Recent Updates
Recently added Catalysts

AAA817

Phase 3

Prostate Cancer | Small molecule | Oncology |Novartis AG|Trials Updated: Oct 15, 2026

AAA817 development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Jan 2025

AAA817 target and mechanism

ModalitySmall molecule

Also known as [225Ac]Ac-PSMA-617

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,383

FDA Designations

No designations recorded

AAA817 clinical trials

AAA817 · 2 trials · 1 indication

Phase 3 1Phase 2 1
NCT06855277Study Comparing AAA817+ARPI Versus Standard of Care in Adult Participants With PSMA-positive mCRPCProstate Cancer
RECRUITING940 Analytics
PHASE3RECRUITING
Study Comparing AAA817+ARPI Versus Standard of Care in Adult Participants With PSMA-positive mCRPC
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Radiographic Progression Free Survival (rPFS)
From the date of randomization to the date of the first documented radiographic disease progression using conventional imaging, or death due to any cause, whichever occurs first, assessed up to approximately 40.0 months.

Time to radiographic disease progression or death due to any cause.

Biochemical response rate (Phase II)
from date of randomization up to approximately 24 months

Biochemical response rate as defined as the percentage of participants who achieved a ≥ 50% decrease from baseline that is confirmed by a second measurement

Adverse Events (AEs) and Serious Adverse Events (SAEs), and deaths - Phase II
from day of randomization to 30 days after End of Treatment or (last AAA817 dose date + 55 days, last dose date of SoC + 30 days), whichever is later

Safety defined as the type, incidence and severity of AEs and SAEs, and deaths

Tolerability of the proposed dose of AAA817- Phase II
From on-treatment period which start from the first dose of study treatment until 30 days post-last dose date for SoC and 55 days post last-dose for AAA817

Percentage of participants who experienced Dose interruptions, reductions, discontinuation, dose intensity and duration of exposure

Radiographic progression-free survival (rPFS)- Phase III
from date of randomization up to approximately 24 months

Percentage of participants who are alive without radiographic progression or who are lost to follow-up at the time of analysis

Overall survival (OS)- Phase III
from date of randomization up to approximately 24 months

Percentage of participants who are alive or who are lost to follow-up at the time of analysis

Secondary Endpoints

Overall Survival (OS) (Key Secondary Endpoint)
From the date of randomization to the date of death due to any cause, assessed up to approximately 40 months.
Radiographic Progression Free Survival by by Prostate Cancer Working Group 3 (PCWG3)-modified RECIST v1.1 (Key Secondary)
From date of randomization to the date of the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed up to approximately 40.0 months.
Overall Survival in participants with PSMA-positive mCRPC treated with another ARPI. (Key Secondary)
From the date of randomization to the date of death due to any cause.
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
Investigational Arm: AAA817+ARPI (enzalutamide or abiraterone)EXPERIMENTALParticipants will receive AAA817 infusion directly into a vein with ARPIs.
Investigational Arm: AAA817EXPERIMENTALParticipants will receive AAA817 infusion directly into a vein.
Control arm: Investigator's choice of SoC (ARPI or chemotherapy or AAA617)ACTIVE_COMPARATORParticipants will receive standard treatment as decided by the trial doctor either as a taxane-based chemotherapy infusion directly into a vein or ARPI change either as capsules or tablets or AAA617 monotherapy infusion directly into a vein.
Phase II: AAA817 Dose BEXPERIMENTALAAA817 will be given for a number of cycles; a cycle = 8 weeks
Phase III: Investigator's choice of SoCACTIVE_COMPARATORParticipants will be given Standard of Care (SOC) treatment per Investigator's choice.
Phase II: AAA817 Dose AEXPERIMENTALAAA817 Dose A will be given for a number of cycles: a cycle = 8 weeks
Phase III: Recommended Phase 3 Dose of AAA817EXPERIMENTALRp3D of AAA817 will be given for a number of cycles; a cycle = 8 weeks

Interventions

NameTypeDescription
AAA817DRUGAAA817 is being studied for treating PSMA positive mCRPC. Inside the body, it attaches itself to PSMA on the cell surface of the prostate cancer cells and emits radiation to kill them. This treatment is also called a radioligand therapy.
ARPIDRUGAndrogen receptor pathway inhibitor (ARPI): An ARPI is approved for the treatment of prostate cancer. It works by blocking signals from male hormones, such as testosterone, that helps cancer cells grow. By blocking these signals, an ARPI slows down or stops the growth of prostate cancer cells. In this trial, participants will be given either enzalutamide or abiraterone.
Standard of CareDRUGStandard treatment includes approved treatment for mCRPC. In this trial, the trial doctor will decide which available treatment participants will receive. The trial doctor will select either an ARPI of enzalutamide or abiraterone, or a taxane based chemotherapy of docetaxel or cabazitaxel or \[177Lu\]Lu-PSMA-617 (AAA617).
Investigators choice of SoCDRUGThe control treatment in Phase III is investigator's choice of SoC
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 100 Years
SexMALE
Healthy VolunteersNo
Study Sites106

Key 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 2. * Participants must have histological, and/or cytological confirmation of adenocarc...

Countries:United StatesAustraliaBrazilChinaHong KongIndiaJapanMexicoSingaporeSouth KoreaTaiwanUnited KingdomIsraelMalaysiaSwitzerland
Unlock Eligibility Criteria

Competitive Landscape -Prostate Cancer 417 trials

Top 20 of 55 competitors

Unlock Competitive Intelligence

Recent Changes (Last 90 Days)

LOWOct 15, 2026NCT06855277lastUpdatePostDate: changed
LOWOct 15, 2026NCT06855277lastUpdatePostDate: changed
LOWSep 22, 2026NCT06780670lastUpdatePostDate: changed
LOWSep 22, 2026NCT06855277lastUpdatePostDate: changed
LOWSep 22, 2026NCT06780670lastUpdatePostDate: changed
LOWSep 22, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 27, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 27, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 25, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 25, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 20, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 20, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 20, 2026NCT06855277lastUpdatePostDate: changed
LOWAug 20, 2026NCT06855277lastUpdatePostDate: changed
LOWJul 24, 2026NCT06855277lastUpdatePostDate: changed
LOWJul 24, 2026NCT06855277lastUpdatePostDate: changed

Frequently asked questions about AAA817

What is AAA817 used for?

AAA817 is an investigational therapy being developed for prostate cancer, specifically for patients with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC). It is being studied in adults whose disease has progressed, including patients previously treated with PSMA-targeted radioligand therapy. The trials enroll male participants aged 18 years and older.

Who is developing AAA817?

AAA817 is being developed by Novartis AG, a pharmaceutical company traded on the New York Stock Exchange under the ticker NVS. Novartis is the sponsor of the clinical trials evaluating AAA817 in prostate cancer.

What phase is AAA817 in?

AAA817 is in Phase 3 clinical development. It is also being evaluated in a Phase 2 trial. Both studies are currently recruiting participants. The Phase 3 trial is comparing AAA817 plus an ARPI against standard of care, while the Phase 2 trial is comparing AAA817 against standard of care in previously treated patients.

What clinical trials is AAA817 in?

AAA817 is being studied in two active clinical trials. The Phase 3 trial, NCT06855277, is comparing AAA817 plus ARPI versus standard of care in adults with PSMA-positive mCRPC and has an enrollment target of 940 participants. The Phase 2 trial, NCT06780670, is comparing AAA817 versus standard of care in previously treated PSMA-positive mCRPC patients and has an enrollment target of 443 participants.

Is AAA817 FDA approved?

No, AAA817 is not approved by the FDA. It is an investigational drug still in clinical development, with Phase 3 and Phase 2 trials currently recruiting participants. The trials are evaluating its safety and efficacy in patients with PSMA-positive metastatic castration-resistant prostate cancer.