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177Lu-TLX250 and Peposertib

Phase 1

Solid Tumor, Adult | Small molecule | Oncology |Telix Pharmaceuticals Limited|Last Updated: May 1, 2024

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 Trials1
Total Enrollment36
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05868174Combination of 177Lu-TLX250 and Peposertib in Patients With Carbonic Anhydrase IX -Expressing Solid TumorsPHASE1 RECRUITING 36May 23, 2023Dec 1, 2026May 1, 20245 Australia
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Study Endpoints
Primary Endpoints
Safety parameter Dose Limited Toxicity (DLT)
42 days

Dose level toxicity evaluation using Partial Ordering Bayesian Logistic Regression Model Method (PO-BLRM)

Safety parameter Laboratory Examinations
42 days

Frequency of occurrence and severity of abnormal findings in safety investigations regarding Laboratory examinations

Safety parameter Vital signs
42 days

Frequency of occurrence and severity of abnormal findings in safety investigations regarding the vital signs

Safety parameter ECG
42 days

Frequency of occurrence and severity of abnormal findings in the 12-lead ECG (ECG QT interval)

Safety parameter Adverse Events and Treatment-Related Adverse Events
42 days

Assessment of AEs graded by the Common Terminology Criteria for Adverse Events (CTCAE) Criteria, Version 5.0

Disease impact causing changes in Eastern Cooperative Oncology Group (ECOG) Performance scale.
Screening/Baseline, Day1, Day 29, D57 and End of Treatment

Quality of life ( in terms of their ability to care for themself, daily activity, and physical ability (walking, working) is to be evaluated using the ECOG Performance Scale.

Secondary Endpoints
Overall Survival (OS)
Every 3 months ± 2 weeks for 24 months after the last 177Lu-TLX250 administration
Tumor objective response rate (ORR)
Every 3 months ± 2 weeks for 12 months after the last 177Lu-TLX250 administration
Progression-free survival (PFS)
Every 3 months ± 2 weeks for 12 months after the last 177Lu-TLX250 administration
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
89Zr-TLX250, 177Lu-TLX250 and PeposertibEXPERIMENTALDiagnostic test: A single IV administration of 37 Megabecquerel (+/- 10%) 89Zr-DFO-girentuximab, containing a mass dose of 10 mg of girentuximab, followed by a diagnostic scan Treatment test: A single IV administration that could be 1887 - 2516 or 3145 Megabecquerel (+/- 10%) 177Lu-DOTA-girentuximab,containing a mass dose of 10 mg of girentuximab, on Day 1 of each 84-day cycle and p.o. administration of that could be 100-150 or 200 mg Peposertib BID on days 4-21 of each 84-day cycle.
Interventions
NameTypeDescription
89Zr-TLX250DIAGNOSTIC_TESTSingle IV administration followed by 89Zr-DFO-girentuximab PET/CT (or PET/MRI) scan at screening and approximately 8-10 weeks (±1 week) after Cycle 3 Day 1, as well as at the end of treatment visit (if feasible). The PET/CT should be obtained within 4-7 days after 89Zr-TLX250 administration
177Lu-TLX250 and PeposertibCOMBINATION_PRODUCTDose escalation and de-escalation for the determination of the Maximum tolerated combination/ Recommended phase 2 dose. All subjects will receive 177Lu-TLX250 intravenously on day 1 and Peposertib BID on days 4-21 of each 84-day cycle.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Histologically confirmed advanced or metastatic solid tumor that has progressed on or during/after recognized standard of care therapies and are not eligible for resection, or patients that are not eligible or not consenting to recognized standard of care therapies. * At least...

Countries:Australia
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05868174primaryCompletionDate: changed
LOWMay 24, 2026NCT05868174studyFirstPostDate: changed