Recent Updates
Recently added Catalysts

177Lu-TLX591

Phase 3

Metastatic Castration-resistant Prostate Cancer | Small molecule | Oncology |Telix Pharmaceuticals Limited|Last Updated: May 27, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment520
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06520345The Study of 177Lu-TLX591 Plus SOC Versus SOC Alone in Patients With mCRPC (ProstACT Global)PHASE3 RECRUITING 520Jul 26, 2024Dec 1, 2030May 27, 202631 United States, Australia +4
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Radiographic Progression-free Survival
337days

time from randomization to disease progression confirmed by central independent radiology review according to Prostate Cancer Clinical Trials Working Group 3 (PCWG3) criteria (which incorporates Response Evaluation Criteria in Solid Tumors, RECIST 1.1, for soft tissue lesions), or death (whichever occurs first)

Secondary Endpoints
Overall Survival
5 years
Objective Response Rate (ORR)
337days
Time to a first symptomatic skeletal event (SSE)
337days
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
177Lu-TLX591 + Enzalutamide or Abiraterone or DocetaxelEXPERIMENTALLutetium (177Lu) rosopatamab tetraxetan (177Lu-TLX591) 76 mCi (±10%) given approximately 14 days apart, plus SOC. SOC is either: Concurrent enzalutamide (starting dose 160 mg daily) + prednisone / prednisolone (5 mg twice a day) or equivalent. or Concurrent abiraterone (starting dose 1,000 mg daily) + prednisone / prednisolone (5 mg once daily for the standard formulation), methylprednisolone (4 mg twice daily for the fine particle formulation) or dexamethasone (1 mg once daily) or Sequential Docetaxel: Single agent chemotherapy will consist of docetaxel given at a recommended dose of 75mg/m2 IV every 3 weeks given in combination with oral prednisone / prednisolone (5mg twice a day) or equivalent for up to 10 cycles.
Control Arm (Enzalutamide or Abiraterone or Docetaxel)ACTIVE_COMPARATORSOC is either: Enzalutamide (starting dose 160 mg daily). or Abiraterone (starting dose 1,000 mg daily) + prednisone / prednisolone (up to 10 mg once daily for the standard formulation) or Docetaxel: Single agent chemotherapy will consist of docetaxel given at a recommended dose of 75mg/m2 IV every 3 weeks given in combination with oral prednisone / prednisolone 5mg twice a day (or equivalent) for up to 10 cycles
Interventions
NameTypeDescription
177Lu-TLX591DRUGParticipants randomized to Group A will receive two 76 mCi (±10%) doses of 177Lu-TLX591 14 days apart
EnzalutamideDRUGEnzalutamide (starting dose 160 mg daily)
AbirateroneDRUGAbiraterone (starting dose 1,000 mg daily) + prednisone / prednisolone (up to 10 mg per day for the standard formulation)
DocetaxelDRUGDocetaxel: Single agent chemotherapy will consist of docetaxel given at a recommended dose of 75mg/m2 IV every 3 weeks given in combination with oral prednisone / prednisolone 5mg twice a day (or equivalent) for up to 10 cycles
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Be a male, at least 18 years old, with documented adenocarcinoma of the prostate defined by histological / pathological confirmation. * Be of ECOG Performance Status 0, 1, or 2 and have an estimated life expectancy of ≥6 months from Day 1. * Have metastatic disease (defined as...

Countries:United StatesAustraliaCanadaNew ZealandTurkey (Türkiye)United Kingdom
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 28, 2026NCT06520345lastUpdatePostDate: changed
LOWMay 28, 2026NCT06520345lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT06520345Enrollment: 430 → 520
LOWMay 24, 2026NCT06520345studyFirstPostDate: changed