ClinicalTrials.gg
Not yet recruitingNCT07928037Updated Nov 10, 2026

A Study of Real-world Effectiveness of 177Lu-PSMA-617 With and Without Concurrent Androgen Receptor Pathway Inhibitors in Metastatic Castration Resistant Prostate Cancer Patients

An observational study in Metastatic Castration-Resistant Prostate Cancer, sponsored by Novartis Pharmaceuticals. Not yet recruiting. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Observational

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
2,045
Ages
18 Years and older
Sex
Male
01

Study summary

This study aims to assess real-world clinical outcomes among adult metastatic castration-resistant prostate cancer (mCRPC) patients previously treated with and progressed on an androgen receptor pathway inhibitor (ARPI) who received 177Lu-PSMA-617 as a monotherapy or with concurrent ARPI. The study will use secondary data taken from a United States oncology database.

02

Conditions studied

  • Metastatic Castration-Resistant Prostate Cancer

Keywords

  • Prostate Cancer
  • Metastatic
  • Real World
  • ARPI combinations
  • PSMA RLT
  • Lutetium Lu 177 vipivotide tetraxetan
  • 177Lu-PSMA-617
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 2,045 is above the median of 200 across 1,310 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

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

04

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 treated with 177Lu-PSMA-617 with or without concurrent ARPI on/after March 23, 2022 who received prior and progressed on an ARPI therapy in the metastatic setting.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Has an International Classification of Diseases (ICD) diagnosis of prostate cancer (ICD-9 185x; ICD-10 C61x)
  • At least two documented clinic visits on different days in the database network occurring on or after January 1, 2011.
  • Has evidence of prostate cancer with an initial or diagnosis date, as identified by a machine learning (ML) model from unstructured documents.
  • Diagnosis of mCRPC
  • Aged ≥18 years at mCRPC diagnosis.
  • Histology of Adenocarcinoma or prostate cancer, not otherwise specified (NOS).
  • Evidence of pre-index exposure to an ARPI (abiraterone acetate, enzalutamide, darolutamide, or apalutamide) in the metastatic setting
  • Evidence of ARPI progression on the ARPI (LOT) immediately preceding 177Lu-PSMA-617 initiation, defined as

    • evidence of a progression date (per the database's real-world progression-free survival (rwPFS) variables), during or after the preceding ARPI LOT
    • a castration-resistant prostate cancer (CRPC) date occurring during or after the preceding ARPI LOT
  • Evidence of initiating a 177Lu-PSMA-617-containing LOT with or without a second-generation ARPI (abiraterone acetate, enzalutamide, darolutamide, or apalutamide) in mCRPC setting between 23 March 2022 and 31 October 2025, with concurrent therapies limited to androgen deprivation therapy (ADT) and/or 1st-generation antiandrogens only, and no other concurrent therapies permitted.
  • At least 6 months of potential minimum follow-up from the first 177Lu-PSMA-617-containing LOT
  • Patients may not receive a clinical study drug (CSD) any time prior to 177Lu-PSMA-617-containing LOT.

Exclusion criteria

Exclusion criteria:

Applied to ARPI-experienced mCRPC patient cohort:

Individuals will be excluded if they meet any of the following criteria:

  • Evidence of unknown histology.
  • Patients enrolled in clinical trials at the time of 177Lu-PSMA-617 initiation.
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
2,045 participants (estimated)
Patient registry
No

Groups and cohorts

  • 177Lu-PSMA-617 Monotherapy

    mCRPC patients receiving 177Lu-PSMA-617 without concurrent ARPI. ADT and/or 1st-generation antiandrogens are allowed in the line. No other therapies are permitted during the line.

  • 177Lu-PSMA-617 + ARPI Combination

    mCRPC patients receiving 177Lu-PSMA-617 with concurrent ARPI. ADT and/or 1st-generation antiandrogens are allowed in the line. No other therapies are permitted in the line.

06

What researchers measure

Primary outcomes

  1. Real-world Overall Survival (rwOS)

    rwOS defined as the time from the index date (177Lu-PSMA-617 treatment initiation) to date of death.

    Time frame: Up to approximately 4 years

Secondary outcomes

  1. Real-world Time to Treatment Discontinuation (rwTTD)

    rwTTD defined as the time from 177Lu-PSMA-617 index therapy start to 177Lu-PSMA-617 index therapy end (discontinuation, death, or ≥120-day gap).

    Time frame: Up to approximately 4 years

  2. Real-world Progression-free Survival (rwPFS)

    rwPFS defined as the time from the start date of 177Lu-PSMA-617 to the date of first progression occurring more than 14 days after the LOT start date, or date of death if no progression event is observed.

    Time frame: Up to approximately 4 years

  3. Baseline Demographics

    Time frame: Baseline

  4. Number of Patients by Clinical Characteristics

    Clinical characteristics such as Eastern Cooperative Oncology Group (ECOG) performance status category (0-1, 2+), prostate specific antigen (PSA) level, Gleason score category (\<8, ≥8), laboratory values, and prior ARPI LOTs.

    Time frame: Baseline

07

Study locations

No study locations are listed for this record.

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 reached

Start is estimated for Nov 2026; primary completion for Nov 2026, 0 months later.

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

Registered
Nov 4, 2026
First posted
Nov 10, 2026
StartEst.
Nov 5, 2026
Primary completionEst.
Nov 25, 2026
CompletionEst.
Nov 25, 2026
Last update
Nov 10, 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.
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

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
NCT07928037
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Nov 5, 2026 (estimated)
Primary completion
Nov 25, 2026 (estimated)
Completion
Nov 25, 2026 (estimated)
Last update
Nov 10, 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 Nov 2026. You cannot join it, but the record below documents what was studied.

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