ClinicalTrials.gg
RecruitingNCT07278479Updated Oct 21, 2026

Study of [212Pb]Pb-DOTAM-MAM279 ([212Pb]Pb-MP0712) in Patients With Small Cell Lung Cancer and Other DLL3 Expressing Solid Tumors

A Phase 1/2 interventional study of [212Pb]Pb-MP0712 and [203Pb]Pb-MP0712 in Large Cell Neuroendocrine Carcinoma, Large Cell Pulmonary Neuroendocrine Carcinoma of the Lung (LCNEC) and Extrapulmonary Neuroendocrine Carcinoma (EP-NEC), sponsored by Molecular Partners AG. Recruiting at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Molecular Partners AG · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Updated Oct 21, 20262 sites addedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
138
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 629 studies in Small Cell Lung Carcinoma with a site in United States — 112 open to participants now, 182 under way, 27 of them phase 3. Small Cell Lung Carcinoma · United States.

Planned enrollment
149th of 550
138 · median 55
Started
2026
with 36 others
Phase 1/2
113 of 629
32 open now
Primary completion
2028-09
later than 122 of 181 live
Registered
599th of 629
by date

Among the 629 studies in Small Cell Lung Carcinoma with a site in United States, this one is the 149th largest by planned enrollment of the 550 interventional ones that give a count, is one of 37 that started in 2026, is one of 113 in phase 1/2, reaches primary completion later than 122 of the 181 other live ones, and was the 599th registered.

Small Cell Lung Carcinoma

1,301 studies on the registry are indexed under Small Cell Lung Carcinoma; 367 are open to participants now.

Browse Small Cell Lung Carcinoma studies →

Open to participants now

112 of the 629 studies in Small Cell Lung Carcinoma with a site in United States are open now. Recruiting first, the newest first:

106 more — sign in →

All 112 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 264 Small Cell Lung Carcinoma studies recruiting now, 173 (66%) set no upper age limit and 67 (25%) stop at 75 or younger; 3 take children under 18; 8 take healthy volunteers.

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

The full table on the hub →

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02

Study summary

The purpose of this study is to evaluate the safety, tolerability, dosimetry and preliminary efficacy of [212Pb]Pb-MP0712, in patients aged ≥18 years with Small Cell Lung Cancer and other locally advanced or metastatic DLL3 positive tumors.

Read the detailed description

This is a phase I/IIa, open-label, multi-center study to evaluate the safety, tolerability, dosimetry, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of [212Pb]Pb-MP0712 in patients with SCLC and other advanced DLL3-expressing solid tumors. The study consists of a dose escalation part, followed by a dose expansion part. Once the recommended radioactive dose(s) [212Pb]Pb-MP0712 for further clinical evaluation are determined, the dose expansion part will further characterize the safety, tolerability, and preliminary anti-tumor activity of [212Pb]Pb-MP0712. The study will enable evaluation of the safety, dosimetry, PK, and imaging properties of [203Pb]Pb-MP0712.

03

Conditions studied

  • Large Cell Neuroendocrine Carcinoma
  • Large Cell Pulmonary Neuroendocrine Carcinoma of the Lung (LCNEC)
  • Extrapulmonary Neuroendocrine Carcinoma (EP-NEC)
  • Small Cell Lung Cancer (SCLC)
  • Gastroenteropancreatic NEC (GEP NEC)
  • NEC of the Bladder
  • Other DLL3 Expressing epNEC

Keywords

  • DARPin
  • Alpha Emitter
  • Pb203
  • Pb212
  • DLL3
  • Radioligand therapy (RLT)
  • SCLC
  • Neuroendocrine cancer
  • [203Pb]Pb-DOTAM-MAM279
  • [212Pb]Pb-DOTAM-MAM279
  • EP-NEC
  • Lead 212
  • Lead 203
  • 203Pb
  • 212Pb
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Age ≥ 18 years old
  • or cytologically confirmed: I. advanced extensive or limited SCLC or LC NECs of the lung

    • SCLC (extensive stage, or limited stage) patients with progression or recurrence following at least two prior line of systemic platinum based therapy and immunotherapy or are not suitable or tolerating the standard of care treatment as of systemic therapy, or
    • LC NEC of the lung patients with progression or recurrence following at least one prior line of systemic therapy, or II. epNECs with progression or recurrence following at least one prior line of systemic therapy:
    • Gastroenteropancreatic NECs (GEPNEC), or
    • Cervical NECs, or
    • Bladder NECs, or
    • other epNECs with previously confirmed DLL3 expression by IHC.
    • Patients with prior DLL3-targeted therapy are allowed.
  • For epNECs in Part 1 and Part 2 and SCLC or LC NECs of the lung in Part 2: DLL3-positivity by [203Pb]Pb-DOTAM-MAM279 SPECT/CT
  • Radiographically documented disease progression or recurrence during or after the last line of systemic treatment therapy
  • At least one per v1.1.
  • Adequate bone marrow reserve and organ function as demonstrated by complete blood count, and biochemistry in blood and urine at Screening
  • Adequate blood counts: ≥9 g/dL; (ANC) ≥1.5 × 10\^9/L; ≥100 × 10\^9/L; White blood cells (WBC) ≥2.5 x 10\^9/L;
  • Adequate hepatic function
  • Adequate renal function: Calculated (GFR) >60mL/min (using Cockroft-Gault formula).
  • Patients with known central nervous system (CNS) will be eligible if they are clinically stable.

Key Exclusion Criteria:

  • Uncontrolled intercurrent illness
  • Patients who have not had resolution of all toxic effects of prior systemic cancer therapy, surgery, or radiotherapy to Grade ≤1 (except for grade ≤2 alopecia, or stable grade 2 sensory neuropathy, according to the last version).
  • Active clinically significant cardiac disease
  • Evidence of interstitial lung disease or active, non-infectious pneumonitis.
  • History of other within the past 2 years with exceptions.

Other protocol-defined inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(12)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

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).

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.

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.

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.

Metastases

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

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
138 participants (estimated)

Study arms

  • Experimental
    [203Pb]Pb-DOTAM-MAM279/[212Pb]Pb-DOTAM-MAM279

    Patients will receive \[203Pb\]Pb-DOTAM-MAM279 for Imaging/Dosimetry followed by \[212Pb\]Pb-DOTAM-MAM279 for treatment

    Drug: [212Pb]Pb-MP0712 · Other: [203Pb]Pb-MP0712

Interventions

  • Radioligand Therapy

    Also known as: [212Pb]Pb-DOTAM-MAM279

  • Other[203Pb]Pb-MP0712

    Radioligand Imaging Agent

    Also known as: [203Pb]Pb-DOTAM-MAM279

06

What researchers measure

Primary outcomes

  1. To assess incidence and severity of safety events following administration of [212Pb]Pb-DOTAM-MAM279

    Type, frequency and severity of adverse events (AEs), and serious adverse events (SAEs), Adverse events of special interest (AESI) and Dose Limiting Toxicities (DLT) using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE)

    Time frame: until 5 years after last dose

  2. To assess dose modifications of [212Pb]Pb-DOTAM-MAM279

    Frequency and duration of dose changes

    Time frame: until 5 years after last dose

  3. To estimate the maximum tolerated dose (MTD) and/or to define the recommended phase 2 dose (RP2D) for SCLC/LCNEC of the lung and epNECs

    Incidence of dose limiting toxicities

    Time frame: Phase 1, from start of treatment to end of first cycle (day 1 - 28)

  4. To evaluate the preliminary anti-tumor activity of [212Pb]Pb-DOTAM-MAM279 in the dose expansion part

    Objective Response Rate (ORR) in the expansion phase ORR is defined as the percentage of patients with partial response (PR) or complete response (CR) as per RECIST v1.1

    Time frame: Phase 2a only; 12 months

Secondary outcomes

  1. To assess maximum concentration (Cmax) of [203Pb]Pb-DOTAM-MAM279 / [212Pb]Pb-DOTAM-MAM279

    Blood and serum samples will be drawn to determine maximum concentration (Cmax) of \[203Pb\]Pb-DOTAM-MAM279 / \[212Pb\]Pb-DOTAM-MAM279

    Time frame: up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration; up to 14 days following [212Pb]Pb-DOTAM-MAM279 administration]

  2. To assess the area under the curve (AUC) from time 0 to the time of the last quantifiable concentration of [203Pb]Pb-DOTAM-MAM279

    Blood and serum samples will be drawn to determine AUC of \[203Pb\]Pb-DOTAM-MAM279 / \[212Pb\]Pb-DOTAM-MAM279

    Time frame: up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration; up to 14 days following [212Pb]Pb-DOTAM-MAM279 administration]

  3. To assess half-live(s) (t½) of [203Pb]Pb-DOTAM-MAM279 / [212Pb]Pb-DOTAM-MAM279

    Blood and serum samples will be drawn to determine half-live(s) (t½) of \[203Pb\]Pb-DOTAM-MAM279 / \[212Pb\]Pb-DOTAM-MAM279

    Time frame: up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration; up to 14 days following [212Pb]Pb-DOTAM-MAM279 administration]

  4. To assess the clearance (CL) of [203Pb]Pb-DOTAM-MAM279 / [212Pb]Pb-DOTAM-MAM279

    Blood and serum samples will be drawn to determine clearance (CL) of \[203Pb\]Pb-DOTAM-MAM279 / \[212Pb\]Pb-DOTAM-MAM279

    Time frame: up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration; up to 14 days following [212Pb]Pb-DOTAM-MAM279 administration]

  5. To assess the volume of distribution (Vd) of [203Pb]Pb-DOTAM-MAM279 / [212Pb]Pb-DOTAM-MAM279

    Blood and serum samples will be drawn to determine the volume of distribution (Vd) of \[203Pb\]Pb-DOTAM-MAM279 / \[212Pb\]Pb-DOTAM-MAM279

    Time frame: up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration; up to 14 days following [212Pb]Pb-DOTAM-MAM279 administration]

  6. To quantitatively predict radiation absorbed doses for therapeutic [212Pb]Pb-DOTAM-MAM279 from [203Pb]Pb-DOTAM-MAM279

    Estimation of \[212Pb\]Pb-DOTAM-MAM279 absorbed dose for healthy organs and tumor lesions based on dosimetry analysis of \[203Pb\]Pb-DOTAM-MAM279

    Time frame: Phase 1; up to 7 days following [203Pb]Pb-DOTAM-MAM279 administration

  7. To assess incidence and severity of safety events following administration of [203Pb]Pb-DOTAM-MAM279

    Type, frequency and severity of adverse events (AEs) and serious adverse events (SAEs) using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0

    Time frame: up to 10 days following [203Pb]Pb-DOTAM-MAM279 administration

  8. To evaluate PFS

    Progression-Free Survival (PFS) determined as the time from C1D1 to the date of progression, defined as the first documented progression as per RECIST v1.1 or death for any cause

    Time frame: Phase 2a only; 12 months

  9. To evaluate DoR

    Duration of response (DoR) in patients with a CR or PR from date of first date of response to the date of RECIST 1.1 progression or death

    Time frame: Phase 2a only; 12 months

  10. To evaluate DCR

    Disease control rate (DCR) defined as the percentage of patients who have achieved CR, PR, or stable disease (SD)

    Time frame: Phase 2a only; 12 months

  11. To evaluate OS

    Overall survival (OS) defined as the time from C1D1 to death from any cause

    Time frame: Phase 2a only; approx. 5 years

07

Study locations

8 of 8 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

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 May 2026 (actual). Primary completion is estimated for Sep 2028, 28 months after the start.

Of 70 industry-sponsored phase 1/2 interventional studies under Small Cell Lung Carcinoma, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 74. This study's planned 28 months is below that.

Counting every sponsor, half of 97 studies reached it within 56 months; a quarter within 44 and three quarters within 97.

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

Registered
Nov 10, 2025
First posted
Dec 12, 2025
StartActual
May 18, 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2032
Last update
Oct 21, 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
2 sites added
Show 2 added (2 United States)
  • University of Chicago · Chicago, United States
  • The University of Texas MD Anderson Cancer Center · Houston, United States
across 2 updates, Oct 20, 2026 – Oct 21, 2026
Show all 2 updates
  1. Oct 21, 2026
    1 site added
    Show site
    • The University of Texas MD Anderson Cancer Center · Houston, United States
  2. Oct 20, 2026
    1 site added
    Show site
    • University of Chicago · Chicago, United States

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
NCT07278479
Lead sponsor
Molecular Partners AG
Collaborators
Orano Med LLC
Responsible party
Sponsor
First posted
Dec 12, 2025
Start date
May 18, 2026
Primary completion
Sep 2028 (estimated)
Completion
Sep 2032 (estimated)
Last update
Oct 21, 2026

Study contacts

Medical Director MPAG
Contact
info@molecularpartners.com
+41 44 755 77 00

Oversight

Data monitoring committee
No
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: Lead PB-212

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