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177Lu-PSMA-617

Phase 3

Prostatic Neoplasms | Small molecule | Oncology |Novartis AG|Last Updated: Jun 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,609
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04689828177Lu-PSMA-617 vs. Androgen Receptor-Directed Therapy in the Treatment of Progressive Metastatic Castrate Resistant Prostate CancerPHASE3 ACTIVE NOT_RECRUITING 469Jun 15, 2021Sep 30, 2026Mar 23, 202672 United States, Austria +12
NCT04720157An International Prospective Open-label, Randomized, Phase III Study Comparing 177Lu-PSMA-617 in Combination With Standard of Care (SoC), Versus SoC Alone, in Adult Male Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC)PHASE3 ACTIVE NOT_RECRUITING 1,140Jun 9, 2021Feb 11, 2027Jun 8, 2026167 United States, Austria +17
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Study Endpoints
Primary Endpoints
Radiographic Progression Free Survival (rPFS)
median FU (randomization to event or censoring) 3.65 months (range 0-12.3)

rPFS is defined as the time to radiographic progression by Prostate cancer working Group 3 (PCWG3)-modified RECIST v1.1 as assessed by Blinded independent central (BICR) review or death.

Secondary Endpoints
Overall Survival (OS) (Key Secondary Endpoint)
approx. 26.9 months from randomization to cut-off
Radiographic Progression Free Survival 2 (rPFS2) by Blinded Independent Central Review (BICR)
From date of crossover until second radiographic progression or death, whichever comes first, assessed up to approx. 32 months
Progression Free Survival (PFS) by Investigator's Assessment
From date of randomization until date of progression or date of death from any cause, whichever comes first, assessed upFrom date of randomization until date of death from any cause, assessed up to approx. 32 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
177Lu-PSMA-617EXPERIMENTALParticipants received 7.4 GBq (200 mCi) +/- 10% 177Lu-PSMA-617 once every 6 weeks for 6 cycles. Best supportive care, including ADT could be used.
Androgen receptor-directed therapy (ARDT)ACTIVE_COMPARATORFor participants randomized to the ARDT arm, abiraterone or enzalutamide was administered per the physician's orders. Best supportive care, including Androgen deprivation therapy (ADT) could be used.
Standard of CareACTIVE_COMPARATORFor participants randomized to Standard of Care arm, ARDT +ADT is considered as SOC and treatment will be administered per the physician's order
Interventions
NameTypeDescription
177Lu-PSMA-617DRUGadministered intravenously once every 6 weeks (1 cycle) for 6 cycles
68Ga-PSMA-11DRUGsingle intravenous dose of approximately 150 MBq. Administered dose must not be lower than 111 MBq or higher than 185 MBq (3 - 5 mCi).
ARDTDRUGadministered orally on a continuous basis, as per package insert and guidelines
ADTDRUGADT are administered as per physician order
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Eligibility Criteria
Age Range18 Years — 100 Years
SexMALE
Healthy VolunteersNo
Study Sites72

Inclusion Criteria: * Signed informed consent must be obtained prior to participation in the study. * Participants must be adults \>= 18 years of age. * Participants must have an ECOG performance status of 0 to 1. * Participants must have histological pathological, and/or cytological confirmation o...

Countries:United StatesAustriaBelgiumCanadaCzechiaFranceGermanyNetherlandsPolandSlovakiaSpainSwedenSwitzerlandUnited KingdomChinaDenmarkJapanSingaporeSouth KoreaTaiwan
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT04720157lastUpdatePostDate: changed
LOWJun 8, 2026NCT04720157lastUpdatePostDate: changed
LOWJun 8, 2026NCT04720157lastUpdatePostDate: changed
LOWMay 28, 2026NCT04720157Enrollment: 1145 → 1140
LOWMay 28, 2026NCT04720157Enrollment: 1145 → 1140
LOWMay 26, 2026NCT04689828primaryCompletionDate: changed
LOWMay 26, 2026NCT04720157primaryCompletionDate: changed
LOWMay 24, 2026NCT04689828studyFirstPostDate: changed
LOWMay 24, 2026NCT04720157studyFirstPostDate: changed