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RTX-2358

Phase 1

Advanced Soft Tissue Sarcoma | Small molecule | Oncology |cbdMD, Inc.|Last Updated: Aug 28, 2026

Target and mechanism

ModalitySmall molecule

Also known as [Ac 225]RTX-2358

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment48

FDA Designations

No designations recorded

Clinical trial landscape

RTX-2358 · 1 trial · 1 indication

Phase 1 1
NCT07156565Actinium Therapy for Late-stage Aggressive SarcomasAdvanced Soft Tissue Sarcoma
RECRUITING48 Analytics
PHASE1RECRUITING
Actinium Therapy for Late-stage Aggressive Sarcomas
Advanced Soft Tissue SarcomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate the safety (Frequency and severity of treatment emergent adverse events (TEAEs), Dose Limiting Toxicities (DLTs), serious adverse events (SAEs) and adverse events of special interest) of [Ac225-]RTX-2358
48 weeks

Frequency and severity of treatment emergent adverse events (TEAEs), Dose Limiting Toxicities (DLTs), serious adverse events (SAEs) and adverse events of special interest (AESIs).

Evaluate the preliminary anti-tumor activity of [Ac225]RTX-2358 in patients with relapsed or refractory soft tissue sarcoma
48 weeks

Objective response rate (ORR), defined as the proportion of patient with a complete response (CR) or partial response (PR), per RECISTv1.1. Duration of response (DOR) defined as the duration of time from first date of observed response (CR or PR), to first date of disease progression or death from any cause.

Determine the MTD of the administered activity of [Ac-225]RTX-2358 and select the administered activity and schedule for further clinical evaluation
8 weeks

Evaluate dose levels in Phase 1 escalating group design to identify the MTD and the administered activity to be used in the expansion cohort

Secondary Endpoints

Further evaluate the preliminary efficacy of [Ac225]RTX-2358 in patients with relapsed or refractory soft tissue sarcoma
Up to 5 years
Determine the normal tissue radiation dosimetry of [Ac225]RTX-2358
Days 1, 3, 8, and Week 4
Determine the maximum concentration (Cmax) of radiation (Pharmacokinetics) in the blood after a single dose of [Ac225]RTX-2358
Up to 4 weeks post injection
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment with [Ac 225]RTX-2358EXPERIMENTALThe study design is a modified 3+3 with Phase 1 queue (IQ) escalating group design.

Interventions

NameTypeDescription
[Ac 225]RTX-2358DRUG\[Ac225\]RTX-2358 will be given as an intravenous injection once every 8 weeks for up to 6 doses. Each group will receive a set administered activity level (dose) of \[Ac 225\]RTX 2358 given once every 8 weeks. The first group will received the lower dose, the second group will received the mid level dose, and the third group the highest dose. A Safety Review Committee will determine when/if it is appropriate to allow the next group to proceed.
[Cu64]LNTH-1363SDIAGNOSTIC_TEST\[Cu64\]LNTH-1363S is a investigational radioactive diagnostic imaging agent to demonstrate that the tumor expresses Fibroblast Activation Protein. An imaging test is performed after a single injection with \[Cu64\]LNTH-1363S 14-30 days before the first administration of study drug \[AC225\]RTX-2358 to confirm that the sarcoma has FAP expression.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * 18 years of age or older. * History of relapsed or refractory soft tissue sarcoma. 1. Histological confirmation of sarcoma at any point since diagnosis 2. At least 1 prior treatment regimen * Measurable disease as per RECIST (v1.1) for soft tissue sarcoma that is also pos...

Countries:United StatesCanada
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