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Not yet recruitingNCT07697989PRISMUpdated Jul 22, 2026

Pluvicto Real-world Investigation in Survival in Metastatic CRPC

An observational study in Prostatic Neoplasms, Castration-Resistant and Neoplasm Metastasis, sponsored by Novartis Pharmaceuticals. Not yet recruiting. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Novartis Pharmaceuticals · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
1,085
Ages
18 Years and older
Sex
Male
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Study summary

This study aims to evaluate the various aspects of treatment effectiveness of [177Lu]Lu-PSMA-617 (Pluvicto) in mCRPC patients in both pre- and post-taxane settings. The study will be conducted using real-world data sources from the United States (US) and Germany.

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Conditions studied

  • Prostatic Neoplasms, Castration-Resistant
  • Neoplasm Metastasis

Keywords

  • Pluvicto
  • 177Lu-PSMA-617
  • Metastatic Castration Resistant Prostate Cancer
  • Effectiveness
  • Survival
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In context

Prostatic Neoplasms, Castration-Resistant

84 studies on the registry are indexed under Prostatic Neoplasms, Castration-Resistant; 30 are open to participants now.

This study's planned enrollment of 1,085 is above the median of 432 across 16 observational studies indexed under Prostatic Neoplasms, Castration-Resistant.

Browse Prostatic Neoplasms, Castration-Resistant studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult male patients with mCRPC in the US and Germany, who received [177Lu]Lu-PSMA-617.

Inclusion criteria

  1. Patients with at least one inpatient OR two outpatient primary prostate cancer (PC) diagnosis (International Classification of Diseases, Tenth Revision, Clinical Modification [ICD-10-CM]: C61) during the identification period. For outpatient diagnoses, the second confirmatory PC diagnosis must be at least 30 to 365 days after the first primary diagnosis date.
  2. Patients with a metastatic diagnosis (ICD-10-CM: C77-C79) on or after the primary PC diagnosis date. The earliest metastatic diagnosis will be the patient's metastatic diagnosis date.
  3. Patients with an mCRPC diagnosis on or after the metastatic diagnosis or satisfying any of the proxy criteria.
  4. Patients with evidence of treatment with [177Lu]Lu-PSMA-617 after the mCRPC diagnosis date. The date of [177Lu]Lu-PSMA-617 administration will be considered as the index date.
  5. Patients ≥18 years of age on metastatic diagnosis date.
  6. Patients who are male.
  7. Patients with at least 12 months pre-index and at least six months post-index (unless patient died) of medical history or continuous medical and pharmacy enrollment or activity (three-month allowable gap).

Exclusion criteria

Exclusion criteria:

  1. Patients with other non-prostate primary cancer (≥ two ICD codes for one specific type of cancer in the baseline period at least 30 days apart) within three years prior to the first PC diagnosis.
  2. Patients enrolled in a current clinical trial/investigational study within the 30-day period immediately prior to and including the index date or within five half-lives of the investigational product (whichever is longer) or during post-index period (ICD-10-CM: Z00.6).
  3. Patients with missing age and gender information.
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
1,085 participants (estimated)
Patient registry
No

Groups and cohorts

  • Overall mCRPC Cohort

    Adult male mCRPC patients who have received at least one dose of \[177Lu\]Lu-PSMA-617.

  • Chemo-naive mCRPC Cohort

    A sub-group of the Overall mCRPC Cohort. Adult male mCRPC patients who have received at least one dose of \[177Lu\]Lu-PSMA-617 and have not received chemotherapy in the mCRPC stage.

  • Post-taxane mCRPC Cohort

    A sub-group of the Overall mCRPC Cohort. Adult male mCRPC patients who have received at least one dose of \[177Lu\]Lu-PSMA-617 after taxane-based chemotherapy in the mCRPC stage.

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What researchers measure

Primary outcomes

  1. Real-World Overall Survival (rwOS)

    rwOS, defined as the time from index date, i.e., date of \[177Lu\]Lu-PSMA-617 administration, until death due to any cause.

    Time frame: Up to approximately 3 years

  2. Median rwOS

    Median rwOS, defined as the time from the index date, i.e., date of \[177Lu\]Lu-PSMA-617 administration, to when half of the patients in the cohort are still alive.

    Time frame: Up to approximately 3 years

Secondary outcomes

  1. Baseline Demographics

    Time frame: Baseline

  2. Proportion of Patients by Clinical Characteristic

    Clinical characteristics (based on data availability): * Symptoms and signs of PC * Tumor characteristics * Prostate-specific membrane antigen (PSMA) positivity (PSMA positive, PSMA negative) * Previous therapies

    Time frame: Baseline

  3. Proportion of Patients by Clinical Characteristic: Eastern Cooperative Oncology Group (ECOG) Performance Status

    ECOG performance status is a scale used to measure a patient's level of functioning in terms of self-care, daily activity, and physical ability. Scores range from 0 (fully active, able to carry out all pre-disease performance without restriction) to 5 (deceased).

    Time frame: Baseline

  4. Proportion of Patients by Clinical Characteristic: Karnofsky Performance Status

    The Karnofsky performance status scale is an assessment scale used to measure an individual's functional status and ability to perform daily activities. The Karnofsky performance scale uses an 11-point scale in 10-point increments ranging from 100 (normal functioning) to 0 (deceased).

    Time frame: Baseline

  5. Duration Between Metastatic PC Diagnosis and mCRPC Diagnosis

    Time frame: Baseline

  6. Prostate Specific Antigen (PSA) Level

    Time frame: Baseline

  7. Testosterone Level

    Time frame: Baseline

  8. Lactate Dehydrogenase (LDH) Level

    Time frame: Baseline

  9. Alkaline Phosphatase (ALP) Level

    Time frame: Baseline

  10. Real-World Progression Free Survival (rwPFS)

    rwPFS, defined as the time from the index date to the date of first documented progression, or next treatment initiation, or death from any cause, whichever occurs first.

    Time frame: Up to approximately 3 years

  11. Median rwPFS

    Median rwPFS, defined as the time from the index date to when half of the patients in the cohort have disease progression or death.

    Time frame: Up to approximately 3 years

  12. Duration Between mCRPC Diagnosis and [177Lu]Lu-PSMA-617 Treatment Initiation

    Time frame: Baseline

  13. Number of Patients by Number of [177Lu]Lu-PSMA-617 Cycles Received

    Time frame: Up to approximately 3 years

  14. Time Interval Between Two Consecutive [177Lu]Lu-PSMA-617 Cycles

    Time frame: Up to approximately 3 years

  15. Proportion of Patients With a Dose Modification

    Dose modification is defined as any change (reduction/escalation) in dose or frequency relative to the recommended dose in label.

    Time frame: Up to approximately 3 years

  16. Time-to-First Dose Modification

    Dose modification is defined as any change (reduction/escalation) in dose or frequency relative to the recommended dose in label.

    Time frame: Up to approximately 3 years

  17. Proportion of Patients who Discontinue Treatment

    Time frame: Up to approximately 3 years

  18. Proportion of Patients who Switch Treatment

    Proportion of patients who discontinue \[177Lu\]Lu-PSMA-617 treatment and initiate new drug(s).

    Time frame: Up to approximately 3 years

  19. Time-to-Treatment Discontinuation (TTD1L)

    Time frame: Up to approximately 3 years

  20. Time-to-Next Treatment (TTNT)

    Time from initiation of \[177Lu\]Lu-PSMA-617 until the start date of the next treatment or death, whichever occurs first.

    Time frame: Up to approximately 3 years

  21. Proportion of Patients With Adverse Events

    Time frame: Up to 42 days after the last dose of [177Lu]Lu-PSMA-617

  22. Proportion of Patients With Safety Topics of Interest (STIs)

    STIs: renal events, myelosuppression (cytopenias, bone marrow failure), dry mouth, second primary malignancies (other malignancies than the primary prostate cancer, including hematological and solid malignancies), dry eye.

    Time frame: Up to approximately 3 years

  23. Proportion of Prescriptions by Type of Specialty

    Time frame: Baseline, up to approximately 3 years

  24. Proportion of Prescriptions by Type of Practice Setting

    Time frame: Baseline, up to approximately 3 years

  25. Proportion of Patients by Type of Other Metastatic Prostate Cancer (mPC) Treatments Prior to [177Lu]Lu-PSMA-617 Treatment

    Time frame: Baseline

  26. Proportion of Patients by Type of Other mPC Treatments After [177Lu]Lu-PSMA-617 Treatment

    Time frame: Up to approximately 3 years

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07697989
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jul 13, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Jul 22, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
+41613241111
Novartis Pharmaceuticals
Contact
Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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