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ASX ANNOUNCEMENT 4 JUNE 2025 Radiopharm Theranostics Doses First Patient in Phase 1 HEAT' Trial of 177Lu-RAD202 for Treatment of Advanced HER2-Positive Solid Tumors Phase 1 1 First-In-Human study designed to assess safet

Key Takeaway: Radiopharm Theranostics has announced the dosing of its first patient in the Phase 1 HEAT trial for 177Lu-RAD202, which targets advanced HER2-positive solid tumors. This trial will evaluate the safety and efficacy of RAD202 and marks an important milestone in the company's clinical development. The trial aims to provide a new therapeutic option for patients with metastatic HER2-positive cancers, addressing a significant unmet medical need. Previous studies demonstrated positive safety and efficacy data, reinforcing the potential benefits of this novel treatment.

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POSITIVE FACTORS

  • First patient has been dosed in the Phase 1 HEAT trial, marking a significant milestone.
  • RAD202 targets HER2-positive tumors, demonstrating potential to address unmet medical needs.
  • Positive preliminary data from previous studies supports the safety and biodistribution of RAD202.

Full Press Release Details

Theranostics Doses First Patient in Phase 1 HEAT' Trial
of 177Lu-RAD202 for Treatment of Advanced HER2-Positive Solid Tumors
Phase 11 First-In-Human
study designed to assess safety, tolerability, right dose for Phase 2 and
early signs of efficacy of 177Lu-RAD202 in individuals with
advanced HER2-positive solid tumors
Previous clinical proof-of concept
data2 for targeting HER-2 demonstrated the safety and
biodistribution of 99mTc-RAD202 in humans
Sydney, Australia - 4 June 2025 - Radiopharm Theranostics (ASX:RAD, "Radiopharm" or the "Company"),
a clinical-stage biopharmaceutical company focused on developing innovative oncology radiopharmaceuticals for areas of high unmet medical
need, today announced the dosing of the first patient in its Phase 1 HEAT' clinical trial of RAD202, a proprietary nanobody
that targets Human Epidermal Growth Factor Receptor 2 (HER2)-positive expression in a wide
array of advanced solid tumors.
The open-label Phase 1 "HEAT' clinical trial is a dose
escalation trial of 177Lu-RAD202 that is designed to determine the recommended Phase 2 dose and to evaluate the safety and preliminary
clinical activity of this novel radiotherapeutic in individuals with HER2-expressing advanced cancers. The study is currently being conducted
at clinical centers across Australia.
patients in the HEAT clinical trial marks an important milestone in our transition to a clinical-stage company," said Riccardo Canevari,
CEO and Managing Director of Radiopharm Theranostics. "Despite progressive improvements in the management of metastatic HER2-positive
disease, the majority of patients experience disease progression on current standard of care and require further therapeutic options.
The dosing of the first patient in the HEAT' trial represents a significant step toward achieving RAD202's potential
to address an unmet need for HER2-positive metastatic patients who are progressing or unable to tolerate current treatment options. With
RAD202, we hope to provide an option that can meaningfully improve clinical outcomes for HER2-positive patients, while preserving their
HER2 is overexpressed in breast cancer as well as several other solid
tumors and represents a validated target in oncology. RAD202 is a proprietary single domain antibody that targets HER2. Ten HER2-positive
breast cancer patients previously dosed in a Phase 1 diagnostic study of RAD202 demonstrated clinical proof-of concept as well as the
safety and biodistribution of RAD202, validating its potential for the treatment of advanced HER2-expressing cancers2. Preclinical
findings3 examining the therapeutic effect in HER2-positive xenografts were also recently reported with 177Lu-RAD202. Collectively,
these data further justify first in humans dose finding studies.
"It is a privilege to be the first centre to administer 177Lu-RAD202,
targeting HER2-positive tumors in this Phase 1 clinical trial (HEAT)." said Dr Aviral Singh, Clinical Head of Theranostics and Nuclear
Medicine at St John of God Murdoch Hospital. "This opens the possibility of novel therapeutic avenues for patients with aggressive
tumour types, including breast, ovarian, gastric, pancreatic, bladder, and several other cancers. With the trust put in us by Radiopharm,
we look forward to a successful trial with beneficial outcomes for our patients."
Radiopharm Theranostics Limited
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 metastases. Learn more at radiopharmtheranostics.com.
Authorised on behalf of the Radiopharm Theranostics board of directors by Chairman Paul Hopper.
For more information:
CEO & Managing Director
Precision AQ (Formerly Stern IR)
Radiopharm Theranostics Limited
Suite 1, Level 3, 62 Lygon Street, Carlton South VIC 3053 Australia

Frequently Asked Questions

What is the HEAT' trial about?

The HEAT' trial is a Phase 1 study designed to evaluate the safety and efficacy of 177Lu-RAD202 for advanced HER2-positive solid tumors.

What type of cancer does RAD202 target?

RAD202 targets HER2-positive solid tumors, including aggressive forms like breast and ovarian cancers.

Who is conducting the HEAT' trial?

The HEAT' trial is being conducted by Radiopharm Theranostics at various clinical centers in Australia.

What are the goals of the HEAT' trial?

The goals are to determine the recommended Phase 2 dose and assess safety and preliminary clinical activity.

What previous data supports the HEAT' trial?

Previous clinical data demonstrated the safety and biodistribution of similar compounds targeting HER2.

Last updated: Jun 4, 2025