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NCT04868604: SECuRE
A Phase I/IIa Theranostic Study of 64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA for Identification and Treatment of PSMA-expressing Metastatic Castrate Resistant Prostate Cancer
Phase 1/Phase 2 trial testing 64Cu-SAR-bisPSMA in Prostatic Neoplasms, Castration-Resistant in 54 participants. Currently enrolling.
1 September 2026
Quick facts
| Lead sponsor | Clarity Pharmaceuticals Ltd |
|---|---|
| Phase | Phase 1/Phase 2 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 54 |
| Start date | 11 August 2021 |
| Primary completion | 1 September 2026 |
| Estimated completion | 1 September 2026 |
| Sites | 7 locations across United States |
Drugs / interventions tested
- 64Cu-SAR-bisPSMA — full drug profile →
- 67Cu-SAR-bisPSMA — full drug profile →
Conditions studied
- Prostatic Neoplasms, Castration-Resistant — all drugs for Prostatic Neoplasms, Castration-Resistant →
Sponsor
Clarity Pharmaceuticals Ltd — full company profile →
Who can join
18 and older, male only, with Prostatic Neoplasms, Castration-Resistant. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Biodistribution of 64Cu-SAR-bisPSMA
Time frame: 48 hours
Biodistribution will be calculated by utilizing the PET/CT scans. -
Dosimetry of 64Cu-SAR-bisPSMA
Time frame: 48 hours
Dosimetry will be calculated by utilizing the PET/CT scans. -
Modelling of 67Cu-SAR-bisPSMA dosimetry utilizing the 64Cu-SAR-bisPSMA PET/CT scans
Time frame: 48 hours
Dosimetry will be calculated by utilizing the PET/CT scans. -
Maximum Tolerated Dose (MTD) or Maximum Feasible Dose of a single dose of 67Cu-SAR-bisPSMA
Time frame: 8 weeks
MDT as determined by cohort observations of dose limiting toxicities (DLT) -
Recommended dose of two doses of 67Cu-SAR-bisPSMA
Time frame: 14 weeks
Recommended dose as determined by cohort observations of DLTs -
Efficacy of 67Cu-SAR-bisPSMA in terms of Prostate specific Antigen (PSA) response
Time frame: Up to 5 years
Proportion of participants with ≥50% decline in PSA
Sponsor's own description
The aim of this study is to determine the safety and efficacy of 67Cu-SAR-bisPSMA in participants with PSMA-expressing metastatic castrate resistant prostate cancer.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
PSMA PET/CT: joint EANM procedure guideline/SNMMI procedure standard for prostate cancer imaging 2.0.
Fendler WP, Eiber M, Beheshti M, Bomanji J, et al · · 2023 · cited 261× · PMID 36604326 · DOI 10.1007/s00259-022-06089-w -
Joint EANM/SNMMI procedure guideline for the use of <sup>177</sup>Lu-labeled PSMA-targeted radioligand-therapy (<sup>177</sup>Lu-PSMA-RLT).
Kratochwil C, Fendler WP, Eiber M, Hofman MS, et al · · 2023 · cited 171× · PMID 37246997 · DOI 10.1007/s00259-023-06255-8 -
Radiopharmaceuticals and their applications in medicine.
Zhang S, Wang X, Gao X, Chen X, et al · · 2025 · cited 113× · PMID 39747850 · DOI 10.1038/s41392-024-02041-6 -
Appropriate Use Criteria for Prostate-Specific Membrane Antigen PET Imaging.
Jadvar H, Calais J, Fanti S, Feng F, et al · · 2022 · cited 95× · PMID 34593595 · DOI 10.2967/jnumed.121.263262 -
Biological determinants of PSMA expression, regulation and heterogeneity in prostate cancer.
Bakht MK, Beltran H. · · 2025 · cited 87× · PMID 38977769 · DOI 10.1038/s41585-024-00900-z -
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 -
Recent Advances in <sup>64</sup>Cu/<sup>67</sup>Cu-Based Radiopharmaceuticals.
Krasnovskaya OO, Abramchuck D, Erofeev A, Gorelkin P, et al · · 2023 · cited 32× · PMID 37298101 · DOI 10.3390/ijms24119154 -
Radiolabeled PSMA Inhibitors.
Neels OC, Kopka K, Liolios C, Afshar-Oromieh A. · · 2021 · cited 28× · PMID 34944875 · DOI 10.3390/cancers13246255
Verify or expand the search:
- PubMed search for NCT04868604
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of 64Cu-SAR-bisPSMA
Trials testing the same drug.
- NCT06970847 — 64Cu-SAR-bisPSMA Positron Emission Tomography: A Phase 3 Study of Participants With Biochemical Recurrence of Prostate C · Phase 3 · recruiting
- NCT05249127 — 64Cu-SAR-bisPSMA for Identification of Participants With Recurrence of Prostate Cancer (COBRA) · Phase 1, PHASE2 · completed
- NCT05286840 — 64Cu-SAR-bisPSMA Positron Emission Tomography of Patients With Known or Suspected Prostate Cancer · Phase 1, PHASE2 · unknown
- NCT04839367 — Positron Emission Tomography (PET) Imaging of Participants With Confirmed Prostate Cancer Using 64Cu-SAR-bisPSMA (PROPEL · Phase 1 · completed
Other recruiting trials for Prostatic Neoplasms, Castration-Resistant
Currently open trials in the same condition.
- NCT07225946 — A Study of Pasritamig With Docetaxel Versus Docetaxel in Participants With Metastatic Castration-Resistant Prostate Canc · Phase 3 · recruiting
- NCT06706921 — 18F-Fluciclovine PET/CT Impact on Predicting Clinical Outcome of 177Lu-PSMA-617 Therapy in Patients With Prostate Cancer · Phase 4 · recruiting
- NCT06353386 — Substudy 01A: Safety and Efficacy of Opevesostat (MK-5684)-Based Treatment Combinations or Opevesostat Alone in Particip · Phase 1, PHASE2 · recruiting
- NCT05743621 — Study of TVB-2640 in Men With Metastatic Castration-Resistant Prostate Cancer · Phase 1 · recruiting
- NCT05393791 — Phase II Randomised Controlled Trial of Patient-specific Adaptive vs. Continuous Abiraterone or eNZalutamide in mCRPC · Phase 2 · recruiting
Other Clarity Pharmaceuticals Ltd trials
Trials by the same sponsor.
- NCT06970847 — 64Cu-SAR-bisPSMA Positron Emission Tomography: A Phase 3 Study of Participants With Biochemical Recurrence of Prostate C · Phase 3 · recruiting
- NCT05633160 — 64Cu-SAR-BBN and 67CU SAR-BBN for Identification and Treatment of Gastrin Releasing Peptide Receptor (GRPR)-Expressing M · Phase 1, PHASE2 · terminated
- NCT05407311 — 64Cu-SAR-BBN for Identification of Participants With Recurrence of Prostate Cancer (SABRE) · Phase 2 · completed
- NCT05249127 — 64Cu-SAR-bisPSMA for Identification of Participants With Recurrence of Prostate Cancer (COBRA) · Phase 1, PHASE2 · completed
- NCT04839367 — Positron Emission Tomography (PET) Imaging of Participants With Confirmed Prostate Cancer Using 64Cu-SAR-bisPSMA (PROPEL · Phase 1 · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04868604 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Clarity Pharmaceuticals Ltd
- Last refreshed: 4 May 2026
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/NCT04868604.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing