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CTT1057

Phase 3

Prostatic Neoplasms | Small molecule | Oncology |Novartis AG|Last Updated: Oct 20, 2025

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
UNCONTROLLEDBiomarker
Total Trials2
Total Enrollment385
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04838613Study of Diagnostic Performance of [18F]CTT1057 in BCRPHASE3 COMPLETED 190Sep 30, 2021Nov 23, 2023Oct 20, 202513 United States, France +2
NCT04838626Study of Diagnostic Performance of [18F]CTT1057 for PSMA-positive Tumors DetectionPHASE2 COMPLETED 195Sep 7, 2021Nov 24, 2023Oct 7, 202516 United States, France +3
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Study Endpoints
Primary Endpoints
Region-level Correct Localization Rate (CLR) of Vidoflufolastat (18F)
vidoflufolastat (18F) PET imaging acquired at Day 1 or Day 15 assessed against Composite Truth Standard (CTS) obtained within 8 weeks (before or after) of 18F-CTT PET scan or during follow-up (up to 90 days after radiotherapy for PSA level assessment)

Region-level correct localization rate (CLR) is defined as the percentage of regions containing at least one True Positive (TP) lesion (exactly localized correspondence between PET imaging and the reference standard), regardless of any co-existent False Positive (FP) findings within the same region, out of all regions containing at least one PET-positive finding.

Patient-level Positive Predictive Value (PPV) (With Anatomical Localization) of Vidoflufolastat (18F)
vidoflufolastat (18F) PET imaging acquired at Day 1 or Day 15 assessed against Composite Truth Standard (CTS) obtained within 8 weeks (before or after) of 18F-CTT PET scan or during follow-up (up to 90 days after radiotherapy for PSA level assessment)

Patient-level positive predictive value (PPV) is defined as the percentage of participants who have at least one True Positive (TP) lesion (exactly localized correspondence between PET imaging and the reference standard), regardless of any co-existent False Positive (FP) findings, out of all participants who are PET/CT scan positive.

Patient-level Sensitivity of Vidoflufolastat (18F) - % Sensitivity
vidoflufolastat (18F)7 PET imaging acquired at Day 1 assessed against histopathology as Standard of Truth (SoT) obtained during surgery within 6 weeks from vidoflufolastat (18F) scan

Sensitivity of vidoflufolastat (18F) Positron Emission Tomography (PET) imaging, considering Prostate Specific Membrane Antigen (PSMA) positive patients as those who show at least one pathological vidoflufolastat (18F) uptake either in the primary tumor and/or metastatic Pelvic Lymph Node (PLN) regions, with anatomically localized correspondence with the Standard of Truth (SoT).

Region-level Specificity of Vidoflufolastat (18F) - % Specificity
vidoflufolastat (18F) PET imaging acquired at Day 1 assessed against histopathology as Standard of Truth (SoT) obtained during surgery within 6 weeks from vidoflufolastat (18F) scan

Specificity of vidoflufolastat (18F) PET imaging, defined as proportion of PLN regions that test negative for lymph nodes on vidoflufolastat (18F) among those that are lymph node negative on the SoT.

Secondary Endpoints
Patient-level Sensitivity of Vidoflufolastat (18F)
vidoflufolastat (18F) PET imaging acquired at Day 1 or Day 15 assessed against Composite Truth Standard (CTS) obtained within 8 weeks (before or after) of 18F-CTT PET scan or during follow-up (up to 90 days after radiotherapy for PSA level assessment)
Patient-level Specificity of Vidoflufolastat (18F)
vidoflufolastat (18F) PET imaging acquired at Day 1 or Day 15 assessed against Composite Truth Standard (CTS) obtained within 8 weeks (before or after) of 18F-CTT PET scan or during follow-up (up to 90 days after radiotherapy for PSA level assessment)
Patient-level Negative Predictive Value (NPV) of Vidoflufolastat (18F)
vidoflufolastat (18F) PET imaging acquired at Day 1 or Day 15 assessed against Composite Truth Standard (CTS) obtained within 8 weeks (before or after) of 18F-CTT PET scan or during follow-up (up to 90 days after radiotherapy for PSA level assessment)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
PET/CT imaging with [18F]CTT1057 followed by [68Ga]Ga-PSMA-11 or vice versaEXPERIMENTALAll eligible participants were assigned to one of the following two PET/CT scan sequences at random in a 1:1 ratio: * Sequence 1: \[18F\]CTT1057 on Day 1 (investigational imaging agent of interest) followed by \[68Ga\]Ga-PSMA-11 at least 14 days apart (as part of CTS if required, and for secondary endpoint) * Sequence 2: \[68Ga\]Ga-PSMA-11 (as part of CTS if required, and for secondary endpoint) on Day 1 followed by \[18F\]CTT1057 (investigational imaging agent of interest) at least 14 days apart
PET/CT imaging with [18F]CTT1057EXPERIMENTALAll eligible participants will be enrolled to receive \[18F\]CTT1057 imaging agent on Day 1 and have PET/CT scan
Interventions
NameTypeDescription
[18F]CTT1057DRUGSingle intravenous dose of approximately 370 Mega-Becquerel (MBq) and subsequent PET/CT scan
[68Ga]Ga-PSMA-11DRUGSingle intravenous dose of approximately 150 MBq and subsequent PET/CT scan
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Eligibility Criteria
Age Range18 Years — 100 Years
SexMALE
Healthy VolunteersNo
Study Sites13

Inclusion Criteria * Signed informed consent must be obtained prior to participation in the study * Biopsy proven prostate adenocarcinoma. * Biochemical recurrence following initial definitive therapy (with either RP or curative intent radiation therapy) as defined: by AUA criteria (Cookson et al ...

Countries:United StatesFranceSpainSwitzerlandItaly
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