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AAA617

Phase 3

Oligometastatic Prostate Cancer (OMPC) | Small molecule | Oncology |Novartis AG|Last Updated: May 27, 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
RandomizedNO_TREATMENT_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment450
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05939414An Open-label Study Comparing Lutetium (177Lu) Vipivotide Tetraxetan Versus Observation in PSMA Positive OMPC.PHASE3 RECRUITING 450Mar 12, 2024Oct 3, 2031May 27, 2026144 United States, Argentina +25
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Study Endpoints
Primary Endpoints
Blinded Independent Review Committee (BIRC) assessed Metastasis Free Survival (MFS)
From date of randomization until first evidence of radiographically detectable bone or soft tissue distant metastasis or death due to any cause, whichever occurs first, assessed up to approximately 30 months

Blinded Independent Review Committee (BIRC) assessed Metastasis Free Survival (MFS) is defined as the time from randomization to first evidence of radiographically detectable bone or soft tissue distant metastasis by conventional imaging (i.e., Computed Tomography (CT)/Magnetic Resonance Imaging (MRI) and bone scans) as assessed by BIRC using RECIST 1.1 or death due to any cause, whichever occurs first. Participants who are alive without distant metastasis at the analysis data cut-off or are lost to follow-up at the time of analysis will be censored for MFS at the time of their last adequate radiographic assessment. Clinical deterioration without objective radiographic evidence will not be considered as documented distant metastasis.

Secondary Endpoints
Key secondary endpoint: Time to Hormonal Therapy (TTHT)
From date of randomization until date of Androgen Deprivation Therapy (ADT), assessed up to approximately 74 months
Investigator assessed Metastasis Free Survival (MFS)
From date of randomization until first evidence of radiographically detectable bone or soft tissue distant metastasis or death from any cause, whichever occurs first, assessed up to approximately 74 months
Time to prostate specific antigen (PSA) progression (TTPSAP)
From date of randomization until date of first PSA progression, assessed up to approximately 74 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Investigational Arm: lutetium (177Lu) vipivotide tetraxetan (AAA617)EXPERIMENTALAll participants will be treated with Stereotactic Body Radiation Therapy (SBRT) to all metastatic lesions followed by a dose of 7.4 GBq (200 mCi) +/- 10% of AAA617 which will be administered once every 6 weeks (1 cycle) for a planned 4 cycles.
Control arm: observation (watchful waiting)NO_INTERVENTIONAll participants will be treated with Stereotactic Body Radiation Therapy (SBRT) to all metastatic lesions followed by observation only.
Interventions
NameTypeDescription
AAA617DRUGStereotactic Body Radiation Therapy (SBRT) followed by AAA617 will be administered once every 6 weeks (1 cycle) for a planned 4 cycles to participants randomized to the Investigational arm
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Eligibility Criteria
Age Range18 Years — 100 Years
SexMALE
Healthy VolunteersNo
Study Sites144

Key Inclusion criteria: 1. Histologically confirmed prostate cancer prior to randomization 2. Participants must have biochemically recurrent disease after definitive treatment to prostate by Radical Prostatectomy ((RP), (alone or with post-operative radiation to prostate bed/pelvic nodes)) or Exter...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChinaColombiaCzechiaFranceGermanyGreeceHungaryIsraelItalyJapanMalaysiaMexicoNetherlandsPuerto RicoSingaporeSlovakiaSpainSwitzerlandTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 28, 2026NCT05939414lastUpdatePostDate: changed
LOWMay 28, 2026NCT05939414lastUpdatePostDate: changed
LOWMay 27, 2026NCT05939414lastUpdatePostDate: changed
LOWMay 27, 2026NCT05939414lastUpdatePostDate: changed
LOWMay 26, 2026NCT05939414primaryCompletionDate: changed
LOWMay 24, 2026NCT05939414studyFirstPostDate: changed