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Recruiting Phase 1 NCT07020117

NCT07020117 A Study of [225Ac]Ac-AKY-1189 in Patients With Solid Tumors

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Clinical Trial Summary
NCT ID NCT07020117
Status Recruiting
Phase Phase 1
Sponsor Aktis Oncology, Inc.
Condition Urothelial Carcinoma Bladder
Study Type INTERVENTIONAL
Enrollment 150 participants
Start Date 2025-08-22
Primary Completion 2027-12

Trial Parameters

Condition Urothelial Carcinoma Bladder
Sponsor Aktis Oncology, Inc.
Study Type INTERVENTIONAL
Phase Phase 1
Enrollment 150
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2025-08-22
Completion 2027-12
Interventions
[225Ac]Ac-AKY-1189 (therapeutic)[64Cu]Cu-AKY-1189 (imaging)

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Brief Summary

This is a first-in-human Phase 1b, 2-part, multicenter open-label clinical study to evaluate safety and efficacy of a Nectin-4 radiopharmaceutical (\[225Ac\]Ac-AKY-1189) in patients with locally advanced or metastatic solid tumors and to establish the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose.

Eligibility Criteria

Inclusion Criteria: * Histologic or cytologic confirmation of locally advance or metastatic disease * Radiologic confirmation on CT of at least one measurable tumor lesion per RECIST v1.1 * ECOG Performance Status of 0 or 1 * Adequate end-organ function * Ability to give informed consent and comply with study requirements * Patients with CNS metastases are eligible if they have received therapy and are neurologically stable, asymptomatic and not receiving corticosteroids * Documented disease progression on prior line of therapy for metastatic disease Exclusion Criteria: * Prior treatment with a therapeutic radiopharmaceutical * Prior treatment with a Nectin-4 targeted therapy, except enfortumab vedotin * Received an investigational agent within the previous 28days * Prior treatment with a cytotoxic chemotherapy, targeted therapy, biologic agent, immunotherapy or external-beam radiotherapy in the 3 weeks prior to study treatment * Concurrent serious medical condition that would impair s

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