Recent Updates
Recently added Catalysts

Ac-AKY-2519

Phase 1

Castration Resistant Metastatic Prostate Cancer | Small Molecules | Oncology |Aktis Oncology, Inc.|Trials Updated: Nov 2, 2026

Ac-AKY-2519 target and mechanism

Molecular targetB7-H3
ModalitySmall Molecules

Also known as [225Ac]Ac-AKY-2519 (therapeutic)

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials2
Total Enrollment290

FDA Designations

No designations recorded

Ac-AKY-2519 clinical trials

Ac-AKY-2519 · 2 trials · 14 indications

Phase 1 2
NCT07887971A Study of [225Ac]Ac-AKY-2519 in Patients With B7-H3 Expressing Solid TumorsNSCLC
RECRUITING152 Analytics
NCT07581184A Study of [225Ac]Ac-AKY-2519 in Patients With Metastatic Castration-Resistant Prostate CancerCastration Resistant Metastatic Prostate Cancer
RECRUITING138 Analytics
PHASE1RECRUITING
A Study of [225Ac]Ac-AKY-2519 in Patients With B7-H3 Expressing Solid Tumors
NSCLCUnlock trial analytics
PHASE1RECRUITING
A Study of [225Ac]Ac-AKY-2519 in Patients With Metastatic Castration-Resistant Prostate Cancer
Castration Resistant Metastatic Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Occurrence of adverse events by severity and occurrence of serious adverse events (SAEs) in participants who received [225Ac]Ac-AKY-2519
Up to 30 days following last administration of [225Ac]Ac-AKY-2519

An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of patients experiencing an AE and the number of patients experiencing an SAE will be reported.

Part 1: Occurrence of dose-limiting toxicity (DLT) in participants
From first administration of [225Ac]Ac-AKY-2519 to the end of Cycle 1 (each cycle is 28 days)

Dose-limiting toxicities (DLTs) is defined as any predefined AE occurring during the DLT observation period, except those that are clearly and incontrovertibly due to extraneous circumstances. The number of patients who experience a DLT will be reported separately for each cohort and by dose level within each cohort

Part 2: Objective Response Rate (ORR)
Up to 30 days following last administration of [225Ac]Ac-AKY-2519

Part 2: Objective Response Rate (ORR) • Objective response rate is defined as the percentage of patients who achieved a best overall response of confirmed Complete Response (CR) or Partial Response (PR), as determined by the investigator based on RECIST v1.1. Up to 30 days following last administration of \[225Ac\]Ac-AKY-2519

Occurrence of adverse events by severity and occurrence of serious adverse events (SAEs) in participants who received [225Ac]Ac-AKY-2519
Up to 30 days following last administration of [225Ac]Ac-AKY-2519

An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of patients experiencing an AE and the number of patients experiencing an SAE will be reported. Up to 30 days following last administration of \[225Ac\]Ac-AKY-2519

Occurrence of dose-limiting toxicity (DLT) in mCRPC participants with and without prior 177Lu-PSMA-617 exposure
From first administration of [225Ac]Ac-AKY-2519 to the end of Cycle 1 (each cycle is 28 days)

Dose-limiting toxicities (DLTs) is defined as any predefined AE occurring during the DLT observation period, except those that are clearly and incontrovertibly due to extraneous circumstances. The number of patients who experience a DLT will be reported separately for each cohort and by dose level within each cohort.

Secondary Endpoints

Part 1: Occurrence of adverse events by severity and occurrence of serious adverse events (SAEs) in participants who received [64Cu]Cu AKY 2519
Up to 6 days following last administration of [64Cu]Cu AKY 2519 or, if earlier, until the first dose of [225Ac]Ac-AKY-2519
Part 1: Objective Response Rate (ORR)
Up to 30 days following last administration of [225Ac]Ac-AKY-2519
Part 2: Duration of Response (DoR)
Up to 5 years after first administration
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
[225Ac]Ac-AKY-2519EXPERIMENTAL -

Interventions

NameTypeDescription
[225Ac]Ac-AKY-2519 (therapeutic)DRUG\[225Ac\]Ac-AKY-2519 Injection
[64Cu]Cu-AKY-2519 (imaging)DRUG\[64Cu\]Cu-AKY-2519 Injection
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Age ≥ 18 years * Histologic or cytologic confirmation of locally advanced or metastatic NSCLC, ES-SCLC, HNSCC, ESCC, CRC or prostatic adenocarcinoma * Radiologic confirmation on CT of at least one measurable tumor lesion per RECIST v1.1 * ECOG Performance Status of 0 or 1 * Ad...

Countries:United States
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWNov 2, 2026NCT07887971lastUpdatePostDate: changed
LOWNov 2, 2026NCT07581184lastUpdatePostDate: changed
LOWNov 2, 2026NCT07887971lastUpdatePostDate: changed
LOWNov 2, 2026NCT07581184lastUpdatePostDate: changed
LOWOct 30, 2026NCT07581184lastUpdatePostDate: changed
LOWOct 30, 2026NCT07581184lastUpdatePostDate: changed
LOWOct 22, 2026NCT07887971NEW_TRIAL: changed
LOWOct 22, 2026NCT07887971NEW_TRIAL: changed
LOWSep 16, 2026NCT07581184startDate: changed
LOWSep 16, 2026NCT07581184startDate: changed
LOWSep 16, 2026NCT07581184startDate: changed
LOWSep 16, 2026NCT07581184startDate: changed

Frequently asked questions about Ac-AKY-2519

What is Ac-AKY-2519?

Ac-AKY-2519 is an investigational small molecule therapeutic developed by Aktis Oncology for B7-H3 expressing solid tumors. It is being studied in Phase 1 clinical trials in castration resistant metastatic prostate cancer and non-small cell lung cancer, and it has not been approved by the FDA.

What does Ac-AKY-2519 target?

Ac-AKY-2519 targets B7-H3, a protein expressed on a range of solid tumors. By binding B7-H3, the agent is designed to deliver its therapeutic payload to B7-H3 expressing cancer cells. Its clinical program enrolls patients whose tumors express B7-H3.

What is Ac-AKY-2519 used for?

Ac-AKY-2519 is being studied for castration resistant metastatic prostate cancer and non-small cell lung cancer. Its Phase 1 trials also list extensive stage small cell lung cancer, head and neck squamous cell carcinoma, esophageal cancer, and colorectal cancer among the conditions under investigation.

Who makes Ac-AKY-2519?

Ac-AKY-2519 is developed by Aktis Oncology, Inc., which trades under the ticker AKTS. The company is running the Phase 1 program for the asset in the United States.

What phase is Ac-AKY-2519 in?

Ac-AKY-2519 is in Phase 1 clinical development. It is investigational and has not been approved by the FDA. The program consists of two recruiting Phase 1 studies, one in B7-H3 expressing solid tumors and one in metastatic castration-resistant prostate cancer.

What clinical trials is Ac-AKY-2519 in?

Ac-AKY-2519 is being evaluated in two recruiting Phase 1 trials. NCT07887971 studies [225Ac]Ac-AKY-2519 in patients with B7-H3 expressing solid tumors, with planned enrollment of 152. NCT07581184 studies it in metastatic castration-resistant prostate cancer, with planned enrollment of 138 men.

Is Ac-AKY-2519 the same as [225Ac]Ac-AKY-2519?

Yes. [225Ac]Ac-AKY-2519 is the therapeutic form of Ac-AKY-2519, and the two names refer to the same Aktis Oncology asset. The bracketed designation appears in the trial titles for the Phase 1 studies in B7-H3 expressing solid tumors and metastatic castration-resistant prostate cancer.