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NCT03822871

A Trial of CTT1403 for Metastatic Castration Resistant Prostate Cancer

Completed Phase 1 Results posted Last updated 21 March 2024
What this trial tests

Phase 1 trial testing CTT1403 in Prostate Cancer in 17 participants. Completed in 8 February 2023.

Timeline
1 April 2019
Primary endpoint
28 October 2022
8 February 2023

Quick facts

Lead sponsorCancer Targeted Technology
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment17
Start date1 April 2019
Primary completion28 October 2022
Estimated completion8 February 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cancer Targeted Technology — full company profile →

Who can join

18 and older, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Frequency of Dose-limiting Toxicity at Escalating Dose Levels of CTT1403 Primary · 6-8 weeks from time of injection on Cycle 1 - Day 1

The dose-limiting toxicity was defined as any of the following: 1. Grade 4 neutropenia lasting \> 5 consecutive days 2. Grade 3 or 4 febrile neutropenia 3. Grade 4 thrombocytopenia lasting ≥ 7 days, or Grade 3 or 4 thrombocytopenia with clinically significant bleeding or requirement for platelet transfusion 4. Any nonhematologic, treatment-related AE ≥ Grade 3, with the exceptions of Grade 3 nausea, vomiting, diarrhea, non-clinically significant electrolyte abnormality, constipation, fever, fatigue, or skin rash that resolves to Grade ≤ 2 within 72 hours with optimal medical management 5. Any

GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort0
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
0.75 GBq Cohort1
1.5 GBq Cohort1
2.0 GBq Cohort1
3.0 GBq Cohort3
4.5 GBq Cohort4
6.0 GBq Cohort3
7.5 GBq Cohort3
9.0 GBq Cohort1
Objective Response Rate by RECIST v1.1 Criteria Primary · Cycle 1-Day 35, Cycle 2-Day 35, 30 Days After Last Dose, 8 Weeks Post-Treatment. Each cycle lasted 35 days.

Changes in only the largest diameters (unidimensional measurment) of the tumor lesions are used in the RECIST v1.1 criteria. Data presented as RECIST Overall Response.

Number of patients with stable disease on Cycle 1-Day 35
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort1
2.0 GBq Cohort0
3.0 GBq Cohort1
4.5 GBq Cohort4
6.0 GBq Cohort2
7.5 GBq Cohort1
9.0 GBq Cohort1
Number of patients with progressive disease on Cycle 1-Day 35
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort1
3.0 GBq Cohort2
4.5 GBq Cohort0
6.0 GBq Cohort1
7.5 GBq Cohort1
9.0 GBq Cohort0
Number of patients with stable disease on Cycle 2-Day 35
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort1
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort2
6.0 GBq Cohort1
7.5 GBq Cohort3
9.0 GBq Cohort0
Number of patients with progressive disease on Cycle 2-Day 35
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort1
4.5 GBq Cohort0
6.0 GBq Cohort1
7.5 GBq Cohort0
9.0 GBq Cohort1
Number of patients with stable disease 30 days after last dose
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort0
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
Number of patients with progressive disease 30 days after last dose
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort1
3.0 GBq Cohort1
4.5 GBq Cohort0
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
Number of patients with stable disease 8 weeks post-treatment
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort0
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
Number of patients with progressive disease 8 weeks post-treatment
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort1
6.0 GBq Cohort1
7.5 GBq Cohort1
9.0 GBq Cohort0
Assessment of Organ Dosimetry of CTT1403 by SPECT/CT Imaging Secondary · 2 hrs ± 1 followed by 24±12 hrs, 48±12 hrs, and 168±24 hrs post-infusion on Cycle 1-Day 1

Organ dosimetry was assessed via SPECT/CT imaging until two imaging periods have been collected in which study drug cannot be detected by SPECT/CT. Time points included (2 hrs ± 1 followed by 24±12 hrs, 48±12 hrs, and 168±24 hrs post-infusion on Cycle 1-Day 1. Data calculated using OLINDA. Absorbed dose is calculated as single value wherein absorbed dose is proportional to the integral of activity over time.

Mean absorbed dose per GBq - Left Kidney
GroupValue95% CI
0.75 GBq Cohort0.608
1.5 GBq Cohort0.611
2.0 GBq Cohort0.760
3.0 GBq Cohort1.024± 0.428
4.5 GBq Cohort0.579± 0.127
6.0 GBq Cohort0.518± 0.072
7.5 GBq Cohort0.774± 0.199
9.0 GBq Cohort0.699
Mean absorbed dose per GBq - Right Kidney
GroupValue95% CI
0.75 GBq Cohort0593
1.5 GBq Cohort0.585
2.0 GBq Cohort1.021
3.0 GBq Cohort1.032± 0.550
4.5 GBq Cohort0.638± 0.108
6.0 GBq Cohort0.477± 0.064
7.5 GBq Cohort0.731± 0.279
9.0 GBq Cohort0.677
Number of Participants With Change in Patient Reported Pain as Measured by Brief Pain Index Secondary · Cycle 1-Day 1 and Cycle 2-Day 1. Each cycle lasted 35 days.

The Brief Pain Index uses a scale of 0-10 to rate the severity of pain. A rating of 0 indicates no pain. A rating of 10 indicates the worst pain imaginable.

Change in rating of pain at its worst in the past 24 hours from Cycle 1-Day 1 to Cycle 2-Day 1
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort1
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort1
4.5 GBq Cohort1
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort1
6.0 GBq Cohort1
7.5 GBq Cohort2
9.0 GBq Cohort0
Change in rating of average pain from Cycle 1-Day 1 to Cycle 2-Day 1
GroupValue95% CI
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort0
6.0 GBq Cohort1
7.5 GBq Cohort0
9.0 GBq Cohort0
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort1
4.5 GBq Cohort0
6.0 GBq Cohort0
7.5 GBq Cohort0
9.0 GBq Cohort0
0.75 GBq Cohort0
1.5 GBq Cohort0
2.0 GBq Cohort0
3.0 GBq Cohort0
4.5 GBq Cohort3
6.0 GBq Cohort0
7.5 GBq Cohort2
9.0 GBq Cohort0
Assessment of Pharmacokinetics of CTT1403 Secondary · Samples were collected during Cycle 1 (timepoints start at the initiation of infusion): Day 1 (30 min +/- 5 min and 2 hrs +/- 30 min), Day 2 (24 hrs +/- 12 hrs), Day 3 (48 hrs +/- 12 hrs), Day 8 (168 hrs +/- 24 hrs), Day 15 (336 hrs +/- 24 hrs)

The distribution half-life and the elimination half-life of CTT1403 were calculated.

Distribution half-life
GroupValue95% CI
1.5 GBq Cohort0.747
2.0 GBq Cohort1.044
3.0 GBq Cohort0.699± 0.267
4.5 GBq Cohort0.813± 0.068
6.0 GBq Cohort0.680± 0.149
Elimination half-life
GroupValue95% CI
1.5 GBq Cohort28.881
2.0 GBq Cohort23.902
3.0 GBq Cohort29.616± 2.673
4.5 GBq Cohort36.867± 4.531
6.0 GBq Cohort38.173± 11.365

Adverse events — posted to ClinicalTrials.gov

Time frame: Information on adverse events was collected throughout the course of the study and up to 6 months after the last administered dose of the study drug, up to a total of 7 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

0.75 GBq Cohort
Serious: 0/1 (0%)
Deaths: 1/1
1.5 GBq Cohort
Serious: 0/1 (0%)
Deaths: 1/1
2.0 GBq Cohort
Serious: 0/1 (0%)
Deaths: 1/1
3.0 GBq Cohort
Serious: 0/3 (0%)
Deaths: 3/3
4.5 GBq Cohort
Serious: 1/4 (25%)
Deaths: 4/4
6.0 GBq Cohort
Serious: 1/3 (33%)
Deaths: 3/3
7.5 GBq Cohort
Serious: 1/3 (33%)
Deaths: 3/3
9.0 GBq Cohort
Serious: 0/1 (0%)
Deaths: 1/1

Serious adverse events (6 terms)

ReactionSystem0.75 GBq Cohort1.5 GBq Cohort2.0 GBq Cohort3.0 GBq Cohort4.5 GBq Cohort6.0 GBq Cohort7.5 GBq Cohort9.0 GBq Cohort
Grade 3 FallGeneral disorders
Grade 3 SyncopeGeneral disorders
Grade 3 Atrial Fibrillation with Rapid Ventricular ResponseCardiac disorders
Grade 3 Pulmonary EdemaRespiratory, thoracic and mediastinal disorders
Grade 3 HyponatremiaBlood and lymphatic system disorders
Grade 3 Cerebrovascular AccidentNervous system disorders
Other adverse events (21 terms — click to expand)

ReactionSystem0.75 GBq Cohort1.5 GBq Cohort2.0 GBq Cohort3.0 GBq Cohort4.5 GBq Cohort6.0 GBq Cohort7.5 GBq Cohort9.0 GBq Cohort
Decreased apetiteGastrointestinal disorders
NauseaGastrointestinal disorders
Dry mouthGastrointestinal disorders
Dry heaveGastrointestinal disorders
Abdominal malaiseGeneral disorders
ConstipationGastrointestinal disorders
Back PainMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
Bone PainMusculoskeletal and connective tissue disorders
Flank painMusculoskeletal and connective tissue disorders
Blood in urineRenal and urinary disorders
Dry skinSkin and subcutaneous tissue disorders
Dry eyeEye disorders
ThrombocytopeniaBlood and lymphatic system disorders
VomittingGastrointestinal disorders
DiaphoresisGeneral disorders
Taste changesGastrointestinal disorders
Periorbital swellingSkin and subcutaneous tissue disorders
Intermittent bloatingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Grade 3 Fall, Grade 3 Syncope, Grade 3 Atrial Fibrillation with Rapid Ventricular Response, Grade 3 Pulmonary Edema, Grade 3 Hyponatremia, Grade 3 Cerebrovascular Accident.

Data from ClinicalTrials.gov NCT03822871 adverse events section.

Sponsor's own description

The purpose of this study is to find the highest dose level of study drug, CTT1403, that can be safely administered to patients with metastatic castration resistant prostate cancer (mCRPC).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Radiopharmaceutical therapy in cancer: clinical advances and challenges.
    Sgouros G, Bodei L, McDevitt MR, Nedrow JR. · · 2020 · cited 551× · PMID 32728208 · DOI 10.1038/s41573-020-0073-9
  2. Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials.
    Jang A, Kendi AT, Sartor O. · · 2023 · cited 63× · PMID 36895851 · DOI 10.1177/17588359231157632
  3. PSMA-Targeted Radiopharmaceuticals in Prostate Cancer: Current Data and New Trials.
    Ramnaraign B, Sartor O. · · 2023 · cited 49× · PMID 36806966 · DOI 10.1093/oncolo/oyac279
  4. Towards the Magic Radioactive Bullet: Improving Targeted Radionuclide Therapy by Reducing the Renal Retention of Radioligands.
    de Roode KE, Joosten L, Behe M. · · 2024 · cited 33× · PMID 38399470 · DOI 10.3390/ph17020256
  5. Preclinical Dosimetry, Imaging, and Targeted Radionuclide Therapy Studies of Lu-177-Labeled Albumin-Binding, PSMA-Targeted CTT1403.
    Ling X, Latoche JD, Choy CJ, Kurland BF, et al · · 2020 · cited 28× · PMID 31321650 · DOI 10.1007/s11307-019-01404-8
  6. More Than Meets the Eye: Scientific Rationale behind Molecular Imaging and Therapeutic Targeting of Prostate-Specific Membrane Antigen (PSMA) in Metastatic Prostate Cancer and Beyond.
    Hyväkkä A, Virtanen V, Kemppainen J, Grönroos TJ, et al · · 2021 · cited 22× · PMID 34067046 · DOI 10.3390/cancers13092244
  7. Combination Therapy, a Promising Approach to Enhance the Efficacy of Radionuclide and Targeted Radionuclide Therapy of Prostate and Breast Cancer.
    Damiana TST, Dalm SU. · · 2021 · cited 16× · PMID 34067215 · DOI 10.3390/pharmaceutics13050674
  8. PSMA theragnostics for metastatic castration resistant prostate cancer.
    Song H, Guja KE, Iagaru A. · · 2022 · cited 8× · PMID 35659674 · DOI 10.1016/j.tranon.2022.101438

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03822871.

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