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NCT05410821

Evaluation of 177Lu-DOTA-EB-FAPI in Patients With Metastatic Radioactive Iodine Refractory Thyroid Cancer

Completed Phase 1 Last updated 1 April 2025
What this trial tests

Phase 1 trial testing 177Lu-DOTA-EB-FAPI 1 radionuclide therapy in Refractory Thyroid Gland Carcinoma in 12 participants. Completed in 27 March 2025.

Timeline
15 June 2022
Primary endpoint
15 June 2024
27 March 2025

Quick facts

Lead sponsorThe First Affiliated Hospital of Xiamen University
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date15 June 2022
Primary completion15 June 2024
Estimated completion27 March 2025
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

The First Affiliated Hospital of Xiamen University

Who can join

18 and older, any sex, with Refractory Thyroid Gland Carcinoma or Refractory Thyroid Gland Papillary Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Increased fibroblast activation protein expression is positively correlated with the dedifferentiation and aggressiveness of thyroid cancer. Radiolabeled fibroblast activation protein inhibitor therapy, also known as radioligand therapy has become a novel treatment for patients with radioactive iodine refractory thyroid cancer and disease progression after first-line treatment. However, a major problem in the therapeutic use of 177Lu-DOTA-FAPI has been its short half-life and fast rate of clearance. This study was designed to evaluate the safety, tolerability, and maximum tolerated dose of a long-lasting radiolabeled fibroblast activation protein inhibitor 177Lu-DOTA-EB-FAPI in mRAIR-TC patients with PD after TKIs treatment.

Publications & conference data

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

  1. Fibroblast activation protein-targeted radionuclide therapy: background, opportunities, and challenges of first (pre)clinical studies.
    Privé BM, Boussihmad MA, Timmermans B, van Gemert WA, et al · · 2023 · cited 139× · PMID 36813980 · DOI 10.1007/s00259-023-06144-0
  2. Fibroblast Activation Protein-Targeted Radioligand Therapy with 177Lu-EB-FAPI for Metastatic Radioiodine-Refractory Thyroid Cancer: First-in-Human, Dose-Escalation Study.
    Fu H, Huang J, Zhao T, Wang H, et al · · 2023 · cited 67× · PMID 37801296 · DOI 10.1158/1078-0432.ccr-23-1983
  3. Cancer-associated fibroblasts as therapeutic targets for cancer: advances, challenges, and future prospects.
    Cao Z, Quazi S, Arora S, Osellame LD, et al · · 2025 · cited 57× · PMID 39780187 · DOI 10.1186/s12929-024-01099-2
  4. Advances in targeting tumor microenvironment for immunotherapy.
    Wang L, Zhang L, Zhang Z, Wu P, et al · · 2024 · cited 34× · PMID 39421736 · DOI 10.3389/fimmu.2024.1472772
  5. A Primer on Radiopharmaceutical Therapy.
    Salerno KE, Roy S, Ribaudo C, Fisher T, et al · · 2023 · cited 25× · PMID 35970373 · DOI 10.1016/j.ijrobp.2022.08.010
  6. From basic research to clinical application: targeting fibroblast activation protein for cancer diagnosis and treatment.
    Zhang Z, Tao J, Qiu J, Cao Z, et al · · 2024 · cited 21× · PMID 37726505 · DOI 10.1007/s13402-023-00872-z
  7. Therapeutic potential of FAPI RLT in oncology: A systematic review.
    Ruzzeh S, Abdlkadir AS, Paez D, Kang KW, et al · · 2025 · cited 18× · PMID 40213678 · DOI 10.7150/thno.106108
  8. Theranostics in targeting fibroblast activation protein bearing cells: Progress and challenges.
    Rezaei S, Gharapapagh E, Dabiri S, Heidari P, et al · · 2023 · cited 17× · PMID 37481033 · DOI 10.1016/j.lfs.2023.121970

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Other recruiting trials for Refractory Thyroid Gland Carcinoma

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