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PNT2002

Phase 3

Metastatic Castration-Resistant Prostate Cancer | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Jan 13, 2026

Target and mechanism

Molecular targetPSMA
Target classProtein
ModalitySmall molecule

Also known as [Lu-177]-PNT2002

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment455

FDA Designations

No designations recorded

Clinical trial landscape

PNT2002 · 1 trial · 1 indication

Phase 3 1
NCT04647526Study Evaluating mCRPC Treatment Using PSMA [Lu-177]-PNT2002 Therapy After Second-line Hormonal TreatmentMetastatic Castration-Resistant Prostate Cancer
ACTIVE NOT_RECRUITING455 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study Evaluating mCRPC Treatment Using PSMA [Lu-177]-PNT2002 Therapy After Second-line Hormonal Treatment
Metastatic Castration-Resistant Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Randomization Phase: Radiographic Progression-Free Survival (rPFS)
From the randomization date to the first documented progressive disease or death from any cause (up to 23 months)

* rPFS, as assessed by blinded independent central review (BICR), is the time from the randomization date to progression on soft tissue per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) or confirmed progression on bone lesions by Prostate Cancer Working Group 3 (PCWG3) criteria, or death from any cause. * The date of disease progression is the date of the scan for the first objectively documented progressive disease (PD) per RECIST v1.1 or PCWG3. PD is defined as a ≥20% increase in the sum of the diameters of target lesions (≥5 mm absolute), with reference being the smallest sum in the study, or unequivocal progression of non-target lesions, or appearance of new lesions. * Participants who do not progress, including those who started new anticancer therapy, withdrew from the study, or were lost to follow-up without disease progression, were censored at the last valid assessment for RECIST v1.1 or PCWG3.

Secondary Endpoints

Randomization Phase: Percentage of Participants With Objective Response Rate (ORR)
Randomization until measured progressive disease (up to 23 months)
Randomization Phase: Duration of Response
From the date of first CR or PR to disease progression or death (up to 16.3 months)
Randomization Phase: Percentage of Participants With Prostate-Specific Antigen (PSA) Response Rate
From the randomization up to 23 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lead-in Dosimetry Phase: [Lu-177]-PNT2002EXPERIMENTALParticipants received 6.8 gigabecquerels (GBq) (±10%) of \[Lu-177\]-PNT2002 by intravenous infusion every 8 weeks for 4 cycles.
Randomization Phase: [Lu-177]-PNT2002 (Arm A)EXPERIMENTALParticipants received 6.8 GBq (±10%) of \[Lu-177\]-PNT2002 by intravenous infusion every 8 weeks for 4 cycles.
Randomization Phase: Abiraterone or Enzalutamide (Arm B)ACTIVE_COMPARATORParticipants received either of below treatments until radiographic progression. * Enzalutamide 160 milligram (mg) orally once daily (or) * Abiraterone 1000 mg orally once daily coadministered with prednisone 5 mg orally twice daily or dexamethasone 0.5 mg orally once daily. Participants who experienced radiographic progression per Blinded Independent Central Review (BICR) (or after final overall survival (OS), per local investigator-assessment), had not started an intervening treatment, and had no uncontrolled adverse events (AEs) were eligible to consent to cross over to receive 6.8 GBq (±10%) of \[Lu-177\]-PNT2002 intravenous infusion every 8 weeks for 4 cycles.
Pharmacokinetic (PK) Extension Phase: [Lu-177]-PNT2002EXPERIMENTALParticipants received 6.8 GBq (±10%) of \[Lu-177\]-PNT2002 by intravenous infusion every 8 weeks for 4 cycles.

Interventions

NameTypeDescription
[Lu-177]-PNT2002DRUGParticipants randomized to Arm A will receive 6.8 GBq (±10%) of \[Lu-177\]-PNT2002 every 8 weeks for 4 cycles
AbirateroneDRUGAbiraterone (1000 mg orally once daily with: 5 mg twice daily prednisone or 0.5 mg once daily dexamethasone)
EnzalutamideDRUGEnzalutamide (160 mg orally once daily)
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites54

Inclusion Criteria: 1. Male aged 18 years or older. 2. Histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. 3. Ineligible or averse to chemotherapeutic treatment options. 4. Patients must have progressive mCRPC at the time of consent based on at least 1 of ...

Countries:United StatesCanadaFranceNetherlandsSwedenUnited Kingdom
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Frequently asked questions about PNT2002

What is PNT2002 used for in metastatic castration-resistant prostate cancer?

PNT2002 is an investigational small molecule being studied for the treatment of metastatic castration-resistant prostate cancer (mCRPC). It is a radioligand therapy that delivers a radioactive isotope, lutetium-177, to prostate-specific membrane antigen (PSMA)-expressing cells. The drug is currently in Phase 3 clinical development.

What does PNT2002 target?

PNT2002 targets PSMA, or prostate-specific membrane antigen, a protein that is highly expressed on prostate cancer cells. By binding to PSMA, the drug delivers a radioactive payload directly to the tumor cells, potentially causing damage to the cancer while sparing normal tissue. This mechanism is being evaluated in patients with metastatic castration-resistant prostate cancer.

Who is developing PNT2002?

PNT2002 is being developed by Eli Lilly and Company, a biopharmaceutical company listed on the New York Stock Exchange under the ticker symbol LLY. The company is conducting a Phase 3 clinical trial to evaluate the drug in patients with metastatic castration-resistant prostate cancer.

What phase is PNT2002 in?

PNT2002 is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The ongoing Phase 3 trial is designed to assess the safety and efficacy of PNT2002 in patients with metastatic castration-resistant prostate cancer who have received prior hormonal treatment.

What clinical trials is PNT2002 in?

PNT2002 is being evaluated in a single Phase 3 clinical trial with the identifier NCT04647526. This active, non-recruiting study is titled 'Study Evaluating mCRPC Treatment Using PSMA [Lu-177]-PNT2002 Therapy After Second-line Hormonal Treatment.' It enrolls 455 male patients aged 18 years and older with metastatic castration-resistant prostate cancer across the United States, Canada, France, Netherlands, Sweden, and the United Kingdom.

Is PNT2002 the same as [Lu-177]-PNT2002?

Yes, PNT2002 is also known as [Lu-177]-PNT2002. The name indicates that the drug is a conjugate of the radioactive isotope lutetium-177 with the targeting molecule PNT2002. This alternative name is used in clinical trial documentation to specify the radiolabeled form of the drug being studied.