ClinicalTrials.gg
RecruitingNCT07189871BetaBartUpdated Oct 1, 2026

177Lu-BetaBart in Patients With Relapsed/Refractory, Locally Advanced Inoperable, or Metastatic Solid Tumors

A Phase 1/2 interventional study of 177Lu-BetaBart and BetaBart + unlabeled BetaBart in Castration-Resistant Prostate Cancer (CRPC), Colorectal Cancer and NSCLC (Non-small Cell Lung Cancer), sponsored by Radiopharm Theranostics, Ltd. Recruiting at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by Radiopharm Theranostics, Ltd · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Sep 30, 2026Eligibility revisedPrimary outcomes revised+2 moreGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
61
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 2,338 studies in Colorectal Neoplasms with a site in United States — 419 open to participants now, 628 under way, 30 of them phase 3. Colorectal Neoplasms · United States.

Planned enrollment
988th of 1,931
61 · median 64
Started
2026
with 116 others
Phase 1/2
266 of 2,338
68 open now
Primary completion
2027-12
later than 355 of 626 live
Registered
2,204th of 2,338
by date

Among the 2,338 studies in Colorectal Neoplasms with a site in United States, this one is the 988th largest by planned enrollment of the 1,931 interventional ones that give a count, is one of 117 that started in 2026, is one of 266 in phase 1/2, reaches primary completion later than 355 of the 626 other live ones, and was the 2,204th registered.

Colorectal Neoplasms

6,545 studies on the registry are indexed under Colorectal Neoplasms; 1,664 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

419 of the 2,338 studies in Colorectal Neoplasms with a site in United States are open now. Recruiting first, the newest first:

414 more — sign in →

All 419 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 1,181 Colorectal Neoplasms studies recruiting now, 764 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 2,338 studies in Colorectal Neoplasms with a site in United States, or all of them as a file.
02

Study summary

This is a Phase 1/2a dose escalation and expansion study to determine the safety, tolerability, and preliminary clinical activity of 177LuBetaBart, a lutetium-labeled anti-B7-H3 monoclonal antibody, in patients with relapsed/refractory, locally advanced inoperable, or metastatic solid tumors

Read the detailed description

The main objectives of the study are to establish the safety, recommended Phase 2 dose (RP2D), pharmacokinetics (pk), and preliminary anti-tumour activity of 177Lu-BetaBart, a lutetium-labeled anti-B7-H3 monoclonal antibody, in patients with solid tumors who may benefit from this treatment and who meet the study eligibility criteria.

The study is divided into 2 phases. Phase 1 is the dose escalation phase to establish the safety profile of 177Lu-BetaBart and to determine the maximum tolerated dose (MTD) and/or RP2D of 177Lu-BetaBart.

Phase 2a is the dose expansion phase to evaluate preliminary anti-tumor activity and to confirm the safety of 177Lu-BetaBart in select patient populations.

Each phase consists of a Screening Period, a Treatment Period, and a Safety and Long-term Follow-up Period. The estimated total time on study is 22 weeks excluding the Long-term Follow-up Period.

03

Conditions studied

  • Castration-Resistant Prostate Cancer (CRPC)
  • Colorectal Cancer
  • NSCLC (Non-small Cell Lung Cancer)
  • Ovarian Cancer
  • Cervical Cancer
  • Endometrial Cancer
  • TNBC, Triple Negative Breast Cancer
  • Small Cell Lung Cancer (SCLC )
  • Head &Amp; Neck Squamous Cell Carcinoma (HNSCC)
  • Esophageal Squamous Cell Carcinoma (ESCC)
  • Sarcoma

Keywords

  • Castration-resistant prostate cancer (CRPC)
  • colorectal cancer (CRC)
  • non-small-cell lung cancer (NSCLC)
  • small-cell lung cancer (SCLC)
  • head and neck squamous cell carcinoma (HNSCC)
  • ovarian cancer
  • cervical cancer
  • endometrial cancer
  • triple negative breast cancer (TNBC)
  • esophageal squamous cell carcinoma (ESCC)
  • B7-H3
  • 177Lu
  • radiotheranostics
  • radioligand therapy
  • radioimmunotherapy
  • monoclonal antibody
  • metastatic solid tumors
  • sarcoma
04

Who can participate

The criteria were revised on the registry on Sep 30, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  1. Participants ≥ 18 years of age.
  2. Participants with a documented history of histopathologically confirmed CRPC*, CRC, NSCLC, SCLC, HNSCC, ovarian cancer, cervical cancer, endometrial cancer, TNBC, or ESCC.

    a. *Progressive CRPC defined by at least one of the following criteria: i. Two consecutive increases in PSA measured at least 1 week apart. ii. Soft tissue progression defined as a ≥20% increase in the sum of the diameter or the appearance of one or more new lesions by computed tomography (CT)/magnetic resonance imaging (MRI).

    iii. Progression of bone disease defined by Prostate Cancer Working Group 3 (PCWG3) as evaluable disease or new bone lesions by bone scan.

    iv. Identification of new soft tissue or bone lesions on prostate-specific membrane antigen (PSMA) positron emission tomography (PET) imaging.

    b. * disease defined as either or both of the following: i. Documented M1 disease on conventional imaging ii. Identification of bone lesion(s), extra-pelvic soft tissue lesion(s), or visceral metastases on PSMA PET imaging with an FDA-approved imaging agent c. *Progression following treatment with ADT and at least one ARSI . e. Participants with liver metastases if they meet the following criteria: i. ≤3 lesions ii. All lesions must be ≤2 cm in the short axis iii. SUVmean ≥2 x that of liver parenchyma g. Participants with TNBC if pathology results confirm the following: i. Estrogen receptor expression \<1%, ii. Progesterone receptor expression \<1%, iii. Human epidermal growth factor receptor 2 () negative, defined as IHC 0 or 1+, or IHC 2+ with negative in situ hybridization (ISH)

  3. Participants must have documented disease progression during or after their most recent line of anticancer therapy. Participants must be to or intolerant of standard of care therapy or have no standard of care therapy available that is likely to provide clinical benefit.
  4. Must have at least 1 measurable target lesion according to v1.1.
  5. (ECOG) performance status ≤ 2
  6. Participants must have a of ≥ 4 months in the opinion of the Investigator.
  7. Participants of (CBP) must have a negative β-hCG test and must not be breastfeeding.
  8. Participants of CBP must agree to use a highly effective method of .
  9. Participants with previously treated are eligible to participate if:

    • they are neurologically and radiologically stable for at least 28 days prior to the first dose of 177Lu-BetaBart; and
    • have no history of or spinal cord compression.

Exclusion Criteria:

  1. History of prior organ transplant.
  2. Any other known, active , except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer.
  3. Have any medical condition that would, in the Investigator's judgment, prevent the participant's full participation in the clinical study due to safety concerns or compliance with clinical study procedures.
  4. Residual toxicity ≥ Grade 2 from prior anti-cancer therapy
  5. History of uncontrolled allergic reactions and/or known or expected to protein therapeutics.
  6. Inadequate organ functions as reflected in laboratory parameters:

    • Estimated (eGFR) \< 50 mL/min
    • count of \< 100 x 109/L
    • (ANC) \< 1.5 x 109/L
    • \< 9 g/dL
    • (ALT) or aspartate aminotransferase (AST) > 3 x (ULN), or > 5 x ULN for participants with known liver metastases
    • Total > 1.5 x ULN
  7. Participants requiring blood product transfusion within 2 weeks of first dose of 177Lu-BetaBart.
  8. *Participants with CRPC who have received prior Lu-177-PSMA radioligand therapy.
  9. cardiovascular disease
  10. Participation in any other interventional trial
  11. Participants who are pregnant or breastfeeding.
  12. Major surgery within 4 weeks prior to first dose of 177Lu-BetaBart.
  13. Received anti-cancer therapy, including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy or investigational device, ≤ 28 days prior to the first dose of 177Lu-BetaBart.
  14. Known active or known active infection.
  15. Any uncontrolled intercurrent illness or clinically significant uncontrolled condition(s)
  16. Untreated moderate to severe hydronephrosis
  17. For CRPC participants, prescence of a superscan by nuclear medicine/99mTc bone scan.
  18. Active disease that has required systemic treatment within 90 days.
  19. Any other clinically significant comorbidities, which in the judgment of the investigator could compromise compliance with the protocol, interfere with the interpretation of study results, or predispose the subject to safety risks.
Terms in these criteria, in plain language(24)

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.

Metastases

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

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
61 participants (estimated)

Study arms

  • Experimental
    Escalating doses of 177 Lu-BetaBart with or without BetaBart every 6 weeks

    Dose escalation and treatment and imaging period

    Drug: 177Lu-BetaBart · Drug: BetaBart + unlabeled BetaBart

Interventions

  • Drug177Lu-BetaBart

    177Lu-BetaBart administered intravenously (IV) every 6 weeks at escalating doses

    Also known as: RV-01

  • DrugBetaBart + unlabeled BetaBart

    177Lu-BetaBart + unlabeled BetaBart administered intravenously (IV) every 6 weeks at escalating doses

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability of 177LuBetaBart

    TEAEs as defined by CTCAE v5.0

    Time frame: 6 weeks

  2. To assess the preliminary anti-tumor activity of 177Lu-BetaBart at the RP2D

    ORR per RECIST v1.1 and iRECIST

    Time frame: Up to 30 weeks

  3. To assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants at the RP2D

    Proportion of participants who achieve a best response of PSA50

    Time frame: Up to 30 weeks

Secondary outcomes

  1. To assess the preliminary anti-tumor activity of 177Lu-BetaBart

    ORR per RECIST v1.1 and iRECIST

    Time frame: Up to 30 weeks

  2. To assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants

    Proportion of participants who achieve a best response of PSA50

    Time frame: Up to 30 weeks

  3. Assess biodistrubution, PK, and radiation dosimetry of 177Lu-BetaBart

    Absorbed Radiation doses in critical organs

    Time frame: 6 weeks

  4. Effect of Co-injection of unlabeled BetaBart on biodistribution of radiolabeled 177Lu-BetaBart

    Absorbed Radiation doses in critical organs

    Time frame: 6 weeks

  5. To assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants who were previously treated with at least one ARSI

    bPFS as assessed by PCWG3

    Time frame: Up to 30 weeks

  6. Safety and Tolerability of 177LuBetaBart at the RP2D

    TEAEs as defined by CTCAE v5.0

    Time frame: 6 weeks

  7. Assess biodistribution, PK, and radiation dosimetry of 177Lu-BetaBart at the RP2D

    Absorbed Radiation doses in critical organs

    Time frame: 6 weeks

07

Study locations

5 of 5 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Feb 2026 (actual). Primary completion is estimated for Dec 2027, 22 months after the start.

Of 158 industry-sponsored phase 1/2 interventional studies under Colorectal Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 82. This study's planned 22 months is below that.

Counting every sponsor, half of 260 studies reached it within 59 months; a quarter within 36 and three quarters within 87.

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

Registered
Sep 11, 2025
First posted
Sep 24, 2025
StartActual
Feb 23, 2026
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Oct 1, 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
1 site added
Show site
  • MD Anderson Cancer Center · Houston, United States
Sep 30, 2026
Eligibility
9 inclusion criteria removed; 13 exclusion criteria removed; 21 criteria edited, 4 added
What changed in the criteria
  • EditedParticipants with a documented history of histopathologically confirmed CRPC*, CRC, NSCLC, SCLC, HNSCC, ovarian cancer, cervical cancer, endometrial cancer, TNBC, or ESCC. (Note: inclusion or exclusion criteria below marked with * refer to CRPC only, criteria without * refer to all tumor indications including CRPC)
  • Edited*Progressive CRPC defined by at least one of the following criteria: i. Two consecutive increases in PSA measured at least 1 week apart. ii. Soft tissue progression defined as a ≥20% increase in the sum of the diameter (short axis for nodal lesions and long axis for non-nodal lesions) of all target lesions based on the smallest sum of the diameter since the previous treatment was started or the appearance of one or more new lesions by computed tomography (CT)/magnetic resonance imaging (MRI).
  • Added*Metastatic disease defined as either or both of the following: i. Documented M1 disease on conventional imaging ii. Identification of bone lesion(s), extra-pelvic soft tissue lesion(s), or visceral metastases on PSMA PET imaging with an FDA-approved imaging agent c. *Progression following treatment with ADT and at least one ARSI . e. Participants with liver metastases if they meet the following criteria: i. ≤3 lesions ii. All lesions must be ≤2 cm in the short axis iii. SUVmean ≥2 x that of liver parenchyma g. Participants with TNBC if pathology results confirm the following: i. Estrogen receptor expression <1%, ii. Progesterone receptor expression <1%, iii. Human epidermal growth factor receptor 2 (HER2) negative, defined as IHC 0 or 1+, or IHC 2+ with negative in situ hybridization (ISH)
  • EditedParticipants must have documented disease progression during or after their most recent line of anticancer therapy. Participants must be refractory to or intolerant of standard of care therapy or have no standard of care therapy available that is likely to provide clinical benefit. Any number of prior treatment lines are allowed.
  • EditedMust have at least 1 measurable target lesion according to RECIST v1.1. (Note: this does not apply for CRPC)
  • ChangedBefore Participants of child-bearing potential (CBP) must have a negative β-hCG test and must not be breastfeeding. Participants of CBP are defined as those who are not surgically sterile or post-menopausal. Participants will be considered post-menopausal if they have been amenorrheic for 12 months without an alternative medical cause. Participants < 50 years of age who meet the criteria for post-menopausal status without previous surgical sterilization should be considered for further investigation with luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels to confirm serological post-menopausal status.Now Participants of child-bearing potential (CBP) must have a negative β-hCG test and must not be breastfeeding.
  • EditedParticipants of CBP must agree to use a highly effective method of contraception during the study and for 6 months after the last dose of 177Lu-BetaBart, as described in Appendix 4.
  • Editedthey are neurologically and radiologically stable (no evidence of progression by imaging; same imaging modality [MRI or CT scan] must be used for each assessment) for at least 28 days prior to the first dose of 177Lu-BetaBart; and
  • AddedExclusion Criteria:
  • ChangedBefore Any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer. Participants with a history of malignancies of low recurrence potential who have received curative-intent therapy may be approved on a case-by-case basis in discussion with the Sponsor, if it is determined not to put the participant at an increased risk of adverse drug effects and/or interfere with the integrity of the study outcome.Now Any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer.
  • EditedHave any medical condition that would, in the Investigator's judgment, prevent the participant's full participation in the clinical study due to safety concerns or compliance with clinical study procedures such as participants with severe claustrophobia who are unresponsive to oral anxiolytics, participants with low back pain who cannot lie comfortably on an imaging table, participants who are hyperactive or hyperkinetic such that they cannot tolerate lying still for multiple time point imaging procedures, etc.
  • EditedResidual toxicity ≥ Grade 2 from prior anti-cancer therapy (except alopecia and peripheral sensory neuropathy).
  • EditedHistory of uncontrolled allergic reactions and/or known or expected hypersensitivity to protein therapeutics, 177Lu-BetaBart, or any of its excipients.
  • EditedEstimated glomerular filtration rate (eGFR) < 50 mL/min adjusted for participant's body surface area using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI 2021) formula
  • AddedTotal bilirubin > 1.5 x ULN
  • EditedParticipants requiring blood product transfusion within 2 weeks of first dose of 177Lu-BetaBart are not eligible to participate.
  • EditedClinically significant cardiovascular disease including but not limited to:
  • EditedParticipation in any other interventional investigational trial for treatment of underlying malignancy at the time of informed consent signature.
  • EditedReceived anti-cancer therapy, including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy or investigational device, ≤ 28 days (or 5 half-lives for biologic/non-cytotoxic agents, whichever is shorter), prior to the first dose of 177Lu-BetaBart.
  • AddedKnown active hepatitis B or known active hepatitis C infection.
  • EditedAny uncontrolled intercurrent illness or clinically significant uncontrolled condition(s), including but not limited to active bacterial, fungal, or viral infections requiring systemic therapy.
  • ChangedBefore Untreated moderate to severe hydronephrosis. If hydronephrosis is corrected via stent or nephrostomy, hydronephrosis will be considered resolved.Now Untreated moderate to severe hydronephrosis
  • Edited*PrescenceFor CRPC participants, prescence of a superscan by nuclear medicine/99mTc bone scan.
  • ChangedBefore Active autoimmune disease that has required systemic treatment within 90 days (i.e., with the use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid [stable / low doses of ≤10 mg/day prednisone or equivalent dose]) for adrenal or pituitary insufficiency is allowed.Now Active autoimmune disease that has required systemic treatment within 90 days.
  • EditedAny other clinically significant comorbidities, such as uncontrolled pulmonary disease, active infection, or any other condition, which in the judgment of the investigator could compromise compliance with the protocol, interfere with the interpretation of study results, or predispose the subject to safety risks.
Inclusion criteria
  • RemovedWilling and able to provide informed consent prior to start of any study procedures and assessments and must be willing to comply with all study procedures.
  • Removed*Progressive CRPC defined as castrate levels of testosterone and progressing by at least one of the following criteria: i. Serum PSA progression consisting of two consecutive increases in PSA measured at least 1 week apart. The minimal baseline value is 2.0 ng/mL.
  • Removed*Metastatic disease defined as either or both of the following: i. Documented M1 disease on conventional imaging (CT/MRI of the chest/abdomen/pelvis and/or Technetium 99m [99mTc] whole-body bone scan) ii. Identification of bone lesion(s), extra-pelvic soft tissue lesion(s), or visceral metastases on PSMA PET imaging with an FDA-approved imaging agent (e.g., 68Ga-PSMA-11, 18F-DCFPyL, or 18F-rhPSMA-7.3) c. *Progression following treatment with ADT and at least one ARSI (e.g., enzalutamide, apalutamide, darolutamide, and/or abiraterone acetate). If a participant is currently on ADT, they should continue ADT for the duration of their participation in the study but will not be permitted to start a new therapy or ADT regimen. If a participant has progressed on an ARSI, they will have the option to remain on the same ARSI or discontinue therapy. If they discontinue the ARSI, a 28-day washout period will be required prior to initiating study intervention.
  • RemovedPrior definitive and palliative external beam radiation therapy and stereotactic body radiation therapy is allowed.
  • RemovedNote: Participants with extended external beam radiation therapy to the axial skeleton, which in the opinion of the Investigator may pose a risk for increased myelotoxicity, will be discussed with the Sponsor to determine eligibility.
  • RemovedParticipants with liver metastases are eligible if they meet the following criteria: i. ≤3 lesions i. All lesions must be ≤2 cm in the short axis ii. SUVmean ≥2 x that of liver parenchyma f. *Prior treatment with one taxane-based chemotherapy is allowed but not required. A taxane-based chemotherapy is defined as a minimum exposure of two cycles of a taxane chemotherapy.
  • RemovedMale participants who are able to father a child must agree to avoid impregnating a partner and to adhere to a highly effective method of contraception during the study and for 6 months after the last dose of 177Lu-BetaBart, as described in Appendix 4. All male participants must agree to not donate sperm during the study and for 6 months after the last dose of 177Lu-BetaBart.
  • RemovedParticipants who have received prior radiation therapy >28 days before the first dose of 177Lu-BetaBart are permitted. Documentation of the dates the radiotherapy was received, the cumulative dose, and the absorbed dose to critical organs, if available, should be provided.
  • Removeddo not require corticosteroids to treat associated neurological symptoms or if required, are on a stable dose of corticosteroids not exceeding 10 mg/day of prednisone (or equivalent), and
Exclusion criteria
  • RemovedTotal bilirubin > 1.5 x ULN, except for participants with documented Gilbert's syndrome who are eligible if total bilirubin ≤ 3 x ULN
  • RemovedFor participants not taking warfarin or other anticoagulants: INR ≤1.5 or PT ≤1.5 x ULN; and either PTT or aPTT ≤1.5 x ULN. Participants taking warfarin must be on a stable dose that results in a stable INR <3.5. Among participants receiving other anticoagulant therapy, PT or aPTT must be within the intended therapeutic range of the anticoagulant.
  • RemovedUnstable angina
  • RemovedAcute myocardial infarction within 6 months prior to screening
  • RemovedNew York Heart Association (NYHA) Class II or greater congestive heart failure
  • RemovedClinically significant abnormalities in rhythm, conduction or morphology on resting ECG (e.g., complete left bundle branch block, third degree heart block)

…and 7 more changes, on the record history on ClinicalTrials.gov ↗

Sep 30, 2026
Interventions
Added Drug: BetaBart + unlabeled BetaBart. Arm changed 177 Lu-BetaBart - Dose escalation and Phase 2a expansion→Escalating doses of 177 Lu-BetaBart with or without BetaBart every 6 weeks
Sep 30, 2026
Primary outcomes
2 edited, 1 added, 2 removed
What changed in the outcomes
  • EditedTo assess the preliminary anti-tumor activity of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: Up to 30 weeks
  • EditedTo assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants who are treated with 177Lu-BetaBart at the RP2D (phase 2a)Time frame: Up to 30 weeks
  • AddedSafety and Tolerability of 177LuBetaBartTime frame: 6 weeks
  • RemovedRecommended dose(s) of 177Lu-BetaBart for future exploration (phase 1)Time frame: 6 weeks
  • RemovedIncidence of treatment emergent adverse events of 177-Lu-BetaBart (phase 1) (Safety and Tolerability)Time frame: 6 weeks
Sep 30, 2026
Secondary outcomes
4 edited, 3 added, 5 removed
What changed in the outcomes
  • EditedTo assess the preliminary anti-tumor activity of 177Lu-BetaBart (phase 1)Time frame: Up to 30 weeks
  • EditedTo assess preliminary anti-tumor activity, as defined by biochemical response, in castration-resistant prostate cancer (CRPC) participants treated with 177Lu-BetaBart (phase 1)Time frame: Up to 30 weeks
  • EditedRadiationAssess biodistrubution, PK, and radiation dosimetry of 177Lu-BetaBart (phase 1)Time frame: 72 hours → 6 weeks
  • EditedPharmacokineticsAssess biodistribution, PK, and radiation dosimetry of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours → 6 weeks
  • AddedEffect of Co-injection of unlabeled BetaBart on biodistribution of radiolabeled 177Lu-BetaBartTime frame: 6 weeks
  • AddedTo assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants who were previously treated with at least one ARSITime frame: Up to 30 weeks
  • AddedSafety and Tolerability of 177LuBetaBart at the RP2DTime frame: 6 weeks
  • RemovedIncidence of treatment emergent adverse events of 177-Lu-BetaBart at the RP2D (phase 2a) (Safety & Tolerability)Time frame: 6 weeks
  • RemovedPharmacokinetics of 177Lu-BetaBart (phase 1)Time frame: 72 Hours
  • RemovedBiokinetics of 177Lu-BetaBart (phase 1)Time frame: 72 hours
  • RemovedRadiation dosimetry of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours
  • RemovedBiokinetics of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    1 site added
    Show site
    • MD Anderson Cancer Center · Houston, United States
    Eligibility 9 inclusion criteria removed; 13 exclusion criteria removed; 21 criteria edited, 4 added
    What changed in the criteria
    • EditedParticipants with a documented history of histopathologically confirmed CRPC*, CRC, NSCLC, SCLC, HNSCC, ovarian cancer, cervical cancer, endometrial cancer, TNBC, or ESCC. (Note: inclusion or exclusion criteria below marked with * refer to CRPC only, criteria without * refer to all tumor indications including CRPC)
    • Edited*Progressive CRPC defined by at least one of the following criteria: i. Two consecutive increases in PSA measured at least 1 week apart. ii. Soft tissue progression defined as a ≥20% increase in the sum of the diameter (short axis for nodal lesions and long axis for non-nodal lesions) of all target lesions based on the smallest sum of the diameter since the previous treatment was started or the appearance of one or more new lesions by computed tomography (CT)/magnetic resonance imaging (MRI).
    • Added*Metastatic disease defined as either or both of the following: i. Documented M1 disease on conventional imaging ii. Identification of bone lesion(s), extra-pelvic soft tissue lesion(s), or visceral metastases on PSMA PET imaging with an FDA-approved imaging agent c. *Progression following treatment with ADT and at least one ARSI . e. Participants with liver metastases if they meet the following criteria: i. ≤3 lesions ii. All lesions must be ≤2 cm in the short axis iii. SUVmean ≥2 x that of liver parenchyma g. Participants with TNBC if pathology results confirm the following: i. Estrogen receptor expression <1%, ii. Progesterone receptor expression <1%, iii. Human epidermal growth factor receptor 2 (HER2) negative, defined as IHC 0 or 1+, or IHC 2+ with negative in situ hybridization (ISH)
    • EditedParticipants must have documented disease progression during or after their most recent line of anticancer therapy. Participants must be refractory to or intolerant of standard of care therapy or have no standard of care therapy available that is likely to provide clinical benefit. Any number of prior treatment lines are allowed.
    • EditedMust have at least 1 measurable target lesion according to RECIST v1.1. (Note: this does not apply for CRPC)
    • ChangedBefore Participants of child-bearing potential (CBP) must have a negative β-hCG test and must not be breastfeeding. Participants of CBP are defined as those who are not surgically sterile or post-menopausal. Participants will be considered post-menopausal if they have been amenorrheic for 12 months without an alternative medical cause. Participants < 50 years of age who meet the criteria for post-menopausal status without previous surgical sterilization should be considered for further investigation with luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels to confirm serological post-menopausal status.Now Participants of child-bearing potential (CBP) must have a negative β-hCG test and must not be breastfeeding.
    • EditedParticipants of CBP must agree to use a highly effective method of contraception during the study and for 6 months after the last dose of 177Lu-BetaBart, as described in Appendix 4.
    • Editedthey are neurologically and radiologically stable (no evidence of progression by imaging; same imaging modality [MRI or CT scan] must be used for each assessment) for at least 28 days prior to the first dose of 177Lu-BetaBart; and
    • AddedExclusion Criteria:
    • ChangedBefore Any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer. Participants with a history of malignancies of low recurrence potential who have received curative-intent therapy may be approved on a case-by-case basis in discussion with the Sponsor, if it is determined not to put the participant at an increased risk of adverse drug effects and/or interfere with the integrity of the study outcome.Now Any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer.
    • EditedHave any medical condition that would, in the Investigator's judgment, prevent the participant's full participation in the clinical study due to safety concerns or compliance with clinical study procedures such as participants with severe claustrophobia who are unresponsive to oral anxiolytics, participants with low back pain who cannot lie comfortably on an imaging table, participants who are hyperactive or hyperkinetic such that they cannot tolerate lying still for multiple time point imaging procedures, etc.
    • EditedResidual toxicity ≥ Grade 2 from prior anti-cancer therapy (except alopecia and peripheral sensory neuropathy).
    • EditedHistory of uncontrolled allergic reactions and/or known or expected hypersensitivity to protein therapeutics, 177Lu-BetaBart, or any of its excipients.
    • EditedEstimated glomerular filtration rate (eGFR) < 50 mL/min adjusted for participant's body surface area using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI 2021) formula
    • AddedTotal bilirubin > 1.5 x ULN
    • EditedParticipants requiring blood product transfusion within 2 weeks of first dose of 177Lu-BetaBart are not eligible to participate.
    • EditedClinically significant cardiovascular disease including but not limited to:
    • EditedParticipation in any other interventional investigational trial for treatment of underlying malignancy at the time of informed consent signature.
    • EditedReceived anti-cancer therapy, including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy or investigational device, ≤ 28 days (or 5 half-lives for biologic/non-cytotoxic agents, whichever is shorter), prior to the first dose of 177Lu-BetaBart.
    • AddedKnown active hepatitis B or known active hepatitis C infection.
    • EditedAny uncontrolled intercurrent illness or clinically significant uncontrolled condition(s), including but not limited to active bacterial, fungal, or viral infections requiring systemic therapy.
    • ChangedBefore Untreated moderate to severe hydronephrosis. If hydronephrosis is corrected via stent or nephrostomy, hydronephrosis will be considered resolved.Now Untreated moderate to severe hydronephrosis
    • Edited*PrescenceFor CRPC participants, prescence of a superscan by nuclear medicine/99mTc bone scan.
    • ChangedBefore Active autoimmune disease that has required systemic treatment within 90 days (i.e., with the use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid [stable / low doses of ≤10 mg/day prednisone or equivalent dose]) for adrenal or pituitary insufficiency is allowed.Now Active autoimmune disease that has required systemic treatment within 90 days.
    • EditedAny other clinically significant comorbidities, such as uncontrolled pulmonary disease, active infection, or any other condition, which in the judgment of the investigator could compromise compliance with the protocol, interfere with the interpretation of study results, or predispose the subject to safety risks.
    Inclusion criteria
    • RemovedWilling and able to provide informed consent prior to start of any study procedures and assessments and must be willing to comply with all study procedures.
    • Removed*Progressive CRPC defined as castrate levels of testosterone and progressing by at least one of the following criteria: i. Serum PSA progression consisting of two consecutive increases in PSA measured at least 1 week apart. The minimal baseline value is 2.0 ng/mL.
    • Removed*Metastatic disease defined as either or both of the following: i. Documented M1 disease on conventional imaging (CT/MRI of the chest/abdomen/pelvis and/or Technetium 99m [99mTc] whole-body bone scan) ii. Identification of bone lesion(s), extra-pelvic soft tissue lesion(s), or visceral metastases on PSMA PET imaging with an FDA-approved imaging agent (e.g., 68Ga-PSMA-11, 18F-DCFPyL, or 18F-rhPSMA-7.3) c. *Progression following treatment with ADT and at least one ARSI (e.g., enzalutamide, apalutamide, darolutamide, and/or abiraterone acetate). If a participant is currently on ADT, they should continue ADT for the duration of their participation in the study but will not be permitted to start a new therapy or ADT regimen. If a participant has progressed on an ARSI, they will have the option to remain on the same ARSI or discontinue therapy. If they discontinue the ARSI, a 28-day washout period will be required prior to initiating study intervention.
    • RemovedPrior definitive and palliative external beam radiation therapy and stereotactic body radiation therapy is allowed.
    • RemovedNote: Participants with extended external beam radiation therapy to the axial skeleton, which in the opinion of the Investigator may pose a risk for increased myelotoxicity, will be discussed with the Sponsor to determine eligibility.
    • RemovedParticipants with liver metastases are eligible if they meet the following criteria: i. ≤3 lesions i. All lesions must be ≤2 cm in the short axis ii. SUVmean ≥2 x that of liver parenchyma f. *Prior treatment with one taxane-based chemotherapy is allowed but not required. A taxane-based chemotherapy is defined as a minimum exposure of two cycles of a taxane chemotherapy.
    • RemovedMale participants who are able to father a child must agree to avoid impregnating a partner and to adhere to a highly effective method of contraception during the study and for 6 months after the last dose of 177Lu-BetaBart, as described in Appendix 4. All male participants must agree to not donate sperm during the study and for 6 months after the last dose of 177Lu-BetaBart.
    • RemovedParticipants who have received prior radiation therapy >28 days before the first dose of 177Lu-BetaBart are permitted. Documentation of the dates the radiotherapy was received, the cumulative dose, and the absorbed dose to critical organs, if available, should be provided.
    • Removeddo not require corticosteroids to treat associated neurological symptoms or if required, are on a stable dose of corticosteroids not exceeding 10 mg/day of prednisone (or equivalent), and
    Exclusion criteria
    • RemovedTotal bilirubin > 1.5 x ULN, except for participants with documented Gilbert's syndrome who are eligible if total bilirubin ≤ 3 x ULN
    • RemovedFor participants not taking warfarin or other anticoagulants: INR ≤1.5 or PT ≤1.5 x ULN; and either PTT or aPTT ≤1.5 x ULN. Participants taking warfarin must be on a stable dose that results in a stable INR <3.5. Among participants receiving other anticoagulant therapy, PT or aPTT must be within the intended therapeutic range of the anticoagulant.
    • RemovedUnstable angina
    • RemovedAcute myocardial infarction within 6 months prior to screening
    • RemovedNew York Heart Association (NYHA) Class II or greater congestive heart failure
    • RemovedClinically significant abnormalities in rhythm, conduction or morphology on resting ECG (e.g., complete left bundle branch block, third degree heart block)

    …and 7 more changes, on the record history on ClinicalTrials.gov ↗

    Primary outcomes 2 edited, 1 added, 2 removed
    What changed in the outcomes
    • EditedTo assess the preliminary anti-tumor activity of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: Up to 30 weeks
    • EditedTo assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants who are treated with 177Lu-BetaBart at the RP2D (phase 2a)Time frame: Up to 30 weeks
    • AddedSafety and Tolerability of 177LuBetaBartTime frame: 6 weeks
    • RemovedRecommended dose(s) of 177Lu-BetaBart for future exploration (phase 1)Time frame: 6 weeks
    • RemovedIncidence of treatment emergent adverse events of 177-Lu-BetaBart (phase 1) (Safety and Tolerability)Time frame: 6 weeks
    Secondary outcomes 4 edited, 3 added, 5 removed
    What changed in the outcomes
    • EditedTo assess the preliminary anti-tumor activity of 177Lu-BetaBart (phase 1)Time frame: Up to 30 weeks
    • EditedTo assess preliminary anti-tumor activity, as defined by biochemical response, in castration-resistant prostate cancer (CRPC) participants treated with 177Lu-BetaBart (phase 1)Time frame: Up to 30 weeks
    • EditedRadiationAssess biodistrubution, PK, and radiation dosimetry of 177Lu-BetaBart (phase 1)Time frame: 72 hours → 6 weeks
    • EditedPharmacokineticsAssess biodistribution, PK, and radiation dosimetry of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours → 6 weeks
    • AddedEffect of Co-injection of unlabeled BetaBart on biodistribution of radiolabeled 177Lu-BetaBartTime frame: 6 weeks
    • AddedTo assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants who were previously treated with at least one ARSITime frame: Up to 30 weeks
    • AddedSafety and Tolerability of 177LuBetaBart at the RP2DTime frame: 6 weeks
    • RemovedIncidence of treatment emergent adverse events of 177-Lu-BetaBart at the RP2D (phase 2a) (Safety & Tolerability)Time frame: 6 weeks
    • RemovedPharmacokinetics of 177Lu-BetaBart (phase 1)Time frame: 72 Hours
    • RemovedBiokinetics of 177Lu-BetaBart (phase 1)Time frame: 72 hours
    • RemovedRadiation dosimetry of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours
    • RemovedBiokinetics of 177Lu-BetaBart at the RP2D (phase 2a)Time frame: 72 hours
    Interventions Added Drug: BetaBart + unlabeled BetaBart. Arm changed 177 Lu-BetaBart - Dose escalation and Phase 2a expansion→Escalating doses of 177 Lu-BetaBart with or without BetaBart every 6 weeks
    + 4 other changes: index terms, verification date, description and conditions

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
NCT07189871
Lead sponsor
Radiopharm Theranostics, Ltd
Collaborators
Medpace, Inc.
Responsible party
Sponsor
First posted
Sep 24, 2025
Start date
Feb 23, 2026
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 1, 2026

Study contacts

Dimitris Voliotis, MD
Contact
dv@radiopharmtheranostics.com
646-535-5017

Oversight

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

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