ClinicalTrials.gg
RecruitingNCT06441331KinLETUpdated Oct 27, 2026

Phase I Trial to Determine the Dose and Evaluate the PK and Safety of Lutetium Lu 177 Edotreotide Therapy in Pediatric Participants With SSTR-positive Tumors

A Phase 1 interventional study of Lutetium Lu 177-Edotreotide and Amino Acid Solution in Somatostatin Receptor Positive, NETs and Lymphoma, sponsored by ITM Solucin GmbH. Recruiting at 9 sites in 3 countries. Open to participants aged 24 Months to 18 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by ITM Solucin GmbH · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Updated Oct 27, 20263 sites addedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
24 Months to 18 Years
Sex
All
01

Study summary

The purpose of the study is to determine the appropriate pediatric dosage and evaluate the pharmacokinetics (PK) and safety of Lutetium Lu 177 Edotreotide Targeted Radiopharmaceutical Therapy (RPT) as a monotherapy or following standard of care (SoC) in participants ≥2 to \<18 years of age with somatostatin receptor (SSTR)-positive tumors.

Read the detailed description

Determine the dose, pharmacokinetics and safety of Lutetium Lu 177 Edotreotide as monotherapy or following sequential standard of care in pediatric participants with recurrent, progressive or refractory NET, CNS, lymphoma and other solid tumors that express SSTRs by immunohistochemistry and demonstrate uptake by somatostatin receptor imaging. Lutetium Lu 177 Edotreotide will be given intravenously once every 8 weeks for a total of up to 6 doses over an average of 48 weeks in participants aged 2-18 years.

02

Conditions studied

  • Somatostatin Receptor Positive
  • NETs
  • Lymphoma
  • Solid Tumor
  • CNS Tumors
  • Rhabdomyosarcoma
  • Peripheral Primitive Neuroectodermal Tumor
  • GIST

Keywords

  • Pediatric
  • CNS tumors
  • Solid tumors
  • Lymphoma
  • Somatostatin Receptor (SSTR)-positive Tumors
  • Lutetium Lu 177 Edotreotide
  • Targeted RPT
  • ITM
  • GEP-NET
  • Neuroendocrine tumors
  • Radiopharmaceutical Therapy
  • Childhood
03

In context

Lymphoma

3,018 studies on the registry are indexed under Lymphoma; 434 are open to participants now.

This study's planned enrollment of 20 is below the median of 43 across 2,319 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

ITM Solucin GmbH is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
24 Months to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Participants aged ≥ 2 years and \< 18 years
  • Confirmed diagnosis somatostatin receptor-positive (SSTR-positive) disease.
  • Tumor which is or is refractory to at least one line of previous therapy
  • Positive SSTR protein expression confirmed by immunohistochemistry of a tumor histology sample
  • Radioactivity uptake within the primary tumor or tumor sites measured by locally available SRIs ( 111In-based, 99mTc-based, or 68Ga-based SSTR single-photon emission computed tomography (SPECT)/ computed tomography (CT) or positron emission tomography (PET)/CT imaging, which is higher than the liver uptake)
  • Participants must have recovered from the acute treatment related toxicities (defined as ≤ grade 1 if not defined in eligibility criteria, excluding alopecia, stable treated electrolyte abnormalities on replacement and stable treated hypothyroidism) of all prior treatment modality prior to entering this trial
  • In case of sequential treatment followed by SoC or prior therapy, applies before starting targeted RPT

Screening Consent Participant/legal guardian is willing to sign a screening consent. The screening consent is to be obtained according to institutional guidelines. Assent, when appropriate, will be obtained according to institutional guidelines.

Key Exclusion Criteria:

  • Known to Lutetium Lu 177 Edotreotide, DOTA/Edotreotide, or
  • Previous history of acute leukemia unless in remission for at least two years
  • Extensive bone/bone marrow involvement as per Investigator's judgement unless peripheral blood stem cells (PBSC) are available at a minimum of 2.5x106 CD34+ cells/kg
  • Patients who have received previous systemic targeted RPT
  • Previous treatment with metaiodobenzyl guanidine (MIBG) if the predicted overall exposure is expected to exceed 2 Gy (gray) to the bone marrow or 23 Gy to the kidney.
  • Previous treatment with external beam radiation therapy (EBRT) if the predicted overall exposure is expected to exceed more than 2 Gy to the bone marrow or 23 Gy to the kidney.
  • Previous treatment with oncologic immune vaccine or CAR-T cell therapy
  • Bulky disease in the CNS
  • Presence of severe renal, hepatic, electrolyte, cardiovascular, or hematological dysfunction
  • Participants who have received a up to four weeks prior to enrolment
  • Pregnant or breastfeeding women.
  • Other known .
  • Serious non-malignant disease.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Three sequential age cohorts

    Arms are based upon age at enrollment. The opening of the 2nd and 3rd cohort will depend on the recruitment of at least four participants with dosimetry and safety data for cycle 1, in the previous cohort. 1. ≥ 12 to \< 18 years old 2. ≥ 6 years to \< 12 years old 3. ≥ 2 to \< 6 years old

    Drug: Lutetium Lu 177-Edotreotide · Other: Amino Acid Solution

Interventions

  • lutetium Lu 177 edotreotide At least two cycles and a maximum of six cycles at eight-week (± 2 we-ek) intervals. Extrapolation from standard maximum adult dose of 100 Megabecquerel(MBq)/kg for a 75 kg adult for the first cohort. Dosing decision for the subsequent cohorts by Data Monitoring Committee (DMC), based on (at least) cycle 1 dosimetry and safety data from at least four participants of the preceding cohort. Route of administration: Intravenous (IV) infusion. Duration of treatment: 16-48 weeks

    Also known as: 177Lu-edotreotide

  • OtherAmino Acid Solution

    The Amino-Acid Solution (AAS) to be used in this study will contain a mixture of lysine and arginine diluted in an electrolyte solution.

    Also known as: Arginine-Lysine Solution

06

What researchers measure

Primary outcomes

  1. Pediatric Dosage

    Pediatric dosage based on: 1. absorbed dose by target organs (kidney and bone marrow). 2. rate of Dose limitting toxicities - based on adverse event reporting.

    Time frame: a. Dosimetry assessments will be performed at multiple timepoints in cycle 1, 2 and 4. - b. Minimum of eight weeks after the first administration of Lutetium Lu 177 edotreotide

Secondary outcomes

  1. Objective Response Rate

    Assess preliminary anti-tumor activity by tumor type

    Time frame: At the end of Cycle 2 (each cycle is 28 days)

  2. PK and dosimetry

    Lutetium Lu 177 edotreotide PK evaluation and tumor and target organ dosimetry

    Time frame: Dosimetry assessments will be performed at multiple timepoints at Cycle 1, 2 and 4.

  3. Rate of adverse events

    Safety evaluation of Lutetium Lu 177 edotreotide targeted RPT as monotherapy or following standard of care

    Time frame: From treatment start until 33 days following the last dose of trial treatment or until the End of Last Treatment (EOLT) visit, whichever occurs later..

  4. Overall Survival, Progression-Free Survival and Duration of Response

    Additional preliminary efficacy evaluation of lutetium Lu 177 Edotreotide targeted RPT as monotherapy or following SoC

    Time frame: Every 9 ± 3 weeks from enrollment until disease progression or for up to two years, whichever came first.

Other outcomes

  1. Exploratory Endpoint: Quality of Life

    Assess quality of life based on the adapted Quality of Life (QoL) scale (PedsQL TM 3.0 Cancer Module)

    Time frame: At enrollment, 18 days prior to cycles 2-6, four ± 3 weeks after targeted RPT.

  2. Exploratory Endpoint: Correlation between SSTR expression detected by immunohisto-chemistry and functional imaging

    Correlation of the expression level of SSTR immunohistochemistry in tumor biopsy or surgery samples and 111In-based, 99mTc-based, or 68Ga-based-based lesion uptake (regarding intensity/distribution)

    Time frame: No timeframe given.

07

Study locations

9 of 9 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2025 (actual). Primary completion is estimated for Jun 2028, 33 months after the start.

Of 143 industry-sponsored phase 1 interventional studies under Lymphoma, half reached primary completion within 44 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 61. This study's planned 33 months is below that.

Counting every sponsor, half of 281 studies reached it within 53 months; a quarter within 34 and three quarters within 77.

How these figures are worked out, and which studies are left out of them.

Registered
May 22, 2024
First posted
Jun 4, 2024
StartActual
Sep 26, 2025
Primary completionEst.
Jun 2028
CompletionEst.
Apr 2034
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
3 sites added
Show 3 added (2 United States, 1 France)
  • Cincinnati Children's Hospital Medical Center · Cincinnati, United States
  • Lucile Packard Children's Hospital at Stanford · Palo Alto, United States
  • CHU de Marseille - Hôpital de la Timone · Marseille, France
across 2 updates, Sep 25, 2026 – Oct 27, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Gustave Roussy Cancer Campus · Villejuif, FranceContact c•••@gustaveroussy.fr→c•••@gustaveroussy.fr
Sep 25, 2026
Show all 2 updates
  1. Oct 27, 2026
    2 sites added
    Show 2 added (1 United States, 1 France)
    • Lucile Packard Children's Hospital at Stanford · Palo Alto, United States
    • CHU de Marseille - Hôpital de la Timone · Marseille, France
    + 1 other change: contact details
  2. Sep 25, 2026
    1 site added
    Show site
    • Cincinnati Children's Hospital Medical Center · Cincinnati, United States
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Gustave Roussy Cancer Campus · Villejuif, FranceContact c•••@gustaveroussy.fr→c•••@gustaveroussy.fr

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06441331
Lead sponsor
ITM Solucin GmbH
Responsible party
Sponsor
First posted
Jun 4, 2024
Start date
Sep 26, 2025
Primary completion
Jun 2028 (estimated)
Completion
Apr 2034 (estimated)
Last update
Oct 27, 2026

Study contacts

Pia Zehkorn
Contact
kinlet@itm-radiopharma.com
+4989 32989866000
Serhii Melnyk, MD
Contact
kinlet@itm-radiopharma.com
Roman Henkel, PhD
study director · Director, Global Clinical Operations

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: 177Lu-octreotide, DOTA(0)-Tyr(3)-

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