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Pb-PSV359

Phase 1

Pancreatic Ductal Adenocarcinoma | Small molecule | Oncology |Perspective Therapeutics, Inc.|Trials Updated: Oct 7, 2026

Pb-PSV359 target and mechanism

Molecular targetFAP
ModalitySmall molecule

Also known as [203Pb]Pb-PSV359

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment112

FDA Designations

No designations recorded

Pb-PSV359 clinical trials

Pb-PSV359 · 1 trial · 8 indications

Phase 1 1
NCT06710756Lead-212 PSV359 Therapy for Patients With Solid TumorsPancreatic Ductal Adenocarcinoma
RECRUITING112 Analytics
PHASE1RECRUITING
Lead-212 PSV359 Therapy for Patients With Solid Tumors
Pancreatic Ductal AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Determination of safety and tolerability of [203Pb]Pb-PSV359
30 days (±1day) post dose

Incidence and severity of treatment-related adverse events following a single administration of \[203Pb\]Pb-PSV359 is determined

Determination of safety and tolerability of [212Pb]Pb-PSV359
Up to 3 years

Incidence and severity of treatment-related adverse events following a single and each repeated administration of \[212Pb\]Pb-PSV359 is determined

To determine the recommended phase 2 dose of [212Pb]Pb-PSV359
Up to approximately 6 months

The recommended phase 2 dose as determined by cohort observations and review by the Safety Monitoring Committee

Secondary Endpoints

Determination of duration of response following treatment with [212Pb]Pb-PSV359
Up to 3 years
Determination of progression free survival following treatment with [212Pb]Pb-PSV359
Up to 3 years
Determination of pharmacokinetic properties of [203Pb]Pb-PSV359 and [212Pb]Pb-PSV359
Up to approximately 3 yrs
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose EscalationEXPERIMENTAL* Enrolled subjects are administered \[203Pb\]Pb-PSV359 (7mCi) for imaging FAP-expressing cancers. * Approximately Four cohorts of \[212Pb\]Pb-PSV359 dose levels will be explored for determining Recommended Phase 2 Dose (RP2D). Study subjects will be assigned to cohorts sequentially.
Dose ExpansionEXPERIMENTAL* Enrolled subjects are administered \[203Pb\]Pb-PSV359 (7mCi) for imaging FAP-expressing cancers. * Enrolled subjects are administered \[212Pb\]Pb-PSV359 (RP2D determined previously) for treatment of FAP-expressing cancers

Interventions

NameTypeDescription
[203Pb]Pb-PSV359DRUG\[203Pb\]Pb-PSV359 is administered by intravenous bolus injection for single-photon emission computed tomography imaging.
[212Pb]Pb-PSV359DRUG\[212Pb\]Pb-PSV359 is administered by intravenous infusion for treatment of FAP expressing cancers.
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Eligibility Criteria

Age Range18 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Aged ≥ 18 years * Satisfactory organ function as determined by laboratory testing * Eastern Cooperative Oncology Group performance (ECOG) status of 0 to 1 * Life expectancy \> 3 months * Progressive disease despite standard therapy or for whom no standard therapy exists * Posi...

Countries:United States
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Recent Changes (Last 90 Days)

LOWOct 7, 2026NCT06710756lastUpdatePostDate: changed
LOWOct 7, 2026NCT06710756lastUpdatePostDate: changed

Frequently asked questions about Pb-PSV359

What is Pb-PSV359?

Pb-PSV359 is an investigational small molecule radiopharmaceutical being developed by Perspective Therapeutics, Inc. for pancreatic ductal adenocarcinoma and other solid tumors. It is designed to deliver targeted radiation to cancer cells and is currently in Phase 1 clinical development.

What does Pb-PSV359 target?

Pb-PSV359 targets fibroblast activation protein, or FAP, which is expressed in the tumor microenvironment of many solid tumors. By binding to FAP, the drug aims to deliver therapeutic radiation selectively to FAP-expressing cells.

Who is developing Pb-PSV359?

Pb-PSV359 is being developed by Perspective Therapeutics, Inc., a biopharmaceutical company. The company's ticker symbol is CATX.

What phase is Pb-PSV359 in?

Pb-PSV359 is in Phase 1 clinical development. It is an investigational therapy and has not been approved by the FDA for any indication.

What clinical trials is Pb-PSV359 in?

Pb-PSV359 is being evaluated in a Phase 1 clinical trial, NCT06710756, titled Lead-212 PSV359 Therapy for Patients With Solid Tumors. The trial is currently recruiting participants and has an estimated enrollment of 112 patients.

Is Pb-PSV359 the same as [203Pb]Pb-PSV359?

Yes, Pb-PSV359 is also known as [203Pb]Pb-PSV359. The bracketed notation indicates the isotope used in the compound. Both names refer to the same investigational radiopharmaceutical.