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225Ac-ETN029

Phase 1

Small Cell Lung Carcinoma | Small molecule | Oncology |Novartis AG|Trials Updated: Sep 22, 2026

225Ac-ETN029 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jun 2025

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment116

FDA Designations

No designations recorded

225Ac-ETN029 clinical trials

225Ac-ETN029 · 1 trial · 11 indications

Phase 1 1
NCT07006727Phase I Study of [225Ac]Ac-ETN029 in Patients With Advanced DLL3-expressing Solid TumorsSmall Cell Lung Carcinoma
RECRUITING116 Analytics
PHASE1RECRUITING
Phase I Study of [225Ac]Ac-ETN029 in Patients With Advanced DLL3-expressing Solid Tumors
Small Cell Lung CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of patients with dose limiting toxicities of 225Ac-ETN029
From the start of study treatment until 6 weeks after

A dose limiting toxicity (DLT) is defined as any adverse event or abnormal laboratory value of CTCAE 5.0 grade 3 or higher that occurs within the DLT evaluation period and that is not primarily related to disease, disease progression, intercurrent illness, or concomitant medications with a few exceptions defined in the study protocol. Other significant toxicities may be considered to be DLTs, even if not Grade 3 or higher.

Incidence and severity of adverse events and serious adverse events of 225Ac-ETN029
From start of study treatment until completion of the 36 month follow up, assessed up to approximately 42 months

Incidence and severity of treatment-emergent adverse events and serious adverse events, including changes in laboratory values, vital signs, and electrocardiograms qualifying and reported as AEs

Dose modifications for 225Ac-ETN029
From the start of study treatment until last dose of study treatment, assessed as approximately 24 weeks

Number of dose modifications (e.g, dose interruptions and reductions) for 225Ac-ETN029

Dose intensity for 225Ac-ETN029
From start of study treatment until last dose of study treatment, assessed as approximately 24 weeks

Dose intensity of 225Ac-ETN029 defined as the ratio of actual cumulative dose received and actual duration of exposure

Secondary Endpoints

Overall response rate (ORR)
Up to approximately 42 months
Disease control rate (DCR)
Up to approximately 42 months
Duration of response (DOR)
Up to approximately 42 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTALPatients will receive 225Ac-ETN029, with some patients also receiving 111In-ETN029

Interventions

NameTypeDescription
225Ac-ETN029DRUGRadioligand therapy
111In-ETN029DRUGRadioligand imaging agent
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Age ≥ 18 years old * Patients with one of the following indications: Dose Escalation Only: * Locally advanced, unresectable, or metastatic SCLC with disease progression following, or intolerance to, at least 1 line of systemic therapy, including platinum-containing chemother...

Countries:United StatesCanadaJapanSouth Korea
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Recent Changes (Last 90 Days)

LOWSep 22, 2026NCT07006727Enrollment: 123 → 116
LOWSep 22, 2026NCT07006727Enrollment: 123 → 116
LOWSep 9, 2026NCT07006727Enrollment: 116 → 123
LOWSep 9, 2026NCT07006727Enrollment: 116 → 123
LOWJul 28, 2026NCT07006727lastUpdatePostDate: changed
LOWJul 28, 2026NCT07006727lastUpdatePostDate: changed

Frequently asked questions about 225Ac-ETN029

What is 225Ac-ETN029?

225Ac-ETN029 is an investigational small molecule radiopharmaceutical being developed by Novartis AG for the treatment of advanced DLL3-expressing solid tumors, including small cell lung carcinoma. It is in Phase 1 clinical development and is not yet approved for any indication.

What is 225Ac-ETN029 used for in small cell lung carcinoma?

225Ac-ETN029 is being studied for the treatment of advanced DLL3-expressing solid tumors, with small cell lung carcinoma as a lead indication. The Phase 1 trial also enrolls patients with other neuroendocrine carcinomas, including large cell neuroendocrine carcinoma of the lung and neuroendocrine prostate cancer.

Who is developing 225Ac-ETN029?

225Ac-ETN029 is being developed by Novartis AG, which trades under the ticker NVS. Novartis is the sponsor of the ongoing Phase 1 clinical program evaluating the agent in advanced DLL3-expressing solid tumors.

What phase is 225Ac-ETN029 in?

225Ac-ETN029 is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA or any other regulatory authority. The single ongoing trial is currently recruiting participants.

What clinical trials is 225Ac-ETN029 in?

225Ac-ETN029 is being evaluated in one clinical trial, NCT07006727, titled a Phase I Study of [225Ac]Ac-ETN029 in Patients With Advanced DLL3-expressing Solid Tumors. The trial is recruiting and plans to enroll 116 participants across the United States, Canada, Japan, and South Korea.

Is 225Ac-ETN029 biomarker selected?

Yes. The Phase 1 trial NCT07006727 enrolls patients whose tumors express DLL3, making 225Ac-ETN029 a biomarker-selected therapy. Eligible participants must be at least 18 years of age, and the study is open to all sexes. It is an uncontrolled, non-randomized, open-label study.