Actively Recruiting

Phase 3
Age: 18Years - 100Years
MALE
NCT06855277

Study Comparing AAA817+ARPI Versus Standard of Care in Adult Participants With PSMA-positive mCRPC

Led by Novartis Pharmaceuticals · Updated on 2026-02-24

940

Participants Needed

55

Research Sites

383 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this study is to determine whether \[225Ac\]Ac-PSMA-617 (AAA817), given for up to 6 cycles at a dose of 10 Megabecquerel (MBq) +/- 10%, plus androgen receptor pathway inhibitor (ARPI), improves the radiographic progression free survival (rPFS) compared to investigator's choice of standard of care (SOC) (ARPI change or taxane-based chemotherapy or \[177Lu\]Lu-PSMA-617 (AAA617)) in adult participants with PSMA-positive metastatic castration resistant prostate cancer (mCRPC) treated with another ARPI as last treatment and who have not been exposed to a taxane-containing chemotherapy in the mCRPC setting nor have received any prior PSMA-targeting radioligand therapy.

CONDITIONS

Official Title

Study Comparing AAA817+ARPI Versus Standard of Care in Adult Participants With PSMA-positive mCRPC

Who Can Participate

Age: 18Years - 100Years
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent before joining the study
  • Adults aged 18 years or older
  • ECOG performance status between 0 and 2
  • Confirmed diagnosis of prostate adenocarcinoma (no mixed neuroendocrine cancer)
  • Eligible if previously received taxane chemotherapy for hormone-sensitive prostate cancer but not for metastatic castration resistant prostate cancer
  • No prior taxane chemotherapy for metastatic castration resistant prostate cancer
  • PSMA-positive disease confirmed by PSMA-PET imaging
  • Diagnosed with metastatic castration resistant prostate cancer with disease progression while on ARPI as last treatment
  • Participants with certain HRR gene mutations who had prior PARP inhibitor treatment may join
Not Eligible

You will not qualify if you...

  • Prior treatment with any approved or investigational radiopharmaceuticals like [177Lu]Lu-PSMA or Radium-223
  • External beam radiotherapy within 6 weeks before randomization (2 weeks for localized metastases)
  • Previous PARP inhibitor or other systemic anticancer therapy for metastatic castration resistant prostate cancer
  • Other systemic therapies (chemotherapy, immunotherapy, biologics, monoclonal antibodies) within 28 days or 5 half-lives before randomization
  • Mixed neuroendocrine histology prostate cancer
  • Prior taxane chemotherapy in metastatic castration resistant prostate cancer setting

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 55 locations

1

Sansum Clinic

Santa Barbara, California, United States, 93105

Actively Recruiting

2

Rocky Mountain Cancer Centers

Denver, Colorado, United States, 80218

Actively Recruiting

3

Miami Cancer Institute at Bapt

Miami, Florida, United States, 33173

Actively Recruiting

4

AdventHealth

Orlando, Florida, United States, 32804

Actively Recruiting

5

Univ Of Iowa Hospitals And Clinics

Iowa City, Iowa, United States, 52242

Actively Recruiting

6

University of Kansas Hospital

Kansas City, Kansas, United States, 66160

Actively Recruiting

7

Wash U School of Medicine

St Louis, Missouri, United States, 63110

Actively Recruiting

8

Bassett Medical Center

Cooperstown, New York, United States, 13326

Actively Recruiting

9

Weill Cornell Medicine NY-Presb

New York, New York, United States, 10021

Actively Recruiting

10

University of Rochester Medical Ctr

Rochester, New York, United States, 14642

Actively Recruiting

11

Associated Med Professionals of NY

Syracuse, New York, United States, 13210

Actively Recruiting

12

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States, 29572

Actively Recruiting

13

Urology San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

14

Swedish Medical Center

Seattle, Washington, United States, 98122-4379

Actively Recruiting

15

Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

16

Novartis Investigative Site

Darlinghurst, New South Wales, Australia, 2010

Actively Recruiting

17

Novartis Investigative Site

Adelaide, South Australia, Australia, 5000

Actively Recruiting

18

Novartis Investigative Site

São Paulo, São Paulo, Brazil, 01308-050

Actively Recruiting

19

Novartis Investigative Site

São Paulo, São Paulo, Brazil, 05652-000

Actively Recruiting

20

Novartis Investigative Site

Guangzhou, Guangdong, China, 510632

Actively Recruiting

21

Novartis Investigative Site

Wuhan, Hubei, China, 430022

Actively Recruiting

22

Novartis Investigative Site

Wuhan, Hubei, China, 430030

Actively Recruiting

23

Novartis Investigative Site

Nanjing, Jiangsu, China, 210006

Actively Recruiting

24

Novartis Investigative Site

Nanjing, Jiangsu, China, 210029

Actively Recruiting

25

Novartis Investigative Site

Shenyang, Liaoning, China, 110011

Actively Recruiting

26

Novartis Investigative Site

Chengdu, Sichuan, China, 610041

Actively Recruiting

27

Novartis Investigative Site

Hangzhou, Zhejiang, China, 310022

Actively Recruiting

28

Novartis Investigative Site

Beijing, China, 100034

Actively Recruiting

29

Novartis Investigative Site

Beijing, China, 100036

Actively Recruiting

30

Novartis Investigative Site

Guangzhou, China, 510060

Actively Recruiting

31

Novartis Investigative Site

Shanghai, China, 200025

Actively Recruiting

32

Novartis Investigative Site

Shanghai, China, 200032

Actively Recruiting

33

Novartis Investigative Site

Shanghai, China, 200127

Actively Recruiting

34

Novartis Investigative Site

Hong Kong, Hong Kong, 999077

Actively Recruiting

35

Novartis Investigative Site

Hong Kong, Hong Kong, 999999

Actively Recruiting

36

Novartis Investigative Site

Gurgaon, Haryana, India, 122 002

Actively Recruiting

37

Novartis Investigative Site

Mumbai, Maharashtra, India, 400 012

Actively Recruiting

38

Novartis Investigative Site

Sapporo, Hokkaido, Japan, 0608648

Actively Recruiting

39

Novartis Investigative Site

Kobe, Hyōgo, Japan, 6500047

Actively Recruiting

40

Novartis Investigative Site

Yokohama, Kanagawa-ku, Japan, 236-0004

Actively Recruiting

41

Novartis Investigative Site

Chuo Ku, Tokyo, Japan, 1040045

Actively Recruiting

42

Novartis Investigative Site

Chiba, Japan, 260-8717

Actively Recruiting

43

Novartis Investigative Site

Fukuoka, Japan, 811-0213

Actively Recruiting

44

Novartis Investigative Site

Fukuoka, Japan, 812-0033

Actively Recruiting

45

Novartis Investigative Site

Fukuoka, Japan, 8128582

Actively Recruiting

46

Novartis Investigative Site

Hiroshima, Japan, 7348551

Actively Recruiting

47

Novartis Investigative Site

Kyoto, Japan, 6068507

Actively Recruiting

48

Novartis Investigative Site

Singapore, Singapore, 119074

Actively Recruiting

49

Novartis Investigative Site

Singapore, Singapore, 168583

Actively Recruiting

50

Novartis Investigative Site

Singapore, Singapore, 169608

Actively Recruiting

51

Novartis Investigative Site

Seoul, Korea, South Korea, 03080

Actively Recruiting

52

Novartis Investigative Site

Seoul, South Korea, 06351

Actively Recruiting

53

Novartis Investigative Site

Kaohsiung City, Taiwan, 83301

Actively Recruiting

54

Novartis Investigative Site

Taoyuan, Taiwan, 33305

Actively Recruiting

55

Novartis Investigative Site

Sutton, Surrey, United Kingdom, SM2 5PT

Actively Recruiting

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Research Team

N

Novartis Pharmaceuticals

CONTACT

N

Novartis Pharmaceuticals

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

3

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