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ASX ANNOUNCEMENT 12 May 2025 Radiopharm Theranostics Accelerates 177Lu-RAD204 Phase 1 Dose Escalation Clinical Trial Based on Positive Recommendation from Data Safety and Monitoring Committee (DSMC) DSMC concluded that P

Key Takeaway: Radiopharm Theranostics announced a key milestone in its 177Lu-RAD204 Phase 1 clinical trial after receiving a positive recommendation from the Data Safety and Monitoring Committee (DSMC). The DSMC approved the continuation of the study without modifications, allowing the company to progress to a higher dose cohort. The company expects to complete enrollment for the next cohort by mid-2025, expanding the trial to include various advanced cancer types. The trial aims to explore the therapeutic potential of RAD204 in improving clinical outcomes for patients with PD-L1 positive cancers.

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POSITIVE FACTORS

  • Positive recommendation from the Data Safety and Monitoring Committee (DSMC) to proceed with the trial.
  • Advance to higher dose cohort expected to improve treatment efficacy.
  • Increased enrollment timelines anticipated, expanding to multiple tumor types.
  • Potential for significant clinical outcomes improvement for patients with PD-L1 positive advanced cancers.

Full Press Release Details

Theranostics Accelerates 177Lu-RAD204 Phase 1 Dose Escalation Clinical Trial Based on Positive Recommendation from Data Safety and
Monitoring Committee (DSMC)
DSMC concluded that Phase 1 study may continue
as planned without any modifications
On track to complete the enrollment of the first
two cohorts by mid-2025
Sydney, Australia - 12 May 2025 -
Radiopharm Theranostics (ASX: RAD, Nasdaq: RADX, "Radiopharm" or the "Company"), a clinical-stage biopharmaceutical
company focused on developing innovative oncology radiopharmaceuticals for areas of high unmet medical need, announced today that it
has achieved a key milestone in its ongoing clinical development program for its clinical-stage radiotherapeutic asset, 177Lu-RAD204,
as the Data and Safety Monitoring Committee (DSMC) has approved to proceed to the next dose in its Phase 1 clinical trial in patients
with PD-L1 positive advanced cancers1. The DSMC is an independent multidisciplinary group that conducts detailed reviews of
unblinded study data, discusses potential safety concerns and provides recommendations regarding trial continuation.
"We greatly appreciate the DSMC's judicious review of our
first cohort of patients in the Phase 1 study of Lu177-RAD204, which allows us to advance to the higher dose cohort in a variety of PD-L1-
driven cancers," said Riccardo Canevari, CEO and Managing Director of Radiopharm Theranostics. "With this clearance from the
DSMC, the increased number of active centers and expansion to multiple tumor types beyond Non-Small Cell Lung Cancer (NSCLC), we expect
to accelerate our timelines for complete enrolment of the next cohort by mid-2025. We believe that RAD204 has the potential to strongly
improve clinical outcomes for patients with PD-L1 positive advanced cancers and we look forward to seeing data from the first two cohorts
of patients later this year."
The DSMC reviewed the first cohort of four patients treated with 30mCi
of Lu177-RAD204 and confirmed that there was positive safety, pharmacokinetic and biodistribution data and agreed that the study may continue
without modifications. The second cohort of patients will start at 60mCi of Lu177 rather than 40mCi previously assumed in the protocol.
The second cohort of patients is expected to be enrolled by mid-year 2025 and will include expansion to multiple tumor types including
NSCLC, Small-Cell Lung Cancer (SCLC), Triple-negative Breast Cancer (TNBC), Cutaneous Melanoma, head and neck squamous cell carcinoma
(HNSCC) and Endometrial Cancer.
There are currently four clinical trial sites actively screening and
recruiting patients in Australia.
RAD204 is a single-domain monoclonal antibody (sdAb) that targets
PD-L1, a protein that helps control the immune system and is overexpressed in many solid cancers, making it an attractive
therapeutic target in multiple tumor types, including NSCLC, SCLC, TNBC, Cutaneous Melanoma, HNSCC, and Endometrial Cancer.
Previously published Phase I imaging data of 16 NSCLC patients with 99Tc-RAD204 demonstrated that the diagnostic compound is safe
and is associated with acceptable dosimetry2.
Tumor targeting with radioimmunotherapies such as 177Lu-RAD204 has
the potential to address resistance mechanisms to current standard-of-care treatment options.
1 ClinicalTrials.gov
2 Xing Y, et al. J Nucl Med. 2019 Sep;60(9):1213-1220.
Radiopharm Theranostics
Suite 1, Level 3, 62 Lygon Street, Carlton South VIC 3053 Australia
About Radiopharm Theranostics
Radiopharm Theranostics is a clinical stage radiotherapeutics company
developing a world-class platform of innovative radiopharmaceutical products for diagnostic and therapeutic applications in areas of high
unmet medical need. Radiopharm is listed on ASX (RAD) and on NASDAQ (RADX). The company has a pipeline of distinct and highly differentiated
platform technologies spanning peptides, small molecules and monoclonal antibodies for use in cancer. The clinical program includes one
Phase 2 and three Phase 1 trials in a variety of solid tumor cancers including lung, breast, and brain. Learn more at radiopharmtheranostics.com.
Authorized on behalf of the Radiopharm
Theranostics Board of Directors by Executive Chairman Paul Hopper.
For more information:
CEO & Managing Director
Precision AQ (formerly Stern IR)
Follow Radiopharm Theranostics:
Theranostics Limited
Suite 1, Level 3, 62 Lygon Street, Carlton South VIC 3053 Australia

Frequently Asked Questions

What is the 177Lu-RAD204 clinical trial about?

The trial investigates 177Lu-RAD204, targeting PD-L1 in advanced cancers.

What milestone was achieved regarding the trial?

The DSMC approved the trial to continue without modifications after reviewing safety data.

When is the next patient cohort expected to be enrolled?

Enrollment of the second cohort is expected by mid-2025.

What types of cancers does RAD204 target?

RAD204 targets PD-L1 in cancers like NSCLC, SCLC, and TNBC.

How does RAD204 differ from standard treatments?

RAD204 may address resistance mechanisms against current standard-of-care treatments.

Last updated: May 12, 2025