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Ga-PSMA-11

Phase 1

Metastatic Neuroendocrine Prostate Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Jun 3, 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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment31
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06379217NEPC Study: An Exploratory Safety and Efficacy Study With PSMA, SSTR2 and GRPR Targeted Radioligand Therapy in Metastatic Neuroendocrine Prostate Cancer.PHASE1 ACTIVE NOT_RECRUITING 31Jul 29, 2024Aug 24, 2026Jun 3, 20269 United States, France +3
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Study Endpoints
Primary Endpoints
Number/extent of lesions with at least a moderate uptake of any of the Radioligand Imaging (RLI)
Baseline (baseline imaging is performed during the 42 day screening period)

Number/extent of lesions with at least a moderate update of any of the RLIs according to visual assessment scoring scale on each corresponding targeted PET/CT scan based on blinded independent central review (BICR) assessment.

Percentage changes in quantitative PET parameters.
Post-Baseline (from date of baseline imaging scans to post-baseline scans, at least 6 weeks after receiving the first cycle of radioligand treatment)

Percentage changes in quantitative PET/CT parameters (SUVmax, SUVmean, SUVpeak, target-positive Tumor Volume (target -TV), Total Lesion (target (TL-target)\] and changes in number of target-positive lesions (as per visual assessment) on each corresponding target PET/CT based on BICR.

Secondary Endpoints
Overall Response Rate (ORR)
From date of assignment to one of the treatment arms until date of radiographic progression or date of death from any cause, whichever comes first, assessed up to approximately 31 months
Disease Control Rate (DCR)
From date of assignment to one of the treatment arms until date of radiographic progression or date of death from any cause, whichever comes first, assessed up to approximately 31 months
Duration of response (DOR)
From first documented evidence of CR or PR (the response prior to confirmation) until time of documented disease progression or death due to any cause, whichever comes first, assessed up to approximately 31 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PSMA-predominant Neuroendocrine prostate cancer (NEPC)EXPERIMENTAL -
Somatostatin Receptor 2 (SSTR2)-predominant NEPCEXPERIMENTAL -
Gastrin Releasing Peptide Receptor (GRPR)-predominant NEPCEXPERIMENTAL -
Interventions
NameTypeDescription
[68Ga]Ga-PSMA-11DRUG\[68Ga\]Ga-PSMA-11 will be administered as a single intravenous dose of approximately 150 MBq (4 mCi) to be administered during baseline imaging and at any time ≥ 6 weeks after first RLT dose. Sites should consider doing PET/CT imaging with RLT corresponding RLI as the first of three PET/CT scans. Administered dose should not be lower than 111 MBq (3 mCi) or higher than 259 MBq (7 mCi)
[68Ga]GA-DOTA-TATEDRUG\[68Ga\]Ga-DOTA-TATE will be administered as a single intravenous dose to be administered during baseline imaging and at any time ≥ 6 weeks after first RLT dose. Sites should consider doing PET/CT imaging with RLT corresponding RLI as the first of three PET/CT scans. within a range of 100-200MBq (2.7-5.4 mCi)
[68Ga]Ga-NeoBDRUG\[68Ga\]Ga-NeoB will be administered as a single intravenous dose to be administered during baseline imaging and at any time ≥ 6 weeks after first RLT dose. Sites should consider doing PET/CT imaging with RLT corresponding RLI as the first of three PET/CT scans. within a range of 150-250 MBq (4.1-6.8 mCi).
[177Lu]Lu-PSMA-617DRUG\[177Lu\]Lu-PSMA-617 will be administered as an intravenous infusion at a dose of 7.4 GBq (200mCi) (+/- 10%), every 6 weeks for 6 cycles.
[177Lu]Lu-DOTA-TATEDRUG\[177Lu\]Lu-DOTA-TATE will be administered as an intravenous infusion at a dose of 7.4 GBq (200mCi) (+/- 10%) every 6 weeks for 6 cycles.
[177Lu]Lu-NeoBDRUG\[177Lu\]Lu-NeoB will be administered as an intravenous infusion at a dose of 9.25 GBq (250mCi) every 6 weeks for 6 cycles
L-Lysine HCl-L-Arginine HCl, 2.5 %,DRUGsterile solution for infusion Lysine HCl-Arginine HCl, 2.5 % (1L)
Gonadotropin-releasing hormone (GnRH) analoguesDRUGAnatomical Therapeutic Chemical \[ATC\] code L02AE
GnRH antagonistsDRUGabarelix, degarelix, or relugolix
Antiemetics & antinauseantsDRUGATC code A04A
MetoclopramideDRUGATC code A03FA01
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Eligibility Criteria
Age Range18 Years — 100 Years
SexMALE
Healthy VolunteersNo
Study Sites9

Key Inclusion criteria: * Participants must have metastatic prostate cancer with neuroendocrine differentiation as determined by at least one of the following: * Histologically small cell or neuroendocrine cancer from a primary prostate or metastatic biopsy confirmed by local laboratory. * Exp...

Countries:United StatesFranceGermanySpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT06379217lastUpdatePostDate: changed
LOWJun 4, 2026NCT06379217lastUpdatePostDate: changed
LOWJun 4, 2026NCT06379217lastUpdatePostDate: changed
LOWJun 4, 2026NCT06379217lastUpdatePostDate: changed
LOWJun 4, 2026NCT06379217lastUpdatePostDate: changed
LOWMay 26, 2026NCT06379217primaryCompletionDate: changed
LOWMay 24, 2026NCT06379217studyFirstPostDate: changed