. They will also evaluate side effects, immune responses, and radiation exposure. This comprehensive monitoring helps understand the therapys impact and tolerability over time.
CONDITIONS
Brief Title
Phase 3 Study to Assess Safety and Efficacy of 177Lu-TLX250 in Advanced Relapsed or Recurrent ccRCC
Research Team
P
Prson Gautam, PhD
L
Lily Nahidi, PhD
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Provide written informed consent before any study procedures.
Have relapsed, recurrent, locally advanced, or metastatic clear cell renal cell carcinoma confirmed by biopsy.
Have received 2 to 3 prior systemic therapies including PD-1/PD-L1 inhibitors and VEGF/VEGFR-targeting agents.
Show disease progression or intolerance to the most recent therapy.
Have at least one measurable lesion according to RECIST 1.1 criteria.
Be CAIX-positive based on PET scan criteria.
Have an ECOG Performance Status of 0 or 1.
Have recovered from side effects of prior therapies except controlled Grade 2 neurotoxicity.
Have adequate bone marrow, liver, and kidney function as defined by specific lab values.
Women of childbearing potential must have a negative pregnancy test.
You will not qualify if you...
Have metastatic lesions with CAIX tumor-to-liver ratio less than 1.
Received prior 177Lu-TLX250 or other CAIX-targeting therapies.
Known allergy to study drug components or related substances.
Received granulocyte colony stimulating factor or erythropoietin within 4 weeks before screening.
Recent radionuclide, anticancer therapy, or radiotherapy within defined timeframes before study drug.
Known untreated or unstable brain metastases.
Major surgery or trauma within 3 weeks before treatment.
Pregnant or breastfeeding, or planning pregnancy during and after the study.
Active, uncontrolled infections or severe concurrent diseases.
History of other malignancies with limited exceptions.
Serious non-healing wounds or fractures.
Unable to remain still for imaging scans.
Unresolved significant toxic effects from prior therapies except specified exceptions.
Inflammatory bowel disease.
Life expectancy less than 3 months.
Bleeding or thrombotic disorders or recent significant bleeding events.
Serious illnesses affecting heart, lungs, nervous system, kidneys, liver, or blood that may affect study participation or safety.
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 - Approximately 4 months
Participants receive 3 infusions of 1887 MBq 177Lu-TLX250 at 8-week intervals or 6 infusions of 1258 MBq 177Lu-TLX250 at 4-week intervals as part of the radioligand therapy.
3 to 6 infusion visits depending on dosing regimen
Follow-up
Duration - Up to 2 years
Participants are monitored for safety, efficacy, and health outcomes after completion of treatment.
Regular visits for assessments through study completion
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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